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April 5, 2020Orphanet Journal of Rare DiseasesOpen Access

Longitudinal natural history of type I spinal muscular atrophy: a critical review

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Why the study?

New therapies in spinal muscular atrophy have highlighted the need for natural history data for comparison, but natural history studies using structured assessments in type I are very limited.

Population

Infants with type I spinal muscular atrophy first assessed before the age of 7 months with the Children's…

Design

Review

Authors

Eugenio Mercuri
Eugenio MercuriUniversity of Siena
SLSimona LucibelloIstituti di Ricovero e Cura a Carattere ScientificoMPMarco PerulliUniversità Cattolica del Sacro Cuore

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Implication

Adds longitudinal CHOP INTEND benchmarks for early type I SMA; leaves open prospective validation in therapy trials.

Structured PICO

P
Population
Infants with type I spinal muscular atrophy (SMA) first assessed before the age of 7 months with the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND)
O
Outcome
CHOP INTEND scores over time

This review of natural history data in untreated type I SMA infants confirms a consistent decline in motor function, providing a crucial baseline for comparison with new disease-modifying therapies.

Cite This Study

Mercuri et al. (2020) studied this question.

synapsesocial.com/papers/6a95344ec449400cd78284c4https://doi.org/10.1186/s13023-020-01356-1
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Spinal Muscular Atrophy: Survival Pattern and Functional Status2004 · 179 citations
  2. 2Consensus Statement for Standard of Care in Spinal Muscular Atrophy2007 · 968 citations
  3. 3Nusinersen in patients older than 7 months with spinal muscular atrophy type 12018 · 121 citations