Abstract
60 cases of chronic spinal muscular atrophy (CSMA) were followed-up for a period varying from 5 to 40 years. The neuromuscular impairment was evaluated by Norris’ ALS score, both at the time of last examination and retrospectively at the time of diagnosis. Age at onset of symptoms was the most important factor in the progression of the neuromuscular damage. Monomelic or asymmetric location of symptoms at the time of diagnosis and duration of the disease were not significantly correlated to the worsening of ALS score.
Sommario
Sessanta casi di atrofia muscolare spinale cronica (CSMA) sono stati seguiti per un periodo compreso tra 5 e 40 anni. Per mezzo dell’ALS score di Norris è stato quantificato il danno neuromuscolare, sia al momento dell’ultima visita, sia, retrospettivamente, al momento della diagnosi. Il più importante fattore nella definizione della progressione del deficit è risultato essere l’età all’esordio dei sintomi. Non è stata evidenziata una relazione significativa tra una localizzazione monomelica o asimmetrica dei sintomi ed il peggioramento dell’ALS score.
Similar content being viewed by others
References
Brooke M.H.:Motor neuron disease (Amyotrophic lateral sclerosis). In: A clinician’s view of neuromuscular diseases p. 44–57. Ed. Brooke M.H. Baltimore, William & Wilkins Company, 1976.
Chiò A., Brignolio F., Leone M., Mortara P., Rosso M.G., Tribolo A., Schiffer D.:A survival analysis of 155 cases of progressive muscular atrophy. Acta Neurol. Scand. 72:407–413, 1985.
Compernolle T.:A case of juvenile muscular atrophy confined to one upper limb. Europ. neurol. 10:237–242, 1973.
Dyck P.J., Lambert E.H.:Lower motor and primary sensory neuron disease with peroneal muscular atrophy. II. Neurologic, genetic and electrophysiologic findings in various neuronal degenerations. Arch. Neurol. 18:619–625, 1968.
Emery A.E.H.:The nosology of spinal muscular atrophies. J. Med. Genet. 8:481–495, 1971.
Harding A.E., Thomas P.K.:Hereditary distal spinal muscular atrophy. J. Neurol. Sci. 45:337–348, 1980.
Harding A.E., Bradbury P.G., Murray N.M.F.:Chronic asymmetrical spinal muscular atrophy. J. Neurol. Sci. 59:69–83, 1983.
Hirayama K., Tsubaki T., Toyokura Y., Okinaka S.:Juvenile muscular atrophy of unilateral upper extremity. Neurology 13:373–380, 1963.
Kewey H., Yi I.:Adult spinal muscular atrophy. A report of four cases. J. Neurol. Sci. 61:249–259, 1983.
Lawyer T. jr.,Netskt M.S.:Amyotrophic lateral sclerosis. A clinico-anatomic study of fifty-three cases. Arch. Neurol. Psych. 6:171–192, 1953.
Meadows J.C., Marsden C.D., Harriman D.G.F.:Chronic spinal muscular atrophy in adults. J. Neurol. Sci. 9:527–550, 1983.
Mueller R.:Progressive motor neuron disease in adults. A clinical study with special reference to the course of the disease. Acta Psychiat. Neurol. 27:137–156, 1952.
Namba T., Aberfeld D.C., Grob D.:Chronic proximal spinal muscular atrophy. J. Neurol. Sci 11:401–423, 1970.
Norris F.H., Calancini P.R., Fallat R.J., Panchari S., Jewett B.:The administration of guanidine in amyotrophic lateral sclerosis. Neurology 24:721–728, 1974.
Norris F.H. jr.:Adult spinal motor neuron disease. Progressive muscular atrophy (Aran’s disease) in relation to amyotrophic lateral sclerosis. In: Handbook of clinical neurology, vol. 22, System Disorders and atrophies (II) p. 1–56. Eds. Vinken P.J., Bruyn G.W. Amsterdam, North-Holland Publishing Company, 1975.
O’Sullivan D.J., Mc Leod J.G.:Distal chronic spinal muscular atrophy involving the hands. J. Neurol. Neurosurg. Psychiat 41:653–658, 1978.
Pearn J.H., Hugson P.:Distal spinal muscular atrophy. A clinical and genetic study. J. Neurol. Sci 43:188–191, 1979.
Rowland L.P.:Diverse forms of motor neuron diseases. In: Human motor neuron diseases p. 1–11. Ed. Rowland L.P., New York, Raven Press, 1982.
Schiffer D., Brignolio F., Chiò A., Leone M., Rosso M.G.:A study of prognostic factors in motor neuron disease. In: Advances in Experimental Medicine and Biology, Vol. 209, Amyotrophic Lateral Sclerosis: Therapeutic, Psycological and Research Aspects. Cosi V., Kato A.C., Parlette W., Pinelli P., Poloni M., eds. Plenum Press, 255–263, 1987.
Serratrice G., Gastaut J.L.:Amyotrophies spinales chroniques distales ou formes spinales de la maladie de Charcot-Marie. Rev. Neurol. (Paris) 135:815–826, 1979.
Serratrice G.:Classification of adult chronic spinal muscular amyotrophies. Cardiomyology 2:255–273, 1983.
Siegel S.:Nonparametric statistics for the behavioral sciences. McGraw-Hill Book Company Inc., New York, 1956.
Singh N., Sachdev K., Susheela A.K.:Juvenile muscular atrophy localized to arms. Arch. Neurol. 37:297–299, 1980.
Uebayashi Y., Yase Y., Tanaka H., Shimada Y., Toyokura Y.:Prognosis of motor neuron disease in Japan. Neuroepid. 2:243–256, 1983.
Virmani V., Mohan P.K.:Non-familial segmental muscular atrophy in juvenile and young subjects. Acta Neurol. Scand. 72:336–340, 1985.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Schiffer, D., Brignolio, F., Chiò, A. et al. A follow-up study of 60 cases of chronic spinal muscular atrophy. Ital J Neuro Sci 9, 47–51 (1988). https://doi.org/10.1007/BF02334407
Issue Date:
DOI: https://doi.org/10.1007/BF02334407