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GTR Home > Tests > Neuromuscular Panel

Indication

This is a clinical test intended for Help: Diagnosis

Clinical summary

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Imported from OMIM

Hereditary diffuse leukoencephalopathy with spheroids-2 (HDLS2) is an autosomal dominant neurodegenerative disorder characterized by progressive cognitive and executive dysfunction, psychiatric disturbances, and neurologic symptoms, such as gait abnormalities, paresis, seizures, and rigidity. Symptom onset is usually in adulthood, although earlier onset has been reported. Some patients have an acute encephalopathic course with severe neurologic decline resulting in early death, whereas other patients have a more protracted and chronic disease course. Neuropathologic examination shows a leukoencephalopathy with axonal spheroids and myelination defects (summary by Sundal et al., 2012). For a discussion of genetic heterogeneity of HDLS, see HDLS1 (221820).

Clinical features

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Imported from Human Phenotype Ontology (HPO)

  • Cheyne-Stokes respiration
  • Dystonic disorder
  • Hemianopia
  • Rigidity
  • Grasp reflex
  • Mental deterioration
  • Personality changes
  • Sensory ataxia
  • Leukoencephalopathy
  • Difficulty walking
  • Dementia
  • Vegetative state
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Conditions tested

Target population

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Not provided

Clinical validity

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This panel should be performed in all individuals suspected of having an overlapping clinical phenotype. Confirmation of a clinical diagnosis through genetic testing can allow for genetic counseling and may direct medical management. Genetic counseling can provide a patient and/or family with the natural history of the condition, identify at-risk family members, provide reproductive risks as well as preconception/prenatal options, and allow for appropriate referral for patient support and/or resources.

Citations

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Clinical utility

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