Hereditary motor and sensory neuropathy, Okinawa type
General Information (adopted from Orphanet):
Synonyms, Signs: |
NEUROPATHY, HEREDITARY MOTOR AND SENSORY, OKINAWA TYPE HMSNO HMSNP Hereditary motor and sensory neuropathy, proximal type |
Number of Symptoms | 32 |
OrphanetNr: | 90117 |
OMIM Id: |
604484
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ICD-10: |
G60.0 |
UMLs: |
C1858338 |
MeSH: |
C535717 |
MedDRA: |
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Snomed: |
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Prevalence, inheritance and age of onset:
Prevalence: | No data available. |
Inheritance: |
Autosomal dominant [Orphanet] |
Age of onset: |
Adult onset [Omim] |
Disease classification (adopted from Orphanet):
Parent Diseases: |
Autosomal dominant hereditary axonal motor and sensory neuropathy
-Rare genetic disease -Rare neurologic disease Charcot-Marie-Tooth disease -Rare genetic disease -Rare neurologic disease |
Symptom Information:
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(HPO:0002445) | Tetraplegia | 26 / 7739 | ||||
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(HPO:0001288) | Gait disturbance | 318 / 7739 | ||||
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(HPO:0002936) | Distal sensory impairment | 96 / 7739 | ||||
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(HPO:0002378) | Hand tremor | rare [HPO:skoehler] | 9 / 7739 | |||
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(HPO:0002398) | Degeneration of anterior horn cells | 14 / 7739 | ||||
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(HPO:0002380) | Fasciculations | 42 / 7739 | ||||
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(HPO:0003380) | Decreased number of peripheral myelinated nerve fibers | 30 / 7739 | ||||
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(HPO:0009830) | Peripheral neuropathy | 206 / 7739 | ||||
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(HPO:0003077) | Hyperlipidemia | 37 / 7739 | ||||
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(HPO:0008180) | Mildly elevated creatine phosphokinase | 28 / 7739 | ||||
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(HPO:0003701) | Proximal muscle weakness | 105 / 7739 | ||||
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(HPO:0007126) | Proximal amyotrophy | 29 / 7739 | ||||
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(OMIM) | Tetraplegia in advanced disease | 1 / 7739 | ||||
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(OMIM) | Mild loss of touch and temperature | 1 / 7739 | ||||
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(OMIM) | TFG- and TDP43-positive intraneuronal inclusions in some sensory and motor spinal cord neurons | 1 / 7739 | ||||
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(OMIM) | Axonal motor and sensory neuropathy | 2 / 7739 | ||||
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(HPO:0000006) | Autosomal dominant inheritance | 2518 / 7739 | ||||
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(OMIM) | Loss of dorsal root ganglion cells | 1 / 7739 | ||||
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(OMIM) | Axonal degeneration seen on nerve conduction studies | 1 / 7739 | ||||
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(OMIM) | Painful muscle cramps | 2 / 7739 | ||||
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(HPO:0002171) | Gliosis | 48 / 7739 | ||||
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(OMIM) | Loss of peripheral nerve axons | 1 / 7739 | ||||
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(OMIM) | Muscle weakness and atrophy, proximal | 5 / 7739 | ||||
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(OMIM) | More severe loss of position and vibration | 1 / 7739 | ||||
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(OMIM) | Loss of anterior horn cells | 2 / 7739 | ||||
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(OMIM) | Neurogenic changes seen on EMG and biopsy | 1 / 7739 | ||||
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(OMIM) | Hypo- or areflexia | 4 / 7739 | ||||
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(OMIM) | Fatty replacement in hip muscles and proximal muscles of the lower limb seen on MRI | 1 / 7739 | ||||
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(OMIM) | Bulbar symptoms may occur (less common) | 1 / 7739 | ||||
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(OMIM) | Loss of myelinated fibers in spinal cord roots | 1 / 7739 | ||||
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(HPO:0003677) | Slow progression | 134 / 7739 | ||||
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(HPO:0003581) | Adult onset | 117 / 7739 |
Associated genes:
ClinVar (via SNiPA)
Gene symbol | Variation | Clinical significance | Reference |
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Additional Information:
Description: (OMIM) |
HMSNP is an autosomal dominant neurodegenerative disorder characterized by young adult onset of proximal muscle weakness and atrophy, muscle cramps, and fasciculations, with later onset of distal sensory impairment. The disorder is slowly progressive and clinically resembles amyotrophic ... |
Clinical Description OMIM |
Takashima et al. (1997) reported an autosomal dominant form of hereditary motor and sensory neuropathy with dominant proximal involvement (HMSNP). There were 23 patients from 8 families, all from Okinawa, Japan. The characteristics of the disorder included adult-onset ... |
Molecular genetics OMIM |
In affected members of 4 Japanese families with proximal hereditary motor and sensory neuropathy, Ishiura et al. (2012) identified a heterozygous mutation in the TFG gene (P285L; 602498.0001). Two of the families were from the Kansai region (Maeda ... |