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<meta name="keywords" content="C5848259, disease or syndrome, hereditary motor neuropathy proximal type i, hmn (hereditary motor neuropathy) proximal type i, infantile muscular atrophy, infantile spinal muscular atrophy, infantile-onset spinal muscular atrophy, muscular atrophy, infantile, muscular atrophy, spinal, infantile, muscular atrophy, spinal, type i, progressive muscular atrophy of infancy, proximal spinal muscular atrophy type 1, proximal spinal muscular atrophy, type 1, severe infantile spinal muscular atrophy, sma i, sma type 1, sma type i, sma, infantile acute form, sma-i, sma1, smn1, smni, spinal muscular atrophy 1, spinal muscular atrophy type 1, spinal muscular atrophy type i, spinal muscular atrophy, infantile, spinal muscular atrophy, type 1, spinal muscular atrophy, type i, spinal muscular atrophy-1, survival motor neuron spinal muscular atrophy, type i spinal muscular atrophy, werdnig hoffman disease, werdnig hoffmann disease, werdnig-hoffman disease, werdnig-hoffmann disease, whd - werdnig-hoffmann disease, autosomal dominant, autosomal recessive, birth defects, chromosomal disease, chromosome, clinical features, clinical findings, clinical genetics, clinical recommendations, clinvar, congenital chromosomal disease, consumer genetic resources, cytogenetic location, disease characteristics, disease definitions, disease descriptions, disease ontology, disease synonyms, disease vocabulary, dysmorphology, entrez, familial disease, gene, gene-disease relationship, genereviews, genetic disease, genetic disorder, genetic terminology, genetic testing registry, genetics home reference, genomic disease, gtr, hereditary disease, heritable disease, hpo, human phenotype ontology, inherited disease, management guidelines, maternal inheritance, medgen, medical genetics, medical subject headings, mesh, mitochondrial inheritance, mode of inheritance, national center for biotechnology information, national institutes of health, national library of medicine, ncbi, nih, nlm, omim, ordo, orphanet, paternal inheritance, phenome, position statements, professional practice guidelines, rare disease, reference sequence, refseq, snomed ct, syndrome, undiagnosed diseases, x-linked recessive" /><meta name="description" content="Spinal muscular atrophy (SMA) is characterized by muscle weakness and atrophy resulting from progressive degeneration and irreversible loss of the anterior horn cells in the spinal cord (i.e., lower motor neurons) and the brain stem nuclei. The onset of weakness ranges from before birth to adulthood. The weakness is symmetric, proximal greater than distal, and progressive. Before the genetic basis of SMA was understood, it was classified into clinical subtypes based on maximum motor function achieved; however, it is now apparent that the phenotype of SMN1-associated SMA spans a continuum without clear delineation of subtypes. With supportive care only, poor weight gain with growth failure, restrictive lung disease, scoliosis, and joint contractures are common complications; however, newly available targeted treatment options are changing the natural history of the disease." /><meta name="robots" content="index,nofollow,noarchive" />
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<title>Werdnig-Hoffmann disease (Concept Id: C5848259)
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<!--
UID=1845578
ConceptID=C5848259
-->
<!--imgCountBooks = 1--><div class="ncbi_carousel" data-ncbicarousel-config="imageWidth:'100px',numItemsVisible:2,toggler:false"><div class="nc_header"><span class="img_strip_title">Image</span></div><div class="nc_content"><div class="nc_item"><a class="figpopup"><img alt="Image from GeneReviews" src="/books/NBK1352/bin/sma-Image001.gif" src-large="/books/NBK1352/bin/sma-Image001.jpg" /></a><br /><a href="/books/NBK1352/figure/sma.F1/" title="GeneReviews" target="_blank">details</a></div></div></div><h1 class="medgenTitle"><div class="MedGenTitleText">Werdnig-Hoffmann disease<span class="h1sub">(SMA1)</span></div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1845578</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information."><span class="highlight" style="background-color:">C5848259</span></a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonyms:</td>
<td>HMN (Hereditary Motor Neuropathy) Proximal Type I; MUSCULAR ATROPHY, INFANTILE; Proximal spinal muscular atrophy, type 1; SMA I; SMA, INFANTILE ACUTE FORM; SMA1; Spinal muscular atrophy 1</td></tr>
<tr><td><span class="bold">SNOMED CT: </span></td>
<td>Werdnig-Hoffmann disease (64383006); Infantile spinal muscular atrophy (64383006); Progressive muscular atrophy of infancy (64383006); Spinal muscular atrophy type I (64383006); WHD - Werdnig-Hoffmann disease (64383006); Spinal muscular atrophy, type I (64383006)</td></tr>
<tr><td>Modes of inheritance:</td>
<td>
<div class="divPopper rprt" id="moi_141025"><div><strong>Autosomal recessive inheritance</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>141025</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0441748</a></dd><dt><span class="dotprefix"></span></dt><dd>Intellectual Product</dd></dl></div></div></div>
<div class="spaceAbove">Source: Orphanet</div>
<div class="spaceAbove">A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).</div></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#moi_141025" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Autosomal recessive inheritance</a><span> (Orphanet)</span></div></td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td><a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#target-gene-loc">Gene (location):<img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a><div class="display-none" id="target-gene-loc">
Gene(s) directly associated with<br />
this condition or phenotype.</div></td>
<td><a target="_blank" title="SMN1 - ID: 6606 - NCBI Gene" href="/gene/6606" class="medgenPMinfo">SMN1</a> (5q13.2)</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td>Monarch Initiative:</td>
<td><a href="https://monarchinitiative.org/disease/MONDO:0009669" target="_blank">MONDO:0009669</a></td></tr>
<tr><td>OMIM<span class="superscript">®</span>:</td>
<td><a href="https://omim.org/entry/253300" target="_blank">253300</a></td></tr>
<tr><td>Orphanet:</td>
<td><a target="_blank" title="Orphanet: The portal for rare diseases and orphan drugs" href="http://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&amp;Expert=83330">ORPHA83330</a></td></tr></tbody></table></div><div class="rprt-body jig-ncbiinpagenav" data-jigconfig="smoothScroll: false, gotoTopLink: true, gotoTopLinkText: '', gotoTopLinkAttrs: {'title': 'Go to the top of the page'},allHeadingLevels: ['h1'], topOfPageTOC: true, tocId: 'my-toc'"><div id="rprt-tabs-1" class="rprt-tab"><div id="tb-termsProp-1"><div class="leftCol mgCol"><div>
<div class="portlet mgSection" id="ID_101">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Disease_characteristics">Disease characteristics</h1><a sid="101" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><div class="excerpt">Excerpted from the <i>GeneReview: </i><a href="/books/NBK1352" target="_blank">Spinal Muscular Atrophy</a></div><div>Spinal muscular atrophy (SMA) is characterized by muscle weakness and atrophy resulting from progressive degeneration and irreversible loss of the anterior horn cells in the spinal cord (i.e., lower motor neurons) and the brain stem nuclei. The onset of weakness ranges from before birth to adulthood. The weakness is symmetric, proximal greater than distal, and progressive. Before the genetic basis of SMA was understood, it was classified into clinical subtypes based on maximum motor function achieved; however, it is now apparent that the phenotype of SMN1-associated SMA spans a continuum without clear delineation of subtypes. With supportive care only, poor weight gain with growth failure, restrictive lung disease, scoliosis, and joint contractures are common complications; however, newly available targeted treatment options are changing the natural history of the disease. [from <a title="GeneReviews" href="https://www.ncbi.nlm.nih.gov/books/NBK1116" class="defSource" target="_blank">GeneReviews</a>]</div><div class="spaceAbove"><strong>Full text of <i>GeneReview</i> (by section):</strong><br /><a class="medgenPMinfo" href="/books/NBK1352#sma.Summary" target="NBK1352">Summary</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.GeneReview_Scope" target="NBK1352">GeneReview Scope</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.Diagnosis" target="NBK1352">Diagnosis</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.Clinical_Characteristics" target="NBK1352">Clinical Characteristics</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.Genetically_Related_Allelic_Disorder" target="NBK1352">Genetically Related (Allelic) Disorders</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.Differential_Diagnosis" target="NBK1352">Differential Diagnosis</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.Management" target="NBK1352">Management</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.Genetic_Counseling" target="NBK1352">Genetic Counseling</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.Resources" target="NBK1352">Resources</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.Molecular_Genetics" target="NBK1352">Molecular Genetics</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.Chapter_Notes" target="NBK1352">Chapter Notes</a>  |  <a class="medgenPMinfo" href="/books/NBK1352#sma.References" target="NBK1352">References</a></div><div class="spaceAbove"><strong>Authors:</strong><br />
Thomas W Prior  |  Meganne E Leach  |  Erika L Finanger   <a href="/books/NBK1352" target="NBK1352" title="NCBI Bookshelf: Spinal Muscular Atrophy">view full author information</a></div></div>
</div>
<div class="portlet mgSection" id="ID_117">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Additional_descriptions">Additional descriptions</h1><a sid="117" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><div class="mgSection"><strong>From OMIM</strong><br />Spinal muscular atrophy refers to a group of autosomal recessive neuromuscular disorders characterized by degeneration of the anterior horn cells of the spinal cord, leading to symmetrical muscle weakness and atrophy (summary by Wirth, 2000).&#13;
Four types of SMA are recognized depending on the age of onset, the maximum muscular activity achieved, and survivorship: type I, severe infantile acute SMA, or Werdnig-Hoffman disease; type II (253550), or infantile chronic SMA; type III (253400), juvenile SMA, or Wohlfart-Kugelberg-Welander disease; and type IV (271150), or adult-onset SMA. All types are caused by recessive mutations in the SMN1 gene.&#13;
Lunn and Wang (2008) provided a detailed review of clinical features, molecular pathogenesis, and therapeutic strategies for SMA.  <a target="_blank" href="http://www.omim.org/entry/253300">http://www.omim.org/entry/253300</a></div><div class="mgSection"><strong>From MedlinePlus Genetics</strong><br />Spinal muscular atrophy type III (also called Kugelberg-Welander disease) typically causes muscle weakness after early childhood. Individuals with this condition can stand and walk unaided, but over time, walking and climbing stairs may become increasingly difficult. Many affected individuals require wheelchair assistance later in life. People with spinal muscular atrophy type III typically have a normal life expectancy.<br /><br />Spinal muscular atrophy type II (also called Dubowitz disease) is characterized by muscle weakness that develops in children between ages 6 and 12 months. Children with this type can sit without support, although they may need help getting to a seated position. However, as the muscle weakness worsens later in childhood, affected individuals may need support to sit. Individuals with spinal muscular atrophy type II cannot stand or walk unaided. They often have involuntary trembling (tremors) in their fingers, a spine that curves side-to-side (scoliosis), and respiratory muscle weakness that can be life-threatening. The life span of individuals with spinal muscular atrophy type II varies, but many people with this condition live into their twenties or thirties.<br /><br />Spinal muscular atrophy type I (also called Werdnig-Hoffmann disease) is the most common form of the condition. It is a severe form of the disorder with muscle weakness evident at birth or within the first few months of life. Most affected children cannot control their head movements or sit unassisted. Children with this type may have swallowing problems that can lead to difficulty feeding and poor growth. They can also have breathing problems due to weakness of respiratory muscles and an abnormally bell-shaped chest that prevents the lungs from fully expanding. Most children with spinal muscular atrophy type I do not survive past early childhood due to respiratory failure.<br /><br />Spinal muscular atrophy type IV is rare and often begins in early adulthood. Affected individuals usually experience mild to moderate muscle weakness, tremors, and mild breathing problems. People with spinal muscular atrophy type IV have a normal life expectancy.<br /><br />Spinal muscular atrophy type 0 is evident before birth and is the rarest and most severe form of the condition. Affected infants move less in the womb, and as a result they are often born with joint deformities (contractures). They have extremely weak muscle tone (hypotonia) at birth. Their respiratory muscles are very weak and they often do not survive past infancy due to respiratory failure. Some infants with spinal muscular atrophy type 0 also have heart defects that are present from birth (congenital).<br /><br />Spinal muscular atrophy is a genetic disorder characterized by weakness and wasting (atrophy) in muscles used for movement (skeletal muscles). It is caused by a loss of specialized nerve cells, called motor neurons that control muscle movement. The weakness tends to be more severe in the muscles that are close to the center of the body (proximal) compared to muscles away from the body's center (distal). The muscle weakness usually worsens with age. There are many types of spinal muscular atrophy that are caused by changes in the same genes. The types differ in age of onset and severity of muscle weakness; however, there is overlap between the types. Other forms of spinal muscular atrophy and related motor neuron diseases, such as spinal muscular atrophy with progressive myoclonic epilepsy, spinal muscular atrophy with lower extremity predominance, X-linked infantile spinal muscular atrophy, and spinal muscular atrophy with respiratory distress type 1 are caused by mutations in other genes.  <a target="_blank" href="https://medlineplus.gov/genetics/condition/spinal-muscular-atrophy">https://medlineplus.gov/genetics/condition/spinal-muscular-atrophy</a></div></div>
</div>
<div class="portlet mgSection" id="ID_102">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Clinical_features">Clinical features</h1><a sid="102" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln clinfeat"><strong>From HPO</strong><br />
<div class="divPopper rprt" id="clin_6753"><div><strong>Atrial septal defect</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>6753</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0018817</a></dd><dt><span class="dotprefix"></span></dt><dd>Congenital Abnormality</dd></dl></div></div></div>
<div class="spaceAbove">Atrial septal defect (ASD) is a congenital abnormality of the interatrial septum that enables blood flow between the left and right atria via the interatrial septum.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/6753">Feature record</a> | <a href="/medgen?term=%22Atrial%20septal%20defect%22%5BClinical%20Features%5D%20OR%206753%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_42366"><div><strong>Ventricular septal defect</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>42366</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0018818</a></dd><dt><span class="dotprefix"></span></dt><dd>Congenital Abnormality</dd></dl></div></div></div>
<div class="spaceAbove">A hole between the two bottom chambers (ventricles) of the heart. The defect is centered around the most superior aspect of the ventricular septum.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/42366">Feature record</a> | <a href="/medgen?term=%22Ventricular%20septal%20defect%22%5BClinical%20Features%5D%20OR%2042366%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_115943"><div><strong>Areflexia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>115943</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0234146</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Absence of neurologic reflexes such as the knee-jerk reaction.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/115943">Feature record</a> | <a href="/medgen?term=%22Areflexia%22%5BClinical%20Features%5D%20OR%20115943%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_7755"><div><strong>Spinal muscular atrophy</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>7755</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0026847</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Spinal muscular atrophy (SMA) is characterized by muscle weakness and atrophy resulting from progressive degeneration and irreversible loss of the anterior horn cells in the spinal cord (i.e., lower motor neurons) and the brain stem nuclei. The onset of weakness ranges from before birth to adulthood. The weakness is symmetric, proximal greater than distal, and progressive. Before the genetic basis of SMA was understood, it was classified into clinical subtypes based on maximum motor function achieved; however, it is now apparent that the phenotype of SMN1-associated SMA spans a continuum without clear delineation of subtypes. With supportive care only, poor weight gain with growth failure, restrictive lung disease, scoliosis, and joint contractures are common complications; however, newly available targeted treatment options are changing the natural history of the disease.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/7755">Feature record</a> | <a href="/medgen?term=%22Spinal%20muscular%20atrophy%22%5BClinical%20Features%5D%20OR%207755%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_322809"><div><strong>Poor head control</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>322809</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1836038</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Difficulty to maintain correct position of the head while standing or sitting. Infant head lag is observed when the head seems to flop around or lags posteriorly behind the trunk. Several articles have maintained that head lag should be absent by age 3 to 4 months.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/322809">Feature record</a> | <a href="/medgen?term=%22Poor%20head%20control%22%5BClinical%20Features%5D%20OR%20322809%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_342591"><div><strong>Proximal amyotrophy</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>342591</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1850794</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Amyotrophy (muscular atrophy) affecting the proximal musculature.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/342591">Feature record</a> | <a href="/medgen?term=%22Proximal%20amyotrophy%22%5BClinical%20Features%5D%20OR%20342591%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_346841"><div><strong>Generalized hypotonia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>346841</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1858120</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Generalized muscular hypotonia (abnormally low muscle tone).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/346841">Feature record</a> | <a href="/medgen?term=%22Generalized%20hypotonia%22%5BClinical%20Features%5D%20OR%20346841%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_356423"><div><strong>Proximal muscle weakness in lower limbs</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>356423</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1866010</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">A lack of strength of the proximal muscles of the legs.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/356423">Feature record</a> | <a href="/medgen?term=%22Proximal%20muscle%20weakness%20in%20lower%20limbs%22%5BClinical%20Features%5D%20OR%20356423%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_867363"><div><strong>EMG: neuropathic changes</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>867363</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4021727</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">The presence of characteristic findings of denervation on electromyography (fibrillations, positive sharp waves, and giant motor unit potentials).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/867363">Feature record</a> | <a href="/medgen?term=%22EMG%3A%20neuropathic%20changes%22%5BClinical%20Features%5D%20OR%20867363%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_11197"><div><strong>Respiratory insufficiency</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>11197</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0035229</a></dd><dt><span class="dotprefix"></span></dt><dd>Pathologic Function</dd></dl></div></div></div>
<div class="spaceAbove">Impairment of gas exchange within the lungs secondary to a disease process, neoplasm, or trauma, possibly resulting in hypoxia, hypercarbia, or both, but not requiring intubation or mechanical ventilation. Patients are normally managed with pharmaceutical therapy, supplemental oxygen, or both.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/11197">Feature record</a> | <a href="/medgen?term=%22Respiratory%20insufficiency%22%5BClinical%20Features%5D%20OR%2011197%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_257837"><div><strong>Respiratory failure</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>257837</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1145670</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">A severe form of respiratory insufficiency characterized by inadequate gas exchange such that the levels of oxygen or carbon dioxide cannot be maintained within normal limits.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/257837">Feature record</a> | <a href="/medgen?term=%22Respiratory%20failure%22%5BClinical%20Features%5D%20OR%20257837%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_812812"><div><strong>Recurrent respiratory infections</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>812812</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C3806482</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">An increased susceptibility to respiratory infections as manifested by a history of recurrent respiratory infections.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/812812">Feature record</a> | <a href="/medgen?term=%22Recurrent%20respiratory%20infections%22%5BClinical%20Features%5D%20OR%20812812%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_65987"><div><strong>Tongue fasciculations</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>65987</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0239548</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Fasciculations or fibrillation affecting the tongue muscle.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/65987">Feature record</a> | <a href="/medgen?term=%22Tongue%20fasciculations%22%5BClinical%20Features%5D%20OR%2065987%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_68618"><div><strong>Decreased fetal movement</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>68618</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0235659</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">An abnormal reduction in quantity or strength of fetal movements.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/68618">Feature record</a> | <a href="/medgen?term=%22Decreased%20fetal%20movement%22%5BClinical%20Features%5D%20OR%2068618%5Buid%5D">Search on this feature</a></div></div><div class="TreeLite" data-jigconfig="closed: 1"><div class="concept-def"><a class="small" href="#" onclick="jQuery(&quot;.TreeLite&quot;,&quot;#ID_102&quot;).TreeLite().openAll(); return false;">Show all</a><a class="small" href="#" onclick="jQuery(&quot;.TreeLite&quot;,&quot;#ID_102&quot;).TreeLite().closeAll(); return false;">Hide all</a></div><ul><li><span class="TLline">Abnormality of head or neck</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_65987" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Tongue fasciculations</a></span></li></ul></li><li><span class="TLline">Abnormality of prenatal development or birth</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_68618" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Decreased fetal movement</a></span></li></ul></li><li><span class="TLline">Abnormality of the cardiovascular system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_6753" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Atrial septal defect</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_42366" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Ventricular septal defect</a></span></li></ul></li><li><span class="TLline">Abnormality of the musculoskeletal system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_867363" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">EMG: neuropathic changes</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_346841" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Generalized hypotonia</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_322809" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Poor head control</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_342591" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Proximal amyotrophy</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_356423" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Proximal muscle weakness in lower limbs</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_7755" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Spinal muscular atrophy</a></span></li></ul></li><li><span class="TLline">Abnormality of the nervous system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_115943" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Areflexia</a></span></li></ul></li><li><span class="TLline">Abnormality of the respiratory system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_812812" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Recurrent respiratory infections</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_257837" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Respiratory failure</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_11197" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Respiratory insufficiency</a></span></li></ul></li></ul></div></div>
</div>
<div class="portlet mgSection" id="ID_118">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Term_Hierarchy">Term Hierarchy</h1><a sid="118" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln HierarchyGTR"><div class="jig-ncbitabs"><ul><li><a href="#tabGTR">GTR</a></li><li><a href="#tabMGEN">MeSH</a></li></ul><div id="tabGTR"><div class="search_result"><div class="rprts"><div class="chiclet_legend"><span class="chiclet_list" style="position:static;"><span title="Clinical test" class="chiclet Ccolor round">C</span><span>Clinical test,  </span><span title="Research test" class="chiclet Rcolor round">R</span><span>Research test,  </span><span title="OMIM" class="chiclet Ocolor ">O</span><span>OMIM,  </span><span title="GeneReview" class="chiclet Gcolor">G</span><span><em>GeneReviews</em>,  </span><span title="ClinVar" class="chiclet Vcolor">V</span><span>ClinVar  </span></span></div><div id="hierarchy" class="margin_t1"><div class="ds_tree"><ul><li class="TLclosed"><span class="chiclet_list"><span class="chiclet Ccolor round" title="Clinical test"><a target="_blank" href="/gtr/tests/?term=C0026847[DISCUI]&amp;test_type=Clinical" ref="ncbi_uid=7755">C</a></span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet unavailable" title="OMIM">O</span><span class="chiclet Gcolor" title="GeneReviews"><a target="_blank" href="/books/NBK1352/" ref="ncbi_uid=7755">G</a></span><span class="chiclet Vcolor" title="ClinVar"><a target="_blank" href="/clinvar?LinkName=medgen_clinvar&amp;from_uid=7755" ref="ncbi_uid=7755">V</a></span></span><span class="TLline"><a href="/medgen/7755" ref="tree=GTR&amp;ncbi_uid=7755&amp;link_uid=7755" title="View MedGen record for 'Spinal muscular atrophy'">Spinal muscular atrophy</a></span><ul><li class="TLclosed"><span class="chiclet_list"><span class="chiclet Ccolor round" title="Clinical test"><a target="_blank" href="/gtr/tests/?term=C0152109[DISCUI]&amp;test_type=Clinical" ref="ncbi_uid=101816">C</a></span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet Ocolor" title="OMIM"><a ref="ncbi_uid=101816" target="_blank" href="/omim/253400">O</a></span><span class="chiclet Gcolor" title="GeneReviews"><a target="_blank" href="/books/NBK1352/" ref="ncbi_uid=101816">G</a></span><span class="chiclet Vcolor" title="ClinVar"><a target="_blank" href="/clinvar?LinkName=medgen_clinvar&amp;from_uid=101816" ref="ncbi_uid=101816">V</a></span></span><span class="TLline"><a href="/medgen/101816" ref="tree=GTR&amp;ncbi_uid=101816&amp;link_uid=101816" title="View MedGen record for 'Kugelberg-Welander disease'">Kugelberg-Welander disease</a></span></li><li class="TLclosed"><span class="chiclet_list"><span class="chiclet Ccolor round" title="Clinical test"><a target="_blank" href="/gtr/tests/?term=C0393538[DISCUI]&amp;test_type=Clinical" ref="ncbi_uid=95975">C</a></span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet Ocolor" title="OMIM"><a ref="ncbi_uid=95975" target="_blank" href="/omim/253550">O</a></span><span class="chiclet Gcolor" title="GeneReviews"><a target="_blank" href="/books/NBK1352/" ref="ncbi_uid=95975">G</a></span><span class="chiclet Vcolor" title="ClinVar"><a target="_blank" href="/clinvar?LinkName=medgen_clinvar&amp;from_uid=95975" ref="ncbi_uid=95975">V</a></span></span><span class="TLline"><a href="/medgen/95975" ref="tree=GTR&amp;ncbi_uid=95975&amp;link_uid=95975" title="View MedGen record for 'Spinal muscular atrophy, type II'">Spinal muscular atrophy, type II</a></span></li><li class="TLclosed"><span class="chiclet_list"><span class="chiclet Ccolor round" title="Clinical test"><a target="_blank" href="/gtr/tests/?term=C1838230[DISCUI]&amp;test_type=Clinical" ref="ncbi_uid=325364">C</a></span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet Ocolor" title="OMIM"><a ref="ncbi_uid=325364" target="_blank" href="/omim/271150">O</a></span><span class="chiclet Gcolor" title="GeneReviews"><a target="_blank" href="/books/NBK1352/" ref="ncbi_uid=325364">G</a></span><span class="chiclet Vcolor" title="ClinVar"><a target="_blank" href="/clinvar?LinkName=medgen_clinvar&amp;from_uid=325364" ref="ncbi_uid=325364">V</a></span></span><span class="TLline"><a href="/medgen/325364" ref="tree=GTR&amp;ncbi_uid=325364&amp;link_uid=325364" title="View MedGen record for 'Spinal muscular atrophy, type IV'">Spinal muscular atrophy, type IV</a></span></li><li class="matched_ds"><span class="chiclet_list"><span class="chiclet Ccolor round" title="Clinical test"><a target="_blank" href="/gtr/tests/?term=C5848259[DISCUI]&amp;test_type=Clinical" ref="ncbi_uid=1845578">C</a></span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet Ocolor" title="OMIM"><a ref="ncbi_uid=1845578" target="_blank" href="/omim/253300">O</a></span><span class="chiclet Gcolor" title="GeneReviews"><a target="_blank" href="/books/NBK1352/" ref="ncbi_uid=1845578">G</a></span><span class="chiclet Vcolor" title="ClinVar"><a target="_blank" href="/clinvar?LinkName=medgen_clinvar&amp;from_uid=1845578" ref="ncbi_uid=1845578">V</a></span></span><span class="TLline">Werdnig-Hoffmann disease</span></li></ul></li></ul></div></div></div></div></div><div id="tabMGEN"><div class="ds_tree"><ul><li><span class="TLline"><a href="/medgen/78728" ref="tree=MeSH" title="MedGen record for Hereditary motor neuron disease">Hereditary motor neuron disease</a></span><ul><li><span class="TLline"><a href="/medgen/870510" ref="tree=MeSH" title="MedGen record for Proximal spinal muscular atrophy">Proximal spinal muscular atrophy</a></span><ul><li><span class="matched_ds">Werdnig-Hoffmann disease</span></li></ul></li></ul></li></ul></div></div></div></div>
</div>
<div class="portlet mgSection" id="ID_105">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
<div class="nl"><a target="_blank" href="/pubmed/31030938">Newborn screening for SMA in Southern Belgium.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Boemer F,
Caberg JH,
Dideberg V,
Dardenne D,
Bours V,
Hiligsmann M,
Dangouloff T,
Servais L</span><br />
<span class="medgenPMjournal">Neuromuscul Disord</span>
2019 May;29(5):343-349.
Epub 2019 Feb 15
doi: 10.1016/j.nmd.2019.02.003.
<span class="bold">PMID: </span><a href="/pubmed/31030938" target="_blank">31030938</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30171535">Nusinersen in the Treatment of Spinal Muscular Atrophy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Goodkey K,
Aslesh T,
Maruyama R,
Yokota T</span><br />
<span class="medgenPMjournal">Methods Mol Biol</span>
2018;1828:69-76.
doi: 10.1007/978-1-4939-8651-4_4.
<span class="bold">PMID: </span><a href="/pubmed/30171535" target="_blank">30171535</a></div>
<div class="nl"><a target="_blank" href="/pubmed/12646976">Genetic diagnosis of Werdnig-Hoffmann disease: a problem for application to prenatal diagnosis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Migita M,
Migita M,
Uchikoba Y,
Orimo H,
Shimada T,
Shimada T,
Matsumoto T,
Hayakawa J,
Fujino O,
Saitoh M,
Fukunaga Y</span><br />
<span class="medgenPMjournal">J Nippon Med Sch</span>
2003 Feb;70(1):45-8.
doi: 10.1272/jnms.70.45.
<span class="bold">PMID: </span><a href="/pubmed/12646976" target="_blank">12646976</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(%22werdnig-hoffmann%20disease%22%5Btiab%3A~0%5D)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (5)</a></div><h3 class="subhead">Curated<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpCurated"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
<div class="nl"><a target="_blank" href="/pubmed/22510849">Clinical utility gene card for: proximal spinal muscular atrophy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Rudnik-Schöneborn S,
Eggermann T,
Kress W,
Lemmink HH,
Cobben JM,
Zerres K</span><br />
<span class="medgenPMjournal">Eur J Hum Genet</span>
2012 Jun;20(6)
Epub 2012 Apr 18
doi: 10.1038/ejhg.2012.62.
<span class="bold">PMID: </span><a href="/pubmed/22510849" target="_blank">22510849</a><a href="/pmc/articles/PMC3355269" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=" title="PubMed search"></a></div><h3 class="nl vspace"><a href="https://www.acmg.net/PDFLibrary/SMA-ACT-Sheet.pdf" target="_blank">American College of Medical Genetics and Genomics, Newborn Screening ACT Sheet, Exon 7 Deletion (Pathogenic Variant) in Survival Motor Neuron Gene (SMN1), Spinal Muscular Atrophy (SMA), 2020</a></h3>
<h3 class="nl vspace"><a href="https://www.acmg.net/PDFLibrary/Spinal-Muscular-Atrophy-Carrier-Screening-ACT.pdf" target="_blank">ACMG Carrier Screening ACT Sheet Spinal Muscular Atrophy (SMA)</a></h3>
</div>
</div>
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
<div class="portlet mgSection" id="ID_114">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Suggested_Reading">Suggested Reading</h1><a sid="114" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed</h3>
<div class="nl"><a target="_blank" href="/pubmed/27939059">Treatment of infantile-onset spinal muscular atrophy with nusinersen: a phase 2, open-label, dose-escalation study.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Finkel RS,
Chiriboga CA,
Vajsar J,
Day JW,
Montes J,
De Vivo DC,
Yamashita M,
Rigo F,
Hung G,
Schneider E,
Norris DA,
Xia S,
Bennett CF,
Bishop KM</span><br />
<span class="medgenPMjournal">Lancet</span>
2016 Dec 17;388(10063):3017-3026.
Epub 2016 Dec 7
doi: 10.1016/S0140-6736(16)31408-8.
<span class="bold">PMID: </span><a href="/pubmed/27939059" target="_blank">27939059</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=" title="PubMed search"></a></div></div>
</div>
<div class="portlet mgSection" id="ID_103">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
<div class="nl"><a target="_blank" href="/pubmed/33357591">Spinal muscular atrophy (SMA) type I (Werdnig-Hoffmann disease).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Audic F,
Barnerias C</span><br />
<span class="medgenPMjournal">Arch Pediatr</span>
2020 Dec;27(7S):7S15-7S17.
doi: 10.1016/S0929-693X(20)30271-2.
<span class="bold">PMID: </span><a href="/pubmed/33357591" target="_blank">33357591</a></div>
<div class="nl"><a target="_blank" href="/pubmed/32859833">Spinal Muscular Atrophy: Autopsy Based Neuropathological Demonstration.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Thirunavukkarasu B,
Gupta K,
Bansal A,
Dhanasekaran N,
Baranwal A</span><br />
<span class="medgenPMjournal">Neurol India</span>
2020 Jul-Aug;68(4):882-885.
doi: 10.4103/0028-3886.293477.
<span class="bold">PMID: </span><a href="/pubmed/32859833" target="_blank">32859833</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27760875">Spinal Muscular Atrophy Type I: Is It Ethical to Standardize Supportive Care Intervention in Clinical Trials?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Finkel RS,
Bishop KM,
Nelson RM</span><br />
<span class="medgenPMjournal">J Child Neurol</span>
2017 Feb;32(2):155-160.
Epub 2016 Oct 22
doi: 10.1177/0883073816671236.
<span class="bold">PMID: </span><a href="/pubmed/27760875" target="_blank">27760875</a><a href="/pmc/articles/PMC5258738" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/20440234">Parental role in the Intensive Care Unit for children affected by Werdnig Hoffmann disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ottonello G,
Mastella C,
Franceschi A,
Lampugnani E,
Moscatelli A,
Punch F,
Tumolo M,
Penzo A,
Gamba M,
Bosticco D,
Tuo P,
Nahum L</span><br />
<span class="medgenPMjournal">Minerva Pediatr</span>
2010 Apr;62(2):147-51.
<span class="bold">PMID: </span><a href="/pubmed/20440234" target="_blank">20440234</a></div>
<div class="nl"><a target="_blank" href="/pubmed/1776391">Brain atrophy in Werdnig-Hoffmann disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Yohannan M,
Patel P,
Kolawole T,
Malabarey T,
Mahdi A</span><br />
<span class="medgenPMjournal">Acta Neurol Scand</span>
1991 Nov;84(5):426-8.
doi: 10.1111/j.1600-0404.1991.tb04982.x.
<span class="bold">PMID: </span><a href="/pubmed/1776391" target="_blank">1776391</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Werdnig-Hoffmann%20disease%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (36)</a></div><h3 class="subhead">Diagnosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/33357591">Spinal muscular atrophy (SMA) type I (Werdnig-Hoffmann disease).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Audic F,
Barnerias C</span><br />
<span class="medgenPMjournal">Arch Pediatr</span>
2020 Dec;27(7S):7S15-7S17.
doi: 10.1016/S0929-693X(20)30271-2.
<span class="bold">PMID: </span><a href="/pubmed/33357591" target="_blank">33357591</a></div>
<div class="nl"><a target="_blank" href="/pubmed/32859833">Spinal Muscular Atrophy: Autopsy Based Neuropathological Demonstration.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Thirunavukkarasu B,
Gupta K,
Bansal A,
Dhanasekaran N,
Baranwal A</span><br />
<span class="medgenPMjournal">Neurol India</span>
2020 Jul-Aug;68(4):882-885.
doi: 10.4103/0028-3886.293477.
<span class="bold">PMID: </span><a href="/pubmed/32859833" target="_blank">32859833</a></div>
<div class="nl"><a target="_blank" href="/pubmed/31030938">Newborn screening for SMA in Southern Belgium.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Boemer F,
Caberg JH,
Dideberg V,
Dardenne D,
Bours V,
Hiligsmann M,
Dangouloff T,
Servais L</span><br />
<span class="medgenPMjournal">Neuromuscul Disord</span>
2019 May;29(5):343-349.
Epub 2019 Feb 15
doi: 10.1016/j.nmd.2019.02.003.
<span class="bold">PMID: </span><a href="/pubmed/31030938" target="_blank">31030938</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27760875">Spinal Muscular Atrophy Type I: Is It Ethical to Standardize Supportive Care Intervention in Clinical Trials?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Finkel RS,
Bishop KM,
Nelson RM</span><br />
<span class="medgenPMjournal">J Child Neurol</span>
2017 Feb;32(2):155-160.
Epub 2016 Oct 22
doi: 10.1177/0883073816671236.
<span class="bold">PMID: </span><a href="/pubmed/27760875" target="_blank">27760875</a><a href="/pmc/articles/PMC5258738" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/1776391">Brain atrophy in Werdnig-Hoffmann disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Yohannan M,
Patel P,
Kolawole T,
Malabarey T,
Mahdi A</span><br />
<span class="medgenPMjournal">Acta Neurol Scand</span>
1991 Nov;84(5):426-8.
doi: 10.1111/j.1600-0404.1991.tb04982.x.
<span class="bold">PMID: </span><a href="/pubmed/1776391" target="_blank">1776391</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Werdnig-Hoffmann%20disease%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (53)</a></div><h3 class="subhead">Therapy</h3>
<div class="nl"><a target="_blank" href="/pubmed/31030938">Newborn screening for SMA in Southern Belgium.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Boemer F,
Caberg JH,
Dideberg V,
Dardenne D,
Bours V,
Hiligsmann M,
Dangouloff T,
Servais L</span><br />
<span class="medgenPMjournal">Neuromuscul Disord</span>
2019 May;29(5):343-349.
Epub 2019 Feb 15
doi: 10.1016/j.nmd.2019.02.003.
<span class="bold">PMID: </span><a href="/pubmed/31030938" target="_blank">31030938</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30171535">Nusinersen in the Treatment of Spinal Muscular Atrophy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Goodkey K,
Aslesh T,
Maruyama R,
Yokota T</span><br />
<span class="medgenPMjournal">Methods Mol Biol</span>
2018;1828:69-76.
doi: 10.1007/978-1-4939-8651-4_4.
<span class="bold">PMID: </span><a href="/pubmed/30171535" target="_blank">30171535</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30171534">Recent Advances and Clinical Applications of Exon Inclusion for Spinal Muscular Atrophy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Son HW,
Yokota T</span><br />
<span class="medgenPMjournal">Methods Mol Biol</span>
2018;1828:57-68.
doi: 10.1007/978-1-4939-8651-4_3.
<span class="bold">PMID: </span><a href="/pubmed/30171534" target="_blank">30171534</a></div>
<div class="nl"><a target="_blank" href="/pubmed/29478602">Spinal muscular atrophy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Arnold ES,
Fischbeck KH</span><br />
<span class="medgenPMjournal">Handb Clin Neurol</span>
2018;148:591-601.
doi: 10.1016/B978-0-444-64076-5.00038-7.
<span class="bold">PMID: </span><a href="/pubmed/29478602" target="_blank">29478602</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27760875">Spinal Muscular Atrophy Type I: Is It Ethical to Standardize Supportive Care Intervention in Clinical Trials?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Finkel RS,
Bishop KM,
Nelson RM</span><br />
<span class="medgenPMjournal">J Child Neurol</span>
2017 Feb;32(2):155-160.
Epub 2016 Oct 22
doi: 10.1177/0883073816671236.
<span class="bold">PMID: </span><a href="/pubmed/27760875" target="_blank">27760875</a><a href="/pmc/articles/PMC5258738" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Werdnig-Hoffmann%20disease%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (9)</a></div><h3 class="subhead">Prognosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/33357591">Spinal muscular atrophy (SMA) type I (Werdnig-Hoffmann disease).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Audic F,
Barnerias C</span><br />
<span class="medgenPMjournal">Arch Pediatr</span>
2020 Dec;27(7S):7S15-7S17.
doi: 10.1016/S0929-693X(20)30271-2.
<span class="bold">PMID: </span><a href="/pubmed/33357591" target="_blank">33357591</a></div>
<div class="nl"><a target="_blank" href="/pubmed/8478016">Epidemiological data on Werdnig-Hoffmann disease in Germany (West-Thüringen).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Thieme A,
Mitulla B,
Schulze F,
Spiegler AW</span><br />
<span class="medgenPMjournal">Hum Genet</span>
1993 Apr;91(3):295-7.
doi: 10.1007/BF00218278.
<span class="bold">PMID: </span><a href="/pubmed/8478016" target="_blank">8478016</a></div>
<div class="nl"><a target="_blank" href="/pubmed/1776391">Brain atrophy in Werdnig-Hoffmann disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Yohannan M,
Patel P,
Kolawole T,
Malabarey T,
Mahdi A</span><br />
<span class="medgenPMjournal">Acta Neurol Scand</span>
1991 Nov;84(5):426-8.
doi: 10.1111/j.1600-0404.1991.tb04982.x.
<span class="bold">PMID: </span><a href="/pubmed/1776391" target="_blank">1776391</a></div>
<div class="nl"><a target="_blank" href="/pubmed/4699429">Fetal movements and Werdnig-Hoffmann disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Pearn JH</span><br />
<span class="medgenPMjournal">J Neurol Sci</span>
1973 Apr;18(4):373-9.
doi: 10.1016/0022-510x(73)90132-9.
<span class="bold">PMID: </span><a href="/pubmed/4699429" target="_blank">4699429</a></div>
<div class="nl"><a target="_blank" href="/pubmed/5774034">Neurogenic muscular atrophy of infancy with prolonged survival. The variable course of Werdnig-Hoffmann Disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Munsat TL,
Woods R,
Fowler W,
Pearson CM</span><br />
<span class="medgenPMjournal">Brain</span>
1969 Mar;92(1):9-24.
doi: 10.1093/brain/92.1.9.
<span class="bold">PMID: </span><a href="/pubmed/5774034" target="_blank">5774034</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Werdnig-Hoffmann%20disease%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (37)</a></div><h3 class="subhead">Clinical prediction guides</h3>
<div class="nl"><a target="_blank" href="/pubmed/1348092">Prenatal prediction of Werdnig-Hoffmann disease using linked polymorphic DNA probes.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Melki J,
Abdelhak S,
Burlet P,
Raclin V,
Kaplan J,
Spiegel R,
Gilgenkrantz S,
Philip N,
Chauvet ML,
Dumez Y</span><br />
<span class="medgenPMjournal">J Med Genet</span>
1992 Mar;29(3):171-4.
doi: 10.1136/jmg.29.3.171.
<span class="bold">PMID: </span><a href="/pubmed/1348092" target="_blank">1348092</a><a href="/pmc/articles/PMC1015891" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/3708955">"Chromatolytic" neurons in lateral geniculate body in Werdnig-Hoffmann disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Peress NS,
Stermann AB,
Miller R,
Kaplan CG,
Little BW</span><br />
<span class="medgenPMjournal">Clin Neuropathol</span>
1986 Mar-Apr;5(2):69-72.
<span class="bold">PMID: </span><a href="/pubmed/3708955" target="_blank">3708955</a></div>
<div class="nl"><a target="_blank" href="/pubmed/6880628">A neuropathologic study of Werdnig-Hoffmann disease with special reference to the thalamus and posterior roots.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Shishikura K,
Hara M,
Sasaki Y,
Misugi K</span><br />
<span class="medgenPMjournal">Acta Neuropathol</span>
1983;60(1-2):99-106.
doi: 10.1007/BF00685353.
<span class="bold">PMID: </span><a href="/pubmed/6880628" target="_blank">6880628</a></div>
<div class="nl"><a target="_blank" href="/pubmed/6303039">Lamellar bodies in heterotopic neurons of the cerebellum.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Nakazato Y,
Ishida Y</span><br />
<span class="medgenPMjournal">Acta Neuropathol</span>
1983;59(3):229-32.
doi: 10.1007/BF00703208.
<span class="bold">PMID: </span><a href="/pubmed/6303039" target="_blank">6303039</a></div>
<div class="nl"><a target="_blank" href="/pubmed/742857">"Glial bundles" in the spinal cord late after paralytic anterior poliomyelitis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Iwata M,
Hirano A</span><br />
<span class="medgenPMjournal">Ann Neurol</span>
1978 Dec;4(6):562-3.
doi: 10.1002/ana.410040617.
<span class="bold">PMID: </span><a href="/pubmed/742857" target="_blank">742857</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Werdnig-Hoffmann%20disease%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (37)</a></div></div>
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<div class="portlet_content ln"><ul><li><a href="/gtr/tests?term=C5848259%5bDISCUI%5d&amp;filter=method%3A2%5F8" target="_blank">Deletion/duplication analysis (36)</a></li>
<li><a href="/gtr/tests?term=C5848259%5bDISCUI%5d&amp;filter=method%3A2%5F12" target="_blank">Microsatellite instability testing (MSI) (1)</a></li>
<li><a href="/gtr/tests?term=C5848259%5bDISCUI%5d&amp;filter=method%3A2%5F18" target="_blank">Mutation scanning of select exons (1)</a></li>
<li><a href="/gtr/tests?term=C5848259%5bDISCUI%5d&amp;filter=method%3A2%5F9" target="_blank">Sequence analysis of select exons (5)</a></li>
<li><a href="/gtr/tests?term=C5848259%5bDISCUI%5d&amp;filter=method%3A2%5F7" target="_blank">Sequence analysis of the entire coding region (25)</a></li>
<li><a href="/gtr/tests?term=C5848259%5bDISCUI%5d&amp;filter=method%3A2%5F19" target="_blank">Targeted variant analysis (11)</a></li>
<li class="portletSeeAll portletSeeAllPad"><total><a href="/gtr/tests?term=C5848259%5bDISCUI%5d" target="_blank">See all (47)</a></total></li>
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<div class="portlet_content ln"><ul><li><a href="https://www.omim.org/search?index=entry&amp;start=1&amp;limit=10&amp;sort=score%20desc&amp;field=number&amp;search=253300" target="_blank">OMIM</a></li><li><a href="http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=83330" target="_blank">Orphanet</a></li><li><a href="https://clinicaltrials.gov/search?cond=Werdnig-Hoffmann%20disease" target="_blank">ClinicalTrials.gov</a></li></ul></div>
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<div class="portlet_content ln"><ul class="a_poppers"><li><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(%22werdnig-hoffmann%20disease%22%5Btiab%3A~0%5D)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">PubMed</a><div class="help-popup">See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div></li><li><a target="_blank" href="/books/?term=((%22clinical%20guidelines%22%5BResource%20Type%5D)%20OR%20%22practice%20guideline%22%5BPublication%20Type%5D)%20AND%20(%22Werdnig-Hoffmann%20disease%22)">Bookshelf</a><div class="help-popup">See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div></li></ul><h3 class="subhead">Curated</h3><ul class="a_poppers"><li><a target="_blank" href="https://www.acmg.net/PDFLibrary/SMA-ACT-Sheet.pdf">ACMG ACT, 2020</a><div>American College of Medical Genetics and Genomics, Newborn Screening ACT Sheet, Exon 7 Deletion (Pathogenic Variant) in Survival Motor Neuron Gene (SMN1), Spinal Muscular Atrophy (SMA), 2020</div></li><li><a target="_blank" href="https://www.acmg.net/PDFLibrary/Spinal-Muscular-Atrophy-Carrier-Screening-ACT.pdf">ACMG ACT, 2018</a><div>ACMG Carrier Screening ACT Sheet Spinal Muscular Atrophy (SMA)</div></li><li><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov//22510849/">EuroGenetest, 2012</a><div>Clinical utility gene card for: proximal spinal muscular atrophy.</div></li></ul></div>
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<div class="portlet_content ln"><ul><li><a href="http://www.diseaseinfosearch.org/Spinal+muscular+atrophy+1/6731" target="_blank">Genetic Alliance</a></li><li><a href="https://www.malacards.org/card/spinal_muscular_atrophy_type_i" target="_blank">MalaCards</a></li><li><a href="https://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v:project=medlineplus&amp;query=Werdnig-Hoffmann%20disease" target="_blank">MedlinePlus</a></li><li><a href="https://medlineplus.gov/genetics/condition/spinal-muscular-atrophy" target="_blank">MedlinePlusGenetics (GHR)</a></li><li><a href="https://rarediseases.info.nih.gov/diseases/7883/disease" target="_blank">NCATS Office of Rare Diseases Research (GARD)</a></li></ul></div>
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