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June 10-11, 2019 | Edinburgh, Scotland
Central Nervous System and Therapeutics
2
nd
International Conference on
Journal of Neurology and Neurorehabilitation Research | Volume 4
allied
academies
New Phenotypic and Genotype SOD1 Mutation in dominant familial Motor Neuron
Disease: A case report of a family and Epidemiology of Motor Neuron Disease in North
Malabar
Soumya CV
ASTER MIMS, India
A
nterior horn cell diseases are a group of pure motor
disorders involving both upper and lower motor neurons.
They are currently untreatable and carry variable course
based on the phenotype. The nervous system is vulnerable
for oxidative stress due to its high oxygen consumption, low
antioxidants, poor regenerative capacity, and presence of
metal ions. A 36 year old female had exertion induced cramps
of her right lower limb, coldness in the right lower limb,
progressive weakness, wasting, and fasciculation; became
bilateral within 4 years. She had cyanosis, hypothermia, and
decreased sweating of right leg with psoriasis. Her nerve
conduction and electromyography studies were suggestive
of anterior horn cell disease, which was supported by
histopathology. She had severe reduction in total volume of
sweat produced and prolonged sweat latency on the right
sided limbs as assessed by Quantitative sudomotor axon
reflex test. DNA testing showed SOD1 cytogenetic band exon
4 of the SOD1 gene. chr. 21:33039650c>C/T; c. 319c>C/T.
We report a new phenotype in dominantly inherited
amyotrophic lateral sclerosis, with asymmetrical vasomotor
and sudomotor changes and psoriasis. We would also like to
present the epidemiologic data regarding the various clinical
phenotypes of motor neuron disease in our part of the world.
Speaker Biography
Soumya CV has worked as Consultant Neurologist in AKG Memorial
Cooperative hospital, Talap, Kannur for 6 years from January 2013 to
December 2018 Attends to around 45 OP patients per day regularly, has
more than 30 IP patients per week, has thrombolysed more than 150 acute
stroke cases personally, has given botulinum toxin to around 30 patients
Working as part - time consultant Neurologist in Dhanalakshmi Hospital,
Kannur fromMarch 2018 with regular OPDs twice weekly. Started working
in ASTER MIMS Hospital Kannur from February 2019
e:
soumya0@yahoo.com