Polyneuropathy in Cerebrotendinous Xanthomatosis: Diagnostic Challenges and Potential for Therapeutic Intervention

Antonio Edvan Camelo-Filho, Pedro Lucas Grangeiro Sá Barreto Lima, Francisco Luciano Honório Barreto Cavalcante, Oliver Reiks Miyajima, Carolina Figueiredo Santos, Rodrigo Fagundes da Rosa, André Luiz Santos Pessoa, Pedro Braga-Neto, Paulo Ribeiro Nóbrega · 2024

Read Polyneuropathy in Cerebrotendinous Xanthomatosis: Diagnostic Challenges and Potential for Therapeutic Intervention by Antonio Edvan Camelo-Filho, Pedro Lucas Grangeiro Sá Barreto Lima, Francisco Luciano Honório Barreto Cavalcante, Oliver Reiks Miyajima, Carolina Figueiredo Santos, Rodrigo Fagundes da Rosa, André Luiz Santos Pessoa, Pedro Braga-Neto, Paulo Ribeiro Nóbrega (2024) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-11591590.txt.

Description

Nine reviewers assess nerve damage in a rare metabolic disorder, in a 2024 article. The disorder, cerebrotendinous xanthomatosis, stems from gene faults that let a fat-like substance, cholestanol, build up in tissues including nerves. Its nerve damage, polyneuropathy, is under-recognized and varies a lot between patients.

The team sifted nearly nine hundred articles and kept fifty-nine for close analysis. Across case series, half to over three quarters of patients showed nerve damage. Electrical tests gave mixed patterns: fiber loss in some, insulation damage in others, both in many. Signs included wasted lower legs, high foot arches, and weak feet, with numbness less often reported. A treatment drug improved nerve readings in some studies, with timing mattering. Nerve ultrasound is flagged as a promising extra tool. The authors call for standard test protocols.

Catalog record

CREATORAntonio Edvan Camelo-Filho, Pedro Lucas Grangeiro Sá Barreto Lima, Francisco Luciano Honório Barreto Cavalcante, Oliver Reiks Miyajima, Carolina Figueiredo Santos, Rodrigo Fagundes da Rosa, André Luiz Santos Pessoa, Pedro Braga-Neto, Paulo Ribeiro Nóbrega
YEAR2024
COLLECTIONPAPERS
FORMATTXT
FILE SIZE39 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC11591590

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