About Proximal spinal muscular atrophy

What is Proximal spinal muscular atrophy?

Proximal spinal muscular atrophy (SMA) is a rare genetic disorder that affects the motor neurons in the spinal cord, leading to progressive muscle weakness and wasting. It is caused by a mutation in the SMN1 gene, which is responsible for producing a protein essential for the survival of motor neurons. Symptoms of SMA can range from mild to severe, and may include difficulty walking, breathing, and swallowing. Treatment options are available to help manage the symptoms of SMA.

What are the symptoms of Proximal spinal muscular atrophy?

The symptoms of proximal spinal muscular Atrophy (SMA) vary depending on the type and severity of the condition. Generally, the symptoms include:

Weakness in the arms and legs

• Difficulty walking, standing, and climbing stairs

• Poor head control

• Difficulty swallowing

• Muscle wasting

• Joint contractures

• Scoliosis

• Respiratory problems

• Fatigue

• Difficulty with fine motor skills

• Speech and language delays

What are the causes of Proximal spinal muscular atrophy?

Proximal spinal muscular atrophy (SMA) is caused by a genetic mutation in the SMN1 gene, which is responsible for producing a protein called survival motor neuron (SMN). This protein is essential for the maintenance and survival of motor neurons, which are the nerve cells responsible for controlling muscle movement. Without enough of this protein, the motor neurons gradually deteriorate and die, leading to muscle weakness and wasting.

What are the treatments for Proximal spinal muscular atrophy?

1. Physical therapy: Physical therapy can help to improve muscle strength, flexibility, and range of motion.

2. Occupational therapy: Occupational therapy can help to improve daily living skills, such as dressing, eating, and writing.

3. Assistive devices: Assistive devices, such as wheelchairs, walkers, and braces, can help to improve mobility.

4. Medications: Medications, such as baclofen and diazepam, can help to reduce muscle spasms and improve muscle strength.

5. Surgery: Surgery may be recommended to correct spinal deformities or to improve mobility.

6. Gene therapy: Gene therapy is a new treatment option that is being studied for the treatment of proximal spinal muscular atrophy.

What are the risk factors for Proximal spinal muscular atrophy?

1. Genetic mutation: Proximal spinal muscular atrophy is caused by a genetic mutation in the SMN1 gene.

2. Family history: Having a family history of the disorder increases the risk of developing proximal spinal muscular atrophy.

3. Age: Proximal spinal muscular atrophy is more common in infants and young children.

4. Gender: Males are more likely to be affected by proximal spinal muscular atrophy than females.

5. Ethnicity: Proximal spinal muscular atrophy is more common in people of Ashkenazi Jewish descent.

Is there a cure/medications for Proximal spinal muscular atrophy?

Yes, there is a medication called Spinraza (nusinersen) that is approved to treat Proximal spinal muscular atrophy (SMA). Spinraza is an injection that is given directly into the fluid surrounding the spinal cord. It works by increasing the production of a protein called SMN, which is essential for the survival of motor neurons. Other treatments for SMA include physical therapy, occupational therapy, and speech therapy.