OBSOLETO. Uma atrofia muscular bulbo-espinhal que ocorre durante a infância.
Introdução
O que você precisa saber de cara
Visão geral
A Atrofia Muscular Bulbo-Espinhal da Infância é uma condição rara que afeta os neurônios motores, ou seja, as células nervosas responsáveis pelo controle dos movimentos musculares. Esta página foi preparada para acolher você e sua família, oferecendo informações baseadas em fontes científicas confiáveis. É importante lembrar que cada caso é único e o acompanhamento com uma equipe médica especializada é essencial.[1]
Sinais e sintomas
As manifestações da doença ocorrem durante a infância e envolvem fraqueza muscular progressiva, especialmente nos músculos da face, da língua e da faringe (região bulbar), além dos músculos dos braços e pernas (espinhais). Isso pode levar a dificuldades para engolir, falar e respirar, bem como fraqueza nos membros. A intensidade dos sintomas varia de pessoa para pessoa.[1]
Causas genéticas
A Atrofia Muscular Bulbo-Espinhal da Infância é uma doença genética. Embora o gene específico responsável ainda não tenha sido identificado de forma conclusiva nas fontes atuais, sabe-se que a condição é herdada e está relacionada a alterações no material genético. Pesquisas continuam em andamento para esclarecer os mecanismos exatos envolvidos.[1][2]
Diagnóstico
O diagnóstico é baseado na avaliação clínica dos sintomas, histórico familiar e exames complementares. Testes genéticos podem ser realizados para investigar alterações em genes associados, embora nem sempre seja possível identificar a mutação causadora. O aconselhamento genético é recomendado para as famílias.[1][2]
Tratamento e manejo
Atualmente, não há cura para a Atrofia Muscular Bulbo-Espinhal da Infância. O tratamento é focado no manejo dos sintomas e na melhora da qualidade de vida. Isso pode incluir fisioterapia, terapia ocupacional, suporte nutricional e respiratório, além de acompanhamento multidisciplinar com neurologistas, pneumologistas, fonoaudiólogos e outros especialistas. Cada plano de cuidado deve ser individualizado.[1]
Prognóstico e qualidade de vida
O prognóstico varia conforme a gravidade dos sintomas e a rapidez do suporte oferecido. Com cuidados adequados, muitas crianças podem ter uma qualidade de vida melhorada, embora a doença seja progressiva. O apoio psicológico para a criança e a família é fundamental para enfrentar os desafios diários.[1]
Conteúdo informativo gerado e mantido automaticamente a partir de fontes oficiais (Orphanet, HPO, OMIM, SUS). Não substitui avaliação médica.
A atrofia muscular bulbo-espinhal da infância é um termo histórico que foi classificado formalmente como obsoleto nos catálogos de doenças raras. Ele descrevia de forma ampla um quadro de fraqueza e atrofia muscular de região bulbo-espinhal iniciado na infância, sem identificar genes causadores específicos. Não há tratamentos aprovados, medicamentos registrados ou pesquisas clínicas em andamento associados a este código descontinuado. Esta condição não consta na lista oficial de Protocolos Clínicos e Diretrizes Terapêuticas (PCDT) de doenças raras do Ministério da Saúde do Brasil.
OBSOLETO. Uma atrofia muscular bulbo-espinhal que ocorre durante a infância.
Encontrou um erro ou informação desatualizada? Sugira uma correção →
Entender a doença
Do básico ao detalhe, leia no seu ritmo
Preparando trilha educativa...
Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Linha do tempo da pesquisa
Encontrou um erro ou informação desatualizada? Sugira uma correção →
Genética e causas
O que está alterado no DNA e como passa nas famílias
Nenhum gene associado encontrado
Os dados genéticos desta condição ainda estão sendo catalogados.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Atrofia muscular bulbo-espinhal da infância
Selecione um estado ou use sua localização para ver resultados.
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Pesquisa e ensaios clínicos
Nenhum ensaio clínico registrado para esta condição.
Publicações mais relevantes
Outcomes of combination therapy with nusinersen, onasemnogene abeparvovec, and risdiplam over 3.5 years in a patient with prenatally diagnosed spinal muscular atrophy type 0: A case report.
Recently introduced disease-modifying therapies have markedly improved survival and motor outcomes, particularly when initiated presymptomatically or in the early symptomatic stage. However, reports on treatment of the most severe form, SMA type 0, remain extremely limited. We report a patient with prenatally diagnosed spinal muscular atrophy type 0 who was treated with nusinersen and onasemnogene abeparvovec as early and as safely as possible, followed by risdiplam, for further motor acquisition. With continuous physiotherapy, the patient achieved independent walking at 2 years 11 months and showed sustained development without swallowing or respiratory difficulties up to 3.5 years of age. Early intervention with combined use of disease-modifying therapies may be beneficial for patients with severe spinal muscular atrophy phenotypes. However, since evidence of efficacy and safety of combination therapy is still lacking, great caution should be paid to this treatment strategy, taking the patient's clinical status into account.
Spinal Muscular Atrophy-Survivorship and Care in a New Therapeutic Landscape.
Spinal muscular atrophy (SMA) is an inherited lower motor neuron disorder resulting from autosomal recessive variants in the survival motor neuron protein (SMN1) located on chromosome 5q. Previously the most common inherited cause of infant mortality, the development of SMN-restoring disease-modifying therapies combined with the expansion of newborn screening programs for SMA, have improved motor function and survival. With improved function and survival, new questions are emerging around the role of combining multiple SMN-restoring therapies or SMN-restoring therapies with newer therapeutic agents targeting other pathways such as neuromuscular transmission or muscle growth. Additionally, with the earlier initiation of SMN-restoring disease-modifying therapies, the assessment of long-term treatment durability, motor function attained and retained, neurodevelopment, and potential emerging phenotypes or symptoms in individuals living with SMA will need to be explored.
Electrophysiological assessment of motor unit loss in adult spinal muscular atrophy types III and IV: a multicenter national study comparing MUNIX, CMAP, and MUSIX.
Spinal muscular atrophy (SMA) types III and IV are the most common late-onset forms, and they progress slowly, making the identification of sensitive biomarkers critical. The Motor Unit Number Index (MUNIX) estimates motor unit loss and may complement traditional electrophysiological measurements such as Compound Muscle Action Potential amplitudes (CMAP). However, their respective performances have never been directly compared in adult SMA. In a French multicenter study (NCT04690998), 71 adult patients with SMA and 24 healthy controls underwent clinical and electrophysiological evaluation. MUNIX, CMAP, and Motor Unit Size Index (MUSIX) were recorded in four muscles, and sum scores (SumMUNIX, SumCMAP, SumMUSIX) were calculated. Reliability was assessed using intraclass correlation coefficients (ICCs), and associations with functional outcomes were explored. MUNIX and CMAP effectively distinguished SMA patients from controls, showing strong test - retest reliability. MUNIX showed the highest discriminative performance (AUC = 0.92), while CMAP demonstrated the strongest and most consistent associations with clinical severity. In multivariate analyses, only CMAP remained independently associated with all functional and strength measures, whereas MUNIX and MUSIX lost significance. MUNIX demonstrated the highest discriminative performance among biomarkers for differentiating SMA from controls, indicating early motor unit loss even when CMAP values were within normal limits. However, disease burden and functional impairment were better reflected by CMAP, probably due to it integrating both motor unit loss and reinnervation. The complementary nature of these profiles supports their combined use (concurrent application), and longitudinal studies are warranted to assess their responsiveness in adult SMA as well as their appropriateness for clinical trial settings.
Spinal muscular atrophy among US Hutterites: Phenotype variability in the setting of conserved ancestral haplotype and 4 SMN2 copies.
Ideal timing and treatment in asymptomatic newborns with 4 SMN2 copies remains controversial. We examined phenotypic variability among the Hutterite population with spinal muscular atrophy (SMA) and higher SMN2 dosage. We enrolled individuals with SMA and children born to couples with 1 copy of SMN1 in South Dakota and Montana Hutterite communities in a natural history study that included a focused medical history and genomic screening for SMN1 deletion(s) and SMN2 copy number. Of the 215 Hutterite individuals enrolled, 75 carried at least 1 SMN1 deletion allele with >2 SMN2 copies. All 21 affected individuals (8 months to 41 years) had 0 SMN1 and 4 SMN2 copies but not the modifying variants SMN2 c.859G>C and SMN2 c.-44A>G. Clinical diagnoses of SMA type 3a (N = 14), SMA type 3b (N = 6), or SMA type 4 (N = 1) were determined based on age of onset and maximum achieved motor function. Although age of onset was highly variable (10 months to 25 years), most individuals presented in early childhood, indicating a need to identify biomarkers that can more accurately predict outcomes to help guide treatment intervention. This study also provides strong evidence supporting early implementation of therapies for patients with SMA with 4 copies of SMN2.
CSF and plasma GFAP and VEGF in adult type 3 spinal muscular atrophy patients treated with nusinersen.
Nusinersen improves motor outcomes in SMA, but reliable biomarkers for treatment monitoring, especially in adults, are still lacking. We investigated cerebrospinal fluid (CSF) and plasma levels of glial fibrillary acidic protein (GFAP) and vascular endothelial growth factor (VEGF), exploring their potential as biomarkers in disease progression. This single-centre observational study included adults with type 3 SMA treated with nusinersen over 30 months. GFAP and VEGF levels in CSF and plasma were measured using ELISA at baseline, 14 and 30 months. Functional evaluation included Hammersmith Functional Motor Scale Expanded (HFMSE), Revised Upper Limb Module (RULM), and respiratory tests. Longitudinal data were evaluated using generalized linear mixed-effects models. A significance level of α = 0.05 was used in all analyses. Eleven patients were included (63.6% male, aged 19-60 at baseline). Improvements were observed in motor function, with an estimated non-linear increase of 9.02% (CI95%: 5.13-8.79) for RULM and an estimated average increase of 6.96 points (CI95%: 5.44-8.48) for HFMSE over 30 months of treatment. However, both CSF and plasma GFAP and VEGF levels changes at 14 and 30 months did not reach statistical significance, respectively (all p > 0.05). CSF and plasma GFAP and VEGF trajectories over a 30-month period under nusinersen treatment were nonsignificant. This study confirms sustained motor function improvements in adult type 3 SMA patients treated with nusinersen. Future research in larger, multicentric, and internationally collaborative cohorts are essential to fully understand the role of these potential biomarkers in SMA pathogenesis.
📚 EuropePMCmostrando 198
Hirayama disease: an uncommon cause of motor neuron disease.
Arquivos de neuro-psiquiatriaClinical-genetic features of the TBCE-related spectrum disorders: A focus on the childhood-onset neurodegenerative phenotype.
Molecular genetics and metabolismOutcomes of combination therapy with nusinersen, onasemnogene abeparvovec, and risdiplam over 3.5 years in a patient with prenatally diagnosed spinal muscular atrophy type 0: A case report.
Brain & developmentSpinal Muscular Atrophy-Survivorship and Care in a New Therapeutic Landscape.
Pediatric neurologyElectrophysiological assessment of motor unit loss in adult spinal muscular atrophy types III and IV: a multicenter national study comparing MUNIX, CMAP, and MUSIX.
Journal of neurologyDisparities in Spinal Muscular Atrophy-Related Mortality in the United States, 2018-2023.
NeuroSciMicrovascular pathology in the spinal cord of severe spinal muscular atrophy patients.
Acta neuropathologica communicationsSpinal muscular atrophy among US Hutterites: Phenotype variability in the setting of conserved ancestral haplotype and 4 SMN2 copies.
Genetics in medicine : official journal of the American College of Medical GeneticsLongitudinal assessment of respiratory status utilising the amended Great Ormond Street Respiratory Score in treated spinal muscular atrophy type 1 children.
Neuromuscular disorders : NMDCSF and plasma GFAP and VEGF in adult type 3 spinal muscular atrophy patients treated with nusinersen.
Journal of the neurological sciencesRefining functional phenotypes in an international cohort of untreated paediatric type 2 and 3 SMA patients using the Revised Hammersmith Scale.
Neuromuscular disorders : NMDBeyond motor function: cognitive and language impairments in spinal muscular atrophy children treated with modern therapies.
Neuromuscular disorders : NMDEffectiveness of Risdiplam Treatment in Adult Patients With Spinal Muscular Atrophy Type IIb-III.
Revista de neurologia285th ENMC international workshop: SMN-associated neurodevelopmental disorder: type 1 spinal muscular atrophy and the brain, 31st January - 2nd February 2025, Hoofddorp, The Netherlands.
Neuromuscular disorders : NMDMotor unit magnetic resonance imaging (MUMRI) as a novel biomarker of muscle activity in spinal muscular atrophy.
Neuromuscular disorders : NMDFusionless spinal surgery in children with spinal muscular atrophy type 1 with bipolar system: a preliminary communication.
Journal of pediatric orthopedics. Part BNew SMA era: A broad-range tiered assessment of function for the evolving SMA phenotype (EVOLVE-SMA).
Journal of neuromuscular diseasesEffectiveness and Safety of Nusinersen Among Adults with 5q-Spinal Muscular Atrophy: A Multicenter Disease Registry in China.
Advances in therapyDutch rehabilitation physicians' perspectives on contracture management in children with spinal muscular atrophy: challenges in a changing landscape.
Frontiers in neurologyBody Weight and Range of Motion as Predictors of Trunk Asymmetry in Children With Spinal Muscular Atrophy: A Prospective Functional Assessment.
Medical science monitor : international medical journal of experimental and clinical researchReal-world evidence of Nusinersen treatment for patients with spinal muscular atrophy in the Kingdom of Saudi Arabia: Initial insights from the Saudi national spinal muscular atrophy program.
Saudi medical journalIntrathecal onasemnogene abeparvovec in treatment-naive patients with spinal muscular atrophy: a phase 3, randomized controlled trial.
Nature medicine[Duchenne de Boulogne: Pioneer of Neurology].
Brain and nerve = Shinkei kenkyu no shinpoEffects of physical therapy on motor ability in patients with spinal muscular atrophy III: a study protocol for a randomised controlled trial.
BMJ open[Onasemnogene abeparvovec gene replacement therapy for spinal muscular atrophy in children: a Moscow experience].
Zhurnal nevrologii i psikhiatrii imeni S.S. KorsakovaImplementation Timeframes for the Addition of New Conditions to Newborn Bloodspot Screening Programmes: A Scoping Review.
International journal of neonatal screeningCourse of joint range of motion in children with spinal muscular atrophy receiving disease-modifying treatment.
Orphanet journal of rare diseasesFrench-Belgian consensus statement to managing spinal deformities in children with spinal muscular atrophy treated with SMN restoring therapies.
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieCompound Muscle Action Potential (CMAP) Amplitude Trajectories and Pattern in Adults with 5q-Spinal Muscular Atrophy Receiving Nusinersen Therapy: A Multicenter, Binational Observational Study.
European journal of neurologySpinal muscular atrophy in India: Patient journey, access to care, treatment barriers, and strategic recommendations: Insights from experts.
Journal of neuromuscular diseasesRespiratory effects of nusinersen treatment in pediatric patients with spinal muscular atrophy types 2 and 3.
European journal of pediatricsCentral eye movement abnormalities in patients with SMA types II and III.
Neurophysiologie clinique = Clinical neurophysiologyValue of creatine kinase and creatinine as biomarkers in nusinersen-treated children with spinal muscular atrophy.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyComparative Clinical Outcomes of Nusinersen and Gene Therapy in Spinal Muscular Atrophy Type 1.
JAMA network open[Neuromuscular diseases in pediatrics with specific treatments].
Medicina[Results in our symptomatic and presymptomatic SMA patients treated with disease-modifying therapy].
Ideggyogyaszati szemlePediatric acute respiratory distress syndrome in children with type I - spinal muscular atrophy: a 12-year case series.
European journal of pediatricsBereavement Experiences Among Parents of Children With Spinal Muscular Atrophy Type 1.
Journal of pain and symptom managementElectrodiagnostic and Functional Biomarkers for Non-Ambulatory Children With Late-Onset Spinal Muscular Atrophy.
Muscle & nerveOpen-label phase IV trial evaluating nusinersen after onasemnogene abeparvovec in children with spinal muscular atrophy.
The Journal of clinical investigationThe effect of thoracolumbosacral orthosis on scoliosis progression and chest deformity in children with type 1 spinal muscular atrophy: A randomized controlled trial.
PloS oneMental Health, Quality of Life, and Work Functioning of Parents of Children Who Have Died of Spinal Muscular Atrophy.
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes ResearchInnovative treatments of pediatric spinal muscular atrophy: The decision-making process in France.
European journal of medical geneticsAntenatal Ultrasound Findings in Spinal Muscular Atrophy Type 0.
Molecular genetics & genomic medicineRisdiplam and nusinersen in spinal muscular atrophy: a descriptive real-world study on motor function outcomes in northwestern Iran.
Neuromuscular disorders : NMDCo-occurrence of ipsilateral partial Horner's syndrome in a patient with monomelic amyotrophy.
BMJ case reportsReproductive carrier screening for genetic disorders: position statement of the Canadian College of Medical Geneticists.
Journal of medical geneticsDevelopment of the "SMA NNE," a short neonatal neurological examination for newborns with spinal muscular atrophy.
European journal of pediatricsSafety and efficacy of apitegromab in nonambulatory type 2 or type 3 spinal muscular atrophy (SAPPHIRE): a phase 3, double-blind, randomised, placebo-controlled trial.
The Lancet. NeurologyReal-world experience with switch to onasemnogene abeparvovec after initial therapy with nusinersen or risdiplam.
Neuromuscular disorders : NMDRisdiplam in Presymptomatic Spinal Muscular Atrophy.
The New England journal of medicineClinical Characteristics, Genotypes, and Treatment Outcomes in 133 Patients With Spinal Muscular Atrophy: A Retrospective Cohort.
Acta paediatrica (Oslo, Norway : 1992)Single-dose GC101 gene therapy for spinal muscular atrophy types II and III: an open-label single-arm study.
World journal of pediatrics : WJPNeurodevelopmental and mental disorders in children with type I and presymptomatic spinal muscular atrophy.
Scientific reportsThe long-term efficacy of nusinersen on respiratory functions in children with symptomatic spinal muscular atrophy type 1.
Turkish journal of medical sciencesHirayama Disease in a Young Male: A Case Report.
JNMA; journal of the Nepal Medical AssociationRisdiplam treatment following onasemnogene abeparvovec in individuals with spinal muscular atrophy: a multicenter case series.
BMC neurologyTreatment Guidelines and Rehabilitation in Spinal Muscular Atrophy and Duchenne's Muscular Dystrophy.
Physical medicine and rehabilitation clinics of North AmericaLongitudinal Assessment of 4-Year HFMSE Changes in SMA II and III Patients Treated With Nusinersen.
European journal of neurologyBulbar function in children with spinal muscular atrophy type 1 treated with nusinersen.
Developmental medicine and child neurologyCerebrospinal fluid metabolomics reveals predictive biomarkers of nusinersen therapy efficacy in type II and type III spinal muscular atrophy patients.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyA Prospective Cohort Study on Quantitative Muscle Magnetic Resonance Imaging During the Treatment of Spinal Muscular Atrophy Types 2 and 3 in Children.
Pediatric neurologyEfficacy and preliminary safety assessment of EXG001-307 AAV gene therapy for spinal muscular atrophy.
Molecular therapy. Methods & clinical developmentReal-world data on the effect of long-term treatment with nusinersen over > 4 years in a cohort of Swiss patients with spinal muscular atrophy.
Clinical neurology and neurosurgeryImpact of Nusinersen Treatment on the Independence and Mental Health of School-Aged Patients With Spinal Muscular Atrophy.
Pediatric neurologyBody Composition in Children With Spinal Muscular Atrophy Types 2 and 3 Receiving Nusinersen Treatment: A Longitudinal Cohort Study.
Muscle & nerveQuantitative assessment of muscle atrophy and structural changes in children with spinal muscular atrophy using ultrasound imaging.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyGrowth-friendly Technique or Posterior Spinal Fusion With T-construct Pelvic Fixation in Nonambulatory Spinal Muscular Atrophy With Severe Scoliosis.
Journal of pediatric orthopedicsA perioperative nursing care protocol for patients with spinal muscular atrophy (SMA) type II or type III undergoing spinal surgery: a 4-year experience in 24 patients.
Orphanet journal of rare diseasesFamilies' Perceptions of Powered Mobility for Participation in Children With Spinal Muscular Atrophy Type 1: A Photovoice Study.
Health expectations : an international journal of public participation in health care and health policyBeyond TREC: Pivotal role of tandem TREC/KREC assay in Czech SCID NBS pilot programme.
Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and ImmunologyCerebrospinal fluid biomarkers of efficacy in patients affected by spinal muscular atrophy type 1 treated with nusinersen.
Acta neurologica BelgicaAseptic meningoencephalitis during nusinersen therapy in a patient with type III spinal muscular atrophy: a case report.
Neuromuscular disorders : NMDUpper Extremity Surgery in Hirayama Disease: A Modification of the Current Algorithm.
Annals of plastic surgeryAnaesthetic management of spinal muscular atrophy in a patient with pneumothorax: a case report.
JPMA. The Journal of the Pakistan Medical AssociationFatal outcomes following onasemnogene abeparvovec in advanced-stage spinal muscular atrophy.
Gene therapyAnesthetic management of a patient with spinal muscular atrophy type II for scoliosis surgery: a case report.
BMC anesthesiologyUpper limb motor function in individuals with SMA type 2: natural history and impact of therapies.
Journal of neurologyFeeding development in healthy infants: A comparative framework for children with Spinal Muscular Atrophy - The DySMAnorm study.
International journal of pediatric otorhinolaryngologyElectrodiagnostic studies in the diagnosis of Hirayama disease: a focus on early identification.
BMJ case reportsA case of spinal muscular atrophy type 0 treated with nusinersen without progression of early-onset scoliosis - possibility of preventing scoliosis with a rehabilitation program focusing on postural management.
Brain & developmentRehabilitation practices for childhood spinal muscular atrophy.
Disability and rehabilitationAdministration practices of and adherence to nusinersen in children with spinal muscular atrophy: a multicenter disease registry study in China.
BMC pediatricsRefractive errors, strabismus and ocular findings in children with different types of spinal muscular atrophy.
Ophthalmic geneticsBrazilian Portuguese version of the revised upper-limb module: cross-cultural adaptation and validation.
Arquivos de neuro-psiquiatriaDifferential respiratory function response in paediatric spinal muscular atrophy types 2 and 3 treated with nusinersen over 3 years.
Sleep medicineLong-term CSF responses in adult patients with spinal muscular atrophy type 2 or 3 on treatment with nusinersen.
Journal of neurologyFamilies' experiences and perspectives on the early use of powered mobility in children with spinal muscular atrophy type I in the natural context.
Disability and rehabilitation. Assistive technologySpinal muscular atrophy type 3 and treatment adherence in a changing therapeutic landscape: a national-center experience.
Croatian medical journalMortality of symptomatic children with spinal muscular atrophy in the era of disease-modifying therapies.
Neuromuscular disorders : NMDAcid Ceramidase Deficiency: New Insights on SMA-PME Natural History, Biomarkers, and In Cell Enzyme Activity Assay.
Neurology. GeneticsSafety of Onasemnogene Abeparvovec Administration to Type 1 SMA Patients Who Have Received Risdiplam.
Journal of clinical neuromuscular diseaseThe POLG Variant c.678G>C; p.(Gln226His) Is Associated with Mitochondrial Abnormalities in Fibroblasts Derived from a Patient Compared to a First-Degree Relative.
GenesPregnancy and delivery in a woman with spinal muscular atrophy type III.
European journal of obstetrics, gynecology, and reproductive biologyCost comparison analysis of onasemnogene abeparvovec and nusinersen for treatment of patients with spinal muscular atrophy type 1 in the Netherlands.
The European journal of health economics : HEPAC : health economics in prevention and careExperiences of families of children with spinal muscular atrophy and the healthcare professionals supporting them during the COVID-19 pandemic: A nationwide study.
Journal of pediatric rehabilitation medicineComparative efficacy of risdiplam and nusinersen in Type 2 and 3 spinal muscular atrophy patients: A cohort study using real-world data.
Journal of neuromuscular diseases[Research progress on phenotypic modifier genes in spinal muscular atrophy].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsMotor Function and Safety of Nusinersen and Risdiplam in Asian Patients with Types 2-4 Spinal Muscular Atrophy (SMA): A Systematic Review and Meta-Analysis.
Advances in therapyExperience of nusinersen treatment in advanced spinal muscular atrophy type 1: Characteristics of late responders with delayed treatment efficacy.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyItalian survey on evolving SMA care with disease-modifying therapies: a consensus workshop on nutrition, swallowing, respiratory and rehabilitation care.
Neuromuscular disorders : NMDThe influence of genotype on the natural history of types 1 - 3 spinal muscular atrophy.
Neuromuscular disorders : NMDReduced white matter integrity and disrupted brain network in children with type 2 and 3 spinal muscular atrophy.
Journal of neurodevelopmental disordersA 7-year delayed diagnosis in a case of spinal muscular atrophy.
Brain & developmentSpinal presentations in children with type 1 spinal muscular atrophy on nusinersen treatment across the SMA-REACH UK network: a retrospective national observational study.
BMJ openDifficulty of administration of nusinersen in complex-column spinal muscular atrophy: New alternative technique by means of cervical intrathecal access through an Ommaya reservoir.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietySafety and Efficacy of Nusinersen Focusing on Renal and Hematological Parameters in Spinal Muscular Atrophy.
Brain and behaviorAlterations in cardiac function correlate with a disruption in fatty acid metabolism in a mouse model of SMA.
Human molecular geneticsSafety and Efficacy of IV Onasemnogene Abeparvovec for Pediatric Patients With Spinal Muscular Atrophy: The Phase 3b SMART Study.
NeurologyIdentifying novel response markers for spinal muscular atrophy revealed by targeted proteomics following gene therapy.
Gene therapyMotor function and compound muscle action potential amplitude in children with spinal muscular atrophy treated with nusinersen.
Brain & developmentSuccessful pregnancy of an SMA type 3 sitter on Nusinersen therapy - a case report.
BMC neurologyTransitioning From Nusinersen to Risdiplam for Spinal Muscular Atrophy in Clinical Practice: A Single-Center Experience.
Muscle & nerveScoliosis development in 5q-spinal muscular atrophy under disease modifying therapies.
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research SocietyRisdiplam in Adult Patients With 5q Spinal Muscular Atrophy: A Single-Center Longitudinal Study.
Muscle & nerveA self-reported Brazilian registry of 5q-spinal muscular atrophy: data on natural history, genetic characteristics, and multidisciplinary care.
Arquivos de neuro-psiquiatriaMotor pool selectivity of neuromuscular degeneration in type I spinal muscular atrophy is conserved between human and mouse.
Human molecular genetics[Natural history of spinal muscular atrophy type I].
Zhurnal nevrologii i psikhiatrii imeni S.S. KorsakovaPostural Tremor Caused by Hirayama Disease Mimicking Essential Tremor.
Tremor and other hyperkinetic movements (New York, N.Y.)Efficacy and safety of Nusinersen among children with spinal muscular atrophy from North India: A prospective cohort study (NICE-SMA study).
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyDiagnosing missed cases of spinal muscular atrophy in genome, exome, and panel sequencing data sets.
Genetics in medicine : official journal of the American College of Medical GeneticsLongitudinal data collection in pediatric and adult patients with 5q spinal muscular atrophy in Latin America: LATAM RegistrAME study - a clinical registry study protocol.
Einstein (Sao Paulo, Brazil)Respiratory outcomes of onasemnogene abeparvovec treatment for spinal muscular atrophy: national real-world cohort study.
European journal of pediatricsGene-based therapy for the treatment of spinal muscular atrophy types 1 and 2 : a systematic review and meta-analysis.
Gene therapyHigh Expression of SMN circ4-2b-3 in SMA I Children Treated with Nusinersen is Associated with Improved Motor Outcomes.
Molecular neurobiologyCommon complications in spinal muscular atrophy (SMA) type 1 after nusinersen treatment.
The Turkish journal of pediatrics[Use of disease-modifying therapies in spinal muscular atrophy 5q in Mexico].
Revista medica del Instituto Mexicano del Seguro SocialBrain magnetic resonance imaging of patients with spinal muscular atrophy type 2 and 3.
NeuroImage. ClinicalRisdiplam: therapeutic effects and tolerability in a small cohort of 6 adult type 2 and type 3 SMA patients.
Orphanet journal of rare diseasesThigh and paraspinal muscles change after fusionless bipolar fixation for early onset scoliosis in type 2 spinal muscular atrophy: Modifications in the spinal and thigh muscles of subjects with SMA2 and early onset scoliosis.
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieType-1 spinal muscular atrophy cohort before and after disease-modifying therapies.
Arquivos de neuro-psiquiatriaAbnormal expression of myosin heavy chains in early postnatal stages of spinal muscular atrophy type I at single fibre level.
Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of MyologyFive Years of Follow-up after Posterior Cervical Fusion Surgery for Hirayama Disease:A Case Report.
The journal of medical investigation : JMIA reassessment of spinal cord pathology in severe infantile spinal muscular atrophy: Reassessment of spinal cord pathology.
Neuropathology and applied neurobiologyType 1 spinal muscular atrophy treated with nusinersen in Norway, a five-year follow-up.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyTreatment preferences in spinal muscular atrophy: A swing weighting study for caregivers of patients with SMA types 1 and 2.
PloS oneAcceptability, validity and responsiveness of inertial measurement units for assessing motor recovery after gene therapy in infants with early onset spinal muscular atrophy: a prospective cohort study.
Journal of neuroengineering and rehabilitationLong-term natural history in type II and III spinal muscular atrophy: a 4-year international study on the Hammersmith Functional Motor Scale Expanded.
European journal of neurologyProfiling neuroinflammatory markers and response to nusinersen in paediatric spinal muscular atrophy.
Scientific reportsSpinal presentations in children with spinal muscular atrophy type 1 following gene therapy treatment with onasemnogene abeparvovec - The SMA REACH UK network experience.
Neuromuscular disorders : NMDOutcomes of early-treated infants with spinal muscular atrophy: A multicenter, retrospective cohort study.
Muscle & nerveDiagnostic Journey of Korean Patients with Spinal Muscular Atrophy.
Yonsei medical journalReal-World Data in Children with Spinal Muscular Atrophy Type 1 on Long-Term Ventilation Receiving Gene Therapy: A Prospective Cohort Study.
Advances in respiratory medicineUpper limb function changes over 12 months in untreated SMA II and III individuals: an item-level analysis using the Revised Upper Limb Module.
Neuromuscular disorders : NMDReal-world multidisciplinary outcomes of onasemnogene abeparvovec monotherapy in patients with spinal muscular atrophy type 1: experience of the French cohort in the first three years of treatment.
Orphanet journal of rare diseasesCharacterization of SMA type II skeletal muscle from treated patients shows OXPHOS deficiency and denervation.
JCI insightThrombospondin-4 as potential cerebrospinal fluid biomarker for therapy response in pediatric spinal muscular atrophy.
Journal of neurologySecondary outcomes of scoliosis surgery in disease-modifying treatment-naïve patients with spinal muscular atrophy type 2 and nonambulant type 3.
Muscle & nerveFiberoptic endoscopic evaluation of swallowing (FEES) in children with spinal muscular atrophy type 1: feasibility, swallowing safety and efficacy, and dysphagia phenotype.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck SurgerySensory dysfunction in SMA type 2 and 3 - adaptive mechanism or concomitant target of damage?
Orphanet journal of rare diseasesSpinal muscular atrophy in an upper-middle-income nation before the advent of reimbursed disease-modifying therapies.
BMJ paediatrics openPrognostic factors for tube feeding in type I SMA patients treated with disease-modifying therapies: a cohort study.
European journal of pediatricsOximetry and carbon dioxide screening for ventilatory requirements in children with spinal muscular atrophy type 1-3.
Sleep medicineUbiquitination Insight from Spinal Muscular Atrophy-From Pathogenesis to Therapy: A Muscle Perspective.
International journal of molecular sciences[Effect of disease-modifying drugs for spinal muscular atrophy on the ventilation support of type 1 children].
Zhonghua er ke za zhi = Chinese journal of pediatricsNutrition outcomes of disease modifying therapies in spinal muscular atrophy: A systematic review.
Muscle & nerveHirayama Disease: Surgical Restoration of Hand Function.
The Journal of hand surgeryThe Impact of Nusinersen and Risdiplam on Motor Function for Spinal Muscular Atrophy Type 2 and 3: A Meta-Analysis.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSPRisk-benefit profile of onasemnogene abeparvovec in older and heavier children with spinal muscular atrophy type 1.
Neuromuscular disorders : NMDHematopoietic stem cell transplantation leads to biochemical and functional correction in two mouse models of acid ceramidase deficiency.
Molecular therapy : the journal of the American Society of Gene TherapyEffect of Nusinersen on Respiratory and Bulbar Function in Children with Spinal Muscular Atrophy: Real-World Experience from a Single Center.
Neuropediatrics[Monoclonal antibodies to Respiratory Syncytial Virus (RSV) in patients with Spinal Muscular Atrophy Type 1].
Andes pediatrica : revista Chilena de pediatriaIntegrated Approaches and Practical Recommendations in Patient Care Identified with 5q Spinal Muscular Atrophy through Newborn Screening.
GenesPolyminimyoclonus in Hirayama Disease.
Neurology[Nusinersen in the treatment of 4 children with presymptomatic spinal muscular atrophy].
Zhonghua er ke za zhi = Chinese journal of pediatricsAnalysis of the efficacy and adverse effects of nusinersen in the treatment of children with spinal muscular atrophy in China.
Brain and behavior[Results of neonatal screening for spinal muscular atrophy in Hungary in 2023].
Orvosi hetilapTreatment of SMA type 1 infants using a single-dose AAV9-mediated gene therapy via intrathecal injection of GC101: An open-label, single-arm study.
Chinese medical journal[Clinical efficacy of nusinersen sodium in the treatment of children with spinal muscular atrophy].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsIdentification of a Novel ASAH1 Gene Mutation in Spinal Muscular Atrophy with Progressive Myoclonic Epilepsy.
Iranian journal of child neurologyNusinersen effectiveness and safety in pediatric patients with 5q-spinal muscular atrophy: a multi-center disease registry in China.
Journal of neurologyChanges in abilities over the initial 12 months of nusinersen treatment for type II SMA.
Neuromuscular disorders : NMDReproductive genetic carrier screening in pregnancy: improving health outcomes and expanding access.
Journal of perinatal medicineNeurofilament light chain and profilin-1 dynamics in 30 spinal muscular atrophy type 3 patients treated with nusinersen.
European journal of neurologyAn updated systematic review on spinal muscular atrophy patients treated with nusinersen, onasemnogene abeparvovec (at least 24 months), risdiplam (at least 12 months) or combination therapies.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyImpact of Spinal Surgery on Intrathecal Nusinersen Injections in Pediatric Spinal Muscular Atrophy.
Journal of pediatric orthopedicsDisrupted individual-level morphological brain network in spinal muscular atrophy types 2 and 3.
CNS neuroscience & therapeutics2024 update: European consensus statement on gene therapy for spinal muscular atrophy.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyExploring functional strength changes during nusinersen treatment in symptomatic children with SMA types 2 and 3.
Neuromuscular disorders : NMDHirayama disease in a teenager with severe hand weakness.
Journal of clinical neuroscience : official journal of the Neurosurgical Society of AustralasiaGene replacement therapy for spinal muscular atrophy: safety and preliminary efficacy in a Brazilian cohort.
Gene therapySTAC3 disorder: a common cause of congenital hypotonia in Southern African patients.
European journal of human genetics : EJHGHirayama Disease: The Role of the Neuroradiologist to Confirm the Diagnosis and Correlation with Electromyography.
Neurology IndiaPreemptive dual therapy for children at risk for infantile-onset spinal muscular atrophy.
Annals of clinical and translational neurologyGingival hyperplasia in a child with spinal muscular atrophy type 1.
Archives of disease in childhoodCognitive function in SMA patients with 2 or 3 SMN2 copies treated with SMN-modifying or gene addition therapy during the first year of life.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyPhosphorylated neurofilament heavy chain in cerebrospinal fluid and plasma as a Nusinersen treatment response marker in childhood-onset SMA individuals from Serbia.
Frontiers in neurologyAltered mitochondrial function in fibroblast cell lines derived from disease carriers of spinal muscular atrophy.
Communications medicinePolysomnography findings and respiratory muscle function in infants with early onset spinal muscular atrophy after gene replacement as monotherapy: A prospective study.
Sleep medicineCardiac function evaluation in children with spinal muscular atrophy: A case-control study.
Pediatrics international : official journal of the Japan Pediatric SocietyA Post-Marketing Surveillance Study of Nusinersen for Spinal Muscular Atrophy in Routine Medical Practice in China: Interim Results.
Advances in therapyEfficacy and safety of onasemnogene abeparvovec for the treatment of patients with spinal muscular atrophy type 1: A systematic review with meta-analysis.
PloS oneLong-Term Comparative Efficacy and Safety of Risdiplam and Nusinersen in Children with Type 1 Spinal Muscular Atrophy.
Advances in therapyNusinersen Initiation After Onset of Weakness Does Not Prevent Progression of Hip Instability.
Journal of pediatric orthopedics[Experience of the treatment of spinal muscular atrophy type 3 Kugelberg-Welander with Nusinersen].
Zhurnal nevrologii i psikhiatrii imeni S.S. KorsakovaDisease Mechanisms and Therapeutic Approaches in SMARD1-Insights from Animal Models and Cell Models.
BiomedicinesDetermining minimal clinically important differences in the Hammersmith Functional Motor Scale Expanded for untreated spinal muscular atrophy patients: An international study.
European journal of neurologyAnalysis of spinal muscular atrophy carrier screening results in 32,416 pregnant women and 7,231 prepregnant women.
Frontiers in neurologyAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
Ainda não temos associações cadastradas para Atrofia muscular bulbo-espinhal da infância.
É de uma associação que acompanha esta doença? Fale com a gente →
Doenças relacionadas
Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico
Ainda não achamos doenças com sintomas parecidos o suficiente.
Perguntas frequentes
O que as famílias mais perguntam sobre esta doença — cada resposta com a fonte de onde saiu
Significa que este termo deixou de ser utilizado como um diagnóstico ativo e independente pela medicina atual. Nos registros internacionais de doenças raras, a entrada permanece apenas como um registro histórico de um grupo de fenótipos.
Referências
Fontes citadas no texto, publicações do grafo e bases de dados usadas neste verbete
3 fontes citadas no texto · 5 publicações do grafo RarasNet (PubMed) · 2 bases de dados. Títulos, periódicos e PMIDs vêm direto da fonte, sem intermediação de IA.
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Citar este verbete
Raras. (2026). Atrofia muscular bulbo-espinhal da infância. Em Raras — Enciclopédia de Doenças Raras do Brasil. https://raras.org/doenca/atrofia-muscular-bulbo-espinhal-da-infancia
Formato APA. Conteúdo sob CC BY 4.0 — reuso livre com atribuição.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
📋 Origem dos dados
Esta página agrega dados de fontes públicas e oficiais. Dados sobre cobertura no SUS (PCDT, CEAF) são verificados ativamente por agente proativo (ver badge no infobox). Demais dados têm atribuição de fonte + data da última sincronização — clique para abrir o original.
- Doença rara (ontologia)
- fonte: Orphanet
- Identificador unificado
- fonte: MONDO
- Dado público estruturado
- fonte: Wikidata