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Atrofia muscular bulbo-espinhal do adulto
ORPHA:206707DOENÇA RARA

OBSOLETO. Uma atrofia muscular bulbo-espinhal que ocorre em um adulto.

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Introdução

O que você precisa saber de cara

Mantido pelo Disease Twin100% com fonte · atualizado 08/06/2026Revisão médica pendente
Informacoes curadas por IA — podem conter imprecisoes

Visão geral

A atrofia muscular bulbo-espinhal do adulto é uma doença neuromuscular rara que se manifesta em adultos. Ela faz parte de um grupo de condições caracterizadas pela fraqueza e perda muscular progressiva, afetando principalmente os músculos da região bulbar (envolvidos na fala, deglutição e respiração) e da medula espinhal. A informação sobre a prevalência exata e o padrão de herança ainda não está completamente estabelecida na literatura científica disponível.[1]

Sinais e sintomas

Os sintomas específicos e a idade de início não foram detalhados nas fontes oficiais consultadas. De modo geral, por ser uma condição que afeta os neurônios motores, pode-se esperar fraqueza muscular progressiva, especialmente nos músculos da face, garganta e membros, mas é importante consultar um médico especialista para uma avaliação individualizada.[1]

Causas genéticas

A causa genética específica para esta doença ainda não foi identificada ou confirmada nas bases de dados oficiais. Não há genes, símbolos ou funções gênicas associadas disponíveis nas fontes consultadas. A pesquisa genética continua em andamento para esclarecer os mecanismos hereditários envolvidos.[1][2]

Diagnóstico

O diagnóstico da atrofia muscular bulbo-espinhal do adulto é baseado na avaliação clínica, história do paciente e exames complementares. Não há informações sobre testes genéticos específicos ou variantes no ClinVar disponíveis nas fontes oficiais. O diagnóstico diferencial é importante para descartar outras condições neuromusculares.[1][2][3]

Tratamento e manejo

O manejo da doença é multidisciplinar e visa aliviar os sintomas, melhorar a qualidade de vida e prevenir complicações. Não há informações sobre medicamentos aprovados especificamente para esta condição nas fontes oficiais. O acompanhamento com neurologista, fisioterapeuta, fonoaudiólogo e outros especialistas é fundamental. No Brasil, a cobertura pelo SUS é considerada mínima, mas não há procedimentos específicos listados.[1][3]

Tratamentos citados na literatura

A literatura científica (fonte PubTator3) menciona associações entre esta doença e algumas substâncias, com base em publicações. É importante destacar que estas são correlações de pesquisa e não recomendações de tratamento. Os fármacos e o número de publicações associadas são: nusinersen (525), Risdiplam (138), Oligonucleotides (111), Oligonucleotides Antisense (90), Valproic Acid (35), Albuterol (13), Morpholinos (12), Riluzole (10), Tranexamic Acid (10) e eteplirsen (10). Consulte sempre um médico antes de considerar qualquer intervenção.[3]

Prognóstico e qualidade de vida

Não há informações específicas sobre o prognóstico ou expectativa de vida nas fontes oficiais consultadas. O curso da doença pode variar entre os pacientes. O suporte multidisciplinar e o acompanhamento regular são essenciais para manter a funcionalidade e a qualidade de vida pelo maior tempo possível.[1]

Fontes numeradas em Referências.

Conteúdo informativo gerado e mantido automaticamente a partir de fontes oficiais (Orphanet, HPO, OMIM, SUS). Não substitui avaliação médica.

💬
EM LINGUAGEM SIMPLES

A atrofia muscular bulbo-espinhal do adulto é um termo médico que descreve o enfraquecimento e a perda muscular que afetam a região bulbar e a medula em pessoas adultas. Nos registros de saúde internacionais, esta entidade é classificada como uma categoria ou registro considerado obsoleto. No Brasil, a condição não consta na lista oficial de Protocolos Clínicos e Diretrizes Terapêuticas (PCDT) de doenças raras do Ministério da Saúde. Não há medicamentos específicos fornecidos pelo SUS para este código, sendo os cuidados voltados para o apoio neurológico geral.

Informacoes curadas por IA — podem conter imprecisoes
[1] Orphanet [16] Ministério da Saúde — lista oficial de…
📋
Informacoes curadas por IA — podem conter imprecisoes

OBSOLETO. Uma atrofia muscular bulbo-espinhal que ocorre em um adulto.

🏥
SUS: Sem cobertura SUSScore: 35%
Você se identifica com essa condição?
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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

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa2
Últimos 10 anos200publicações
Pico2025146 papers
Linha do tempo
2024Hoje · 2026📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

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

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Atrofia muscular bulbo-espinhal do adulto

🗺️

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.

🧪 Está conduzindo uma pesquisa?
Divulgue para pacientes e familiares que acompanham esta doença.
Divulgar pesquisa →

Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Risdiplam Impact in Treatment Naïve and Non-Naïve Pediatric and Adult Patients With Spinal Muscular Atrophy.

European journal of neurology2026 Apr

Risdiplam, an oral disease-modifying therapy, has demonstrated safety and efficacy in clinical trials, but real-world data from Asia are limited. This prospective study followed 34 symptomatic SMA patients (24 adults, 10 children) over 36 months of risdiplam treatment. The cohort included 5 patients with SMA type 1, 25 with SMA type 2, and 4 with SMA type 3, with ages ranging from 6.9 to 50.9 years. Most (91%) were wheelchair users, and 74% had scoliosis managed by bracing or spinal surgery. Twenty-five patients (22 adults, 3 children) were treatment naïve, and 9 patients (2 adults, 7 children) switched from nusinersen. Motor function was assessed at baseline, 6, 12, 24, and 36 months using MFM-32, RULM, ATEND, and HFMSE. In pediatric patients, HRQOL was evaluated using PedsQL Neuromuscular Module and PedsQL Generic Core scale. HRQOL of their parents was assessed with PedsQL Family Impact Module. After 36 months, MFM-32 score was significantly improved in those switching therapies [p = 0.042], while both MFM-32 and RULM scores were significantly improved in treatment-naïve group [p = 0.005 and p = 0.043]. Parents experienced HRQOL gains in their Physical domain (2 years: PedsQL Family Impact Module, p = 0.038). Pediatric patients showed improvement in the Communication domain (3 years: PedsQL Neuromuscular Module, p = 0.042). Risdiplam was generally well tolerated; however, two adults discontinued due to adverse effects. Moreover, two adult patients died during treatment. This study fills Asian real-world data gaps, stresses the importance in monitoring in severe SMA, and underscores the need for larger, long-term safety and efficacy studies.

#2

Quantitative Whole-Body Muscle MRI in Adults With Spinal Muscular Atrophy-A Sensitive Tool for Long-Time Evaluation of Disease Progression.

European journal of neurology2026 Mar

Spinal muscular atrophy (SMA) is a neuromuscular disorder characterized by progressive muscle weakness due to SMN protein deficiency. While effective therapies exist, their impact on slowly progressive adult SMA patients remains unclear. Reliable biomarkers for monitoring disease progression and treatment response are urgently needed. This pilot study evaluated the utility of longitudinal quantitative muscle MRI (qMRI) to monitor disease progression in adult SMA patients treated with nusinersen over an extended period. Nine adult patients with genetically confirmed 5q-SMA underwent whole-body muscle MRI and clinical assessment, including the Hammersmith Functional Motor Scale-Expanded (HFMS-EXP), Revised Upper Limb Module (RULM), and 6 min walk test (6MWT). Muscular fat fraction (mFF) was quantified in 20 muscles over a median follow-up of 54 months. Baseline mFF correlated strongly with clinical measures (HFMS-EXP: r = -0.90, p = 0.001; 6MWT: r = -0.96, p < 0.001), but not with age at onset or age at MRI. Over the observation period, a significant increase in mFF was detected (averaged annual increase of all studied muscles: 0.47%, p = 0.011), accentuated in the lower leg muscles. In contrast, clinical measures showed no consistent change. Consequently, no significant correlations were found between changes in mFF and clinical scores. This study provides the longest reported longitudinal qMRI assessment in adult SMA patients treated with nusinersen, demonstrating that mFF progressively increases despite stable clinical scores. The results suggest that qMRI may be a sensitive and objective biomarker for detecting subtle disease progression in adult SMA, potentially surpassing clinical measures.

#3

Workshop report: Findings from the 2025 Italian SMAkers Educational Initiative on SMA management in Italy.

Journal of the neurological sciences2026 Apr 15

Newborn screening programs have changed the landscape of spinal muscular atrophy (SMA). The impact on presymptomatic patients is profound, but several challenges remain, such as how to communicate diagnostic results to families, when treatment should be started in screen-positive but presymptomatic patients, and how to manage adults who now survive longer with the disease. A workshop held in Florence in May 2025, as part of the SMAkers Study Group activities, offered clinicians across the Italian SMA Network the chance to discuss these open questions. Over two days, plenary lectures were alternated with working group sessions on communication strategies, presymptomatic management, adult care, and fatigability. Prior to the meeting, a survey collected data on current practice in Italy. Centers broadly agreed on a multidisciplinary, family-centered approach that integrates genetic results, neurophysiology, and clinical findings into treatment planning for newborns, incorporating CMAP in addition to SMN2 copy number and neurofilament light chain, measured by some sites. There was consensus on care of adult patients, including assessments of motor and respiratory functions, bulbar status, fatigability, patient-reported outcomes and psychological health. Despite known survey limitations, these data reflect a coherent Italian model reinforcing the value of shared multidisciplinary care within a structured network.

#4

Electrophysiological 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 neurology2026 Mar 02

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.

#5

Administration practice and adherence of nusinersen in adults with 5q-spinal muscular atrophy in China: an ambispective multicenter study.

BMC neurology2026 Feb 28

Due to nusinersen’s route of administration and dosing regimen, the spinal muscular atrophy (SMA) population and/or their caregivers need to travel to hospitals and work around physician’s schedules to receive treatment. Real-world studies with large sample sizes on administration practice and adherence rate of nusinersen are lacking, especially in non-United States settings. This study aimed to investigate the administration practice and adherence of nusinersen in Chinese adults with 5q-SMA. An ambispective, multicenter registry of adults with 5q-SMA in China provided the longitudinal data for this analysis. Nusinersen was scheduled on Day 0, 14, 28, 63, and every 4 months thereafter. Adherence rate was calculated at dose level. A dose was deemed adherent if the interval between the current and preceding dose aligned with the standard dosing regimen, allowing a grace period of ± 7 days for doses 2 through 4 and ± 28 days for all subsequent doses. A total of 177 participants receiving nusinersen with 1,329 doses were included in the study. All injections were given in inpatient setting with no ventilatory support or sedation needed. Only one injection (0.1%) was performed under general anesthesia. Almost all (n = 1,322, 99.5%) injections were given through interspinous lumbar puncture. Injections in participants with scoliosis require more imaging techniques for guiding administration compared with those in participants without scoliosis (68.3% vs. 29.1%). Ultrasound was the most commonly used guide before or during administration (674/708). The adherence rate was 92.8% (1,062/1,144). The median inter-dose intervals aligned well with dosing schedule, with 14 days for Dose 2 and 3, 35 days for Dose 4, and 120–124 days for Dose 5 to 10 as maintenance doses. Findings characterize the patterns of nusinersen administration practice, demonstrating high real-world adherence to nusinersen administration in Chinese adults with 5q-SMA. The registry was registered at clinicaltrials.gov (NCT05618379) on November 16th, 2022. The online version contains supplementary material available at 10.1186/s12883-026-04730-x.

Publicações recentes

Ver todas no PubMed

📚 EuropePMCmostrando 197

2026

Risdiplam Impact in Treatment Naïve and Non-Naïve Pediatric and Adult Patients With Spinal Muscular Atrophy.

European journal of neurology
2026

[Comparison of MRI of Paraspinal Muscles in Patients after Open and Minimally Invasive Percutaneous Stabilisation of Thoracic and Lumbar Spine Fractures].

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
2026

Quantitative Whole-Body Muscle MRI in Adults With Spinal Muscular Atrophy-A Sensitive Tool for Long-Time Evaluation of Disease Progression.

European journal of neurology
2026

Hirayama disease: an uncommon cause of motor neuron disease.

Arquivos de neuro-psiquiatria
2026

Evaluating effects of risdiplam in adults with spinal muscular atrophy: a monocentric study.

ERJ open research
2026

Sexual health in neuromuscular diseases: Neglected challenges revealed by a scoping review.

Journal of neuromuscular diseases
2026

Adult SMA REACH: A UK clinical network and real-world data collection study for adults living with spinal muscular atrophy.

Journal of neuromuscular diseases
2025

A prospective, multi-center, observational study of the safety, tolerability and effectiveness of Nusinersen in adult patients with spinal muscular atrophy.

Neuromuscular disorders : NMD
2025

[Clinical characteristics and genetic analysis of a patient with Kennedy disease with secondary infertility as the initial symptom].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2026

Workshop report: Findings from the 2025 Italian SMAkers Educational Initiative on SMA management in Italy.

Journal of the neurological sciences
2026

Electrophysiological 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 neurology
2026

Administration practice and adherence of nusinersen in adults with 5q-spinal muscular atrophy in China: an ambispective multicenter study.

BMC neurology
2026

Development and validation of novel cognitive tests in Mandarin-speaking older Americans.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2026

Outcomes of the national premarital genetic screening program for cystic fibrosis, homocystinuria, and spinal muscular atrophy in Qatar.

Human genomics
2026

Adult Survival in SMA Type 1: A 23-Year Journey With Home Ventilation and Multidisciplinary Support.

Clinical case reports
2026

Medical Absenteeism and Premature Death in Spinal Muscular Atrophy in Sweden: A Population-Based Matched Register Study of People of Working Age.

Advances in therapy
2026

Clinical outcome and efficacy of nusinersen in Korean adult patients with 5q spinal muscular atrophy: Nationwide multicenter retrospective study.

Acta neurologica Belgica
2026

CSF and plasma GFAP and VEGF in adult type 3 spinal muscular atrophy patients treated with nusinersen.

Journal of the neurological sciences
2025

From policy to practice: premarital spinal muscular atrophy screening as a public health initiative in northern Türkiye.

Frontiers in public health
2026

A real-world, multicentre, epidemiological study in Czech and Slovak adults with spinal muscular atrophy treated with risdiplam.

Scientific reports
2026

Targeted knockdown of Smn in muscle stem cells induces non-cell autonomous loss of motor neurons.

Brain : a journal of neurology
2026

High-dose nusinersen for spinal muscular atrophy: a phase 3 randomized trial.

Nature medicine
2026

How to Best Measure Disease Progression in Adult Spinal Muscular Atrophy Patients: A Clinical and Neurophysiological Study.

Muscle &amp; nerve
2025

Assessment of safety and efficacy of risdiplam treatment in adults with spinal muscular atrophy.

Frontiers in neurology
2026

The spinal and bulbar muscular atrophy-health index: a disease-specific outcome measure.

Amyotrophic lateral sclerosis &amp; frontotemporal degeneration
2026

Effectiveness of Risdiplam Treatment in Adult Patients With Spinal Muscular Atrophy Type IIb-III.

Revista de neurologia
2025

Circulating Tau Profiles in Pediatric and Adult Patients with Spinal Muscular Atrophy.

medRxiv : the preprint server for health sciences
2026

Population Physiologically-Based Pharmacokinetic Modeling to Determine Ontogeny: A Quantitative Clinical Pharmacology Example in Pediatric Rare Disease.

CPT: pharmacometrics &amp; systems pharmacology
2026

Evaluation of Different Controllers for Sensing-Based Movement Intention Estimation and Safe Tracking in a Simulated LSTM Network-Based Elbow Exoskeleton Robot.

Sensors (Basel, Switzerland)
2026

Insights into the human pharmacokinetics and metabolism of branaplam, a splicing modulator of a survival motor neuron-2 and huntingtin pre-mRNAs, in infants and adults.

Drug metabolism and disposition: the biological fate of chemicals
2026

A type IV spinal muscular atrophy with gastrocnemius pseudohypertrophy caused by SMN1 deletion: a case report and literature review.

BMC neurology
2026

Motor unit magnetic resonance imaging (MUMRI) as a novel biomarker of muscle activity in spinal muscular atrophy.

Neuromuscular disorders : NMD
2026

Mapping the patient journey of adult patients with Spinal Muscular Atrophy in Greece: key challenges and priorities for action.

Orphanet journal of rare diseases
2026

Targeted Carrier Screening for Thalassemia, Hereditary Deafness, and Spinal Muscular Atrophy: A Feasible Approach for Preventing Birth Defects in China's Community Healthcare System.

Molecular genetics &amp; genomic medicine
2026

Pregnancy in women with spinal muscular atrophy (SMA): maternal and neonatal outcomes with multi-speciality management.

Journal of neurology
2026

Choosing the optimal mouse model for the study of late-onset spinal muscular atrophy: Why the 4-copy SMN2 model offers ideal translational relevance.

Journal of neuromuscular diseases
2026

Heterogeneous phenotype and cardiovascular comorbidities in Swedish patients with spinobulbar muscular atrophy.

Journal of neurology
2026

Demographic, clinical and genetic characteristics of patients with amyotrophic lateral sclerosis from two specialised centres in Austria.

Journal of neurology
2026

Zebrafish genetic model of neuromuscular degeneration associated with Atrogin-1 expression.

PLoS genetics
2026

Proband-independent noninvasive prenatal diagnosis for spinal muscular atrophy: early detection paving the way for early prenatal treatment.

Annals of medicine
2026

Matched-pair analysis of motor outcomes in adults with spinal muscular atrophy on nusinersen vs. risdiplam.

Journal of neurology
2026

Effectiveness and Safety of Nusinersen Among Adults with 5q-Spinal Muscular Atrophy: A Multicenter Disease Registry in China.

Advances in therapy
2025

Detection of inflammation and glial cell-related biomarkers in adults with spinal muscular atrophy receiving nusinersen therapy.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Testosterone and Long-Pulse-Width Stimulation (TLPS) on Denervated Muscles and Cardio-Metabolic Risk Factors After Spinal Cord Injury: A Pilot Randomized Trial.

Cells
2025

Carrier screening for multiple complex monogenic diseases using long-read sequencing: a population-based study of premarital couples in Shanghai.

Human genomics
2025

Longitudinal evaluation of fatigue in adult patients with spinal muscular atrophy and the impact of disease-modifying drugs.

Arquivos de neuro-psiquiatria
2025

DYNC1H1 in Spinal Muscular Atrophy: Diagnostic Findings From Two Families and a Comprehensive Review of Its Role in Neuromuscular and Neurodevelopmental Disorders.

Molecular genetics &amp; genomic medicine
2025

Temperature-induced symptoms in adolescents and adults with spinal muscular atrophy.

Journal of neuromuscular diseases
2025

Sleep quality, restless legs syndrome and daytime sleepiness in adults with 5q-spinal muscular atrophy.

Journal of neuromuscular diseases
2025

Neuromuscular Electrical Stimulation Combined With Rehabilitation Training Improves Rehabilitation After Spinal Cord Injury.

Annali italiani di chirurgia
2026

Plasma microRNA predict cognitive decline in Parkinson's disease.

Parkinsonism &amp; related disorders
2026

A Psychometric Evaluation of Maximum Phonation Time and S/Z Ratio as Pragmatic Outcome Measures of Bulbar Function in Adults With Spinal Muscular Atrophy.

Muscle &amp; nerve
2025

Motor Unit Patterns Correlate With Severity in Symptomatic Patients With Spinal Muscular Atrophy.

European journal of neurology
2025

Safety and effectiveness of risdiplam in adults with spinal muscular atrophy: a systematic review.

Journal of neurology
2025

Bone Fragility and Fracture Characteristics in Patients With Spinal and Bulbar Muscular Atrophy.

European journal of neurology
2025

Real-Time Ultrasound-Guided Intrathecal Delivery of Nusinersen in Adult Patients With Spinal Muscular Atrophy and Complex Spinal Anatomy.

Pain physician
2025

[Pregnancy in women with Spinal Muscular Atrophy: A survey conducted by french patients, with commentary from the Lille Reference Center for Neuromuscular Diseases].

Medecine sciences : M/S
2025

Limitations in activities of daily living in individuals with spinal muscular atrophy: A scoping review and multidisciplinary recommendations for clinical practice.

Journal of neuromuscular diseases
2025

Therapeutic impact of leuprorelin acetate on spinal and bulbar muscular atrophy: pre- and post-marketing observational study.

Journal of neurology
2025

Screening and Prenatal Diagnosis of Spinal Muscular Atrophy among Reproductive-Age Individuals from the Hubei Region.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
2026

Spinal Muscular Atrophy Carrier Screening: Assessment of Provider Knowledge and Clinical Practice.

Prenatal diagnosis
2026

Concurrent diagnosis of spinal muscular atrophy and trisomy 21: Value of comprehensive analysis in prenatal genetic testing.

Clinica chimica acta; international journal of clinical chemistry
2025

Anti-Signal Recognition Particle Antibody-Positive Immune-Mediated Necrotizing Myopathy Diagnosed by Re-Evaluation 40 Years After Symptom Onset.

Neuropathology : official journal of the Japanese Society of Neuropathology
2026

A plain language summary of the SAPPHIRE clinical trial of apitegromab in children and young adults with spinal muscular atrophy.

Expert review of neurotherapeutics
2025

The Neuromuscular Junction: A Shared Vulnerability in Aging and Disease.

The Journal of neuroscience : the official journal of the Society for Neuroscience
2026

Respiratory muscle activity and fatigue response during respiratory endurance testing in patients with spinal muscular atrophy.

Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
2025

The case of a highly trained TRPV4 related scapuloperoneal spinal muscular atrophy patient: a 5-year follow-up.

Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology
2026

Mapping Health State Utility from Disease-Specific Measures in Spinal Muscular Atrophy and Paroxysmal Nocturnal Hemoglobinuria.

PharmacoEconomics
2025

Efficacy and safety of risdiplam in adults with 5q-associated spinal muscular atrophy: a nationwide observational cohort study in Austria.

EClinicalMedicine
2025

Compound 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 neurology
2025

[A family with nonsynonymous mutations of filamin C actin-binding domain].

Rinsho shinkeigaku = Clinical neurology
2026

Real-world evidence on nusinersen treatment of persons with SMA: a focused review.

Journal of neuromuscular diseases
2025

Turkish men's experiences of positive SMA carrier results: a qualitative study within a gendered screening framework.

BMC public health
2025

Parkinson's disease-associated camptocormia: biopsy-confirmed focal myositis and treatment options.

Journal of neurology
2025

Spinal muscular atrophy in India: Patient journey, access to care, treatment barriers, and strategic recommendations: Insights from experts.

Journal of neuromuscular diseases
2025

A qualitative, mixed-method approach to reaching consensus on function, fatigue, and fatigability outcomes in teens and adults living with spinal muscular atrophy.

Orphanet journal of rare diseases
2025

Central eye movement abnormalities in patients with SMA types II and III.

Neurophysiologie clinique = Clinical neurophysiology
2025

Beyond motor neurons: autonomic dysfunction and ECG findings in adults with 5q-spinal muscular atrophy.

Journal of neurology
2025

Summary of Research: Fertility Outcomes in Risdiplam-Treated Male Patients with Spinal Muscular Atrophy: A Multicenter Case Series.

Neurology and therapy
2026

Effect of a Wearable Sensor-Based Posture Correction Brace on Static Balance and Posture in Parkinson's Disease.

American journal of physical medicine &amp; rehabilitation
2025

Disease characteristics and treatment status of genetically confirmed spinal muscular atrophy patients: a cross-sectional survey in China.

BMC neurology
2025

Reviewer Comment on Slayter et al. "An Exploratory 12-Month Observational Study of Adults with Spinal Muscular Atrophy: Learning from Our Tools".

The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques
2025

Camptocormia as a Phenotypic Variant of FSHD in the Elderly: Clinical, Genetic, and Imaging Features.

European journal of neurology
2026

Intramuscular and Intravenous AAV-Mediated Gene Delivery in Mouse Models.

Methods in molecular biology (Clifton, N.J.)
2025

[A case of spinal and bulbar muscular atrophy with acute bilateral vocal cord paralysis suddenly apparent after infection].

Rinsho shinkeigaku = Clinical neurology
2026

Bereavement Experiences Among Parents of Children With Spinal Muscular Atrophy Type 1.

Journal of pain and symptom management
2025

Comparative impact of body composition from abdominal computed tomography and paraspinal muscle degeneration on subsequent vertebral fracture risk.

Experimental gerontology
2025

Analyzing real-world adverse events of spironolactone with the FAERS database.

PloS one
2025

A Modeling Investigation of the CYP1A Drug Interactions of Riluzole.

Clinical and translational science
2025

Understanding the experiences of adults with spinal muscular atrophy & their transition to an adult program: A mixed methods study.

Journal of neuromuscular diseases
2026

Mental 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 Research
2025

State of the art: Pregnancy in spinal muscular atrophy in the treatment era.

Journal of neuromuscular diseases
2025

Coexisting Rheumatoid Arthritis and Spinal Muscular Atrophy: A Case Report.

Cureus
2025

Antenatal Ultrasound Findings in Spinal Muscular Atrophy Type 0.

Molecular genetics &amp; genomic medicine
2025

Respiratory function in 192 adult patients with spinal muscular atrophy (SMA) treated with nusinersen - a multicenter observational study.

Orphanet journal of rare diseases
2025

Central Neurophysiological Alterations in Dystrophic mdx Mice Correlate With Reduced Hippocampal Levels of the Endogenous NMDA Receptor Ligand D-Aspartate.

Journal of neurochemistry
2025

Co-occurrence of ipsilateral partial Horner's syndrome in a patient with monomelic amyotrophy.

BMJ case reports
2025

Managing Spinal Muscular Atrophy: A Look at the Biology and Treatment Strategies.

Biology
2026

A VAPB (P56S) mutation in a Dutch patient with familial motor neuron disease: a case report.

Amyotrophic lateral sclerosis &amp; frontotemporal degeneration
2025

Effective and safe use of alirocumab in spinal and bulbar muscular atrophy with high cardiovascular risk: a case report.

European review for medical and pharmacological sciences
2025

[Multi-system involvement characteristics and influencing factors of disease progression in Kennedy's disease].

Zhonghua nei ke za zhi
2025

Study of Testosterone and Recombinant Human Growth Hormone in Facioscapulohumeral Muscular Dystrophy.

Neurology. Genetics
2025

Comorbidities in spinal muscular atrophy and their impact on the course of the underlying disease: a real-life observational study.

BMC musculoskeletal disorders
2025

Advancing personalized spinal muscular atrophy care: matching the right biomarker to the right patient at the right time.

Journal of neurology
2025

Evaluating the Effects of Nusinersen Treatment in Adults With Spinal Muscular Atrophy Using Axonal Excitability and MscanFit MUNE.

Muscle &amp; nerve
2025

Neuronal Pentraxin 2 as a Potential Biomarker for Nusinersen Therapy Response in Adults with Spinal Muscular Atrophy: A Pilot Study.

Biomedicines
2025

Elevated Urinary Titin in Adult Spinal Muscular Atrophy: A Multicenter, Cross-Sectional Observational Study.

Neurology international
2025

Financial Toxicity and Its Determinants in Individuals Living With Inherited and Acquired Neuromuscular Disorders: The BIND Study.

Neurology
2025

Correlation analysis between multifidus muscle atrophy and the severity of degenerative scoliosis retrospective, cross-sectional study.

Scientific reports
2025

Safety 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. Neurology
2025

Spinal and bulbar muscular atrophy with hand tremors and chronic limb weakness, Kennedy disease.

BMJ case reports
2025

Outcomes of genetic testing and prenatal diagnosis of spinal muscular atrophy in Jordan.

The journal of maternal-fetal &amp; neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
2025

Nusinersen corrects L-arginine deficiency in the cerebrospinal fluid of patients with severe spinal muscular atrophy.

Neurobiology of disease
2025

CSF and blood neuronal injury biomarkers in spinal bulbar muscular atrophy and amyotrophic lateral sclerosis 4.

Brain communications
2026

Impact of paravertebral muscular atrophy in acute work-related low back pain: a retrospective cohort study.

Skeletal radiology
2025

Real-world data on spinal muscular atrophy in Spain: Insights from over 500 individuals in the CuidAME project.

Journal of neuromuscular diseases
2025

A case series on the effect of lidocaine injection on camptocormia in Parkinson disease: Determination of injection site using muscle hardness tester.

Medicine
2025

[An autopsy case of spinal bulbar muscular atrophy concomitant with multiple system atrophy pathology].

Rinsho shinkeigaku = Clinical neurology
2025

Enhancing Drug Development for Paediatric Pulmonary Hypertension-An Integrative Perspective.

Pulmonary circulation
2025

DCTN1-associated neurological disorder with symptoms similar to spinal bulbar muscular atrophy.

Journal of neuromuscular diseases
2025

An Exploratory 12-Month Observational Study of Adults with Spinal Muscular Atrophy: Learning From Our Tools.

The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques
2024

Hirayama Disease in a Young Male: A Case Report.

JNMA; journal of the Nepal Medical Association
2025

REGISTRE SMA FRANCE: A nationwide observational registry of patients with spinal muscular atrophy in France.

Journal of neuromuscular diseases
2025

Remaining Burden of Spinal Muscular Atrophy Among Treated Patients: A Survey of Patients and Caregivers.

Annals of clinical and translational neurology
2025

Equity in neuromuscular research: a 20-year analysis of race, ethnicity, sex, and age representation.

Journal of neurology
2025

Central Pathophysiology and Brain Network Changes Related to Camptocormia in Parkinson's Disease.

Movement disorders : official journal of the Movement Disorder Society
2025

Spinal Muscular Atrophy Functional Composite Score Revised (SMA-FCR) in Untreated and Nusinersen-Treated Patient Cohorts.

Neurology
2025

Gestational Age at Birth and Clinical Manifestations of Spinal Muscular Atrophy.

Neurology
2025

Systematic Review and Meta-analysis of Long-Term Nusinersen Effectiveness in Adolescents and Adults with Spinal Muscular Atrophy.

Advances in therapy
2025

Longitudinal Assessment of 4-Year HFMSE Changes in SMA II and III Patients Treated With Nusinersen.

European journal of neurology
2025

Couple-Based Carrier Screening: How Gene and Variant Considerations Impact Outcomes.

Genes
2025

Identifying Clinical Measures Related to Falls in Ambulatory Patients with Spinal and Bulbar Muscular Atrophy.

Neurology international
2025

Wearable-Derived Patterns of Performance Fatigability During Gait in Spinal Muscular Atrophy.

Muscle &amp; nerve
2025

Quantitative cervical cord MRI in spinal muscular atrophy: a sensitive imaging biomarker of disease evolution and treatment.

Journal of neurology
2025

Oral function tests in spinal muscular atrophy: closing the diagnostic gap in severely affected adult patients : A prospective observational study.

Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie
2025

Genome Sequencing Uncovers Additional Findings in Phelan-McDermid Syndrome.

American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics
2025

Cervical Muscle Composition in Degenerative Dropped Head Syndrome: A Propensity Score Matching Study.

Spine
2025

Hearing Function in Spinal and Bulbar Muscular Atrophy (SBMA): A Case Control Study From a Tertiary Referral Center.

European journal of neurology
2025

Italian validation of the SMA independence scale-upper limb module.

European journal of pediatrics
2025

Two-year Risdiplam treatment in adults with spinal muscular atrophy: improvements in motor and respiratory function, quality of life and fatigue.

Neuromuscular disorders : NMD
2025

Preliminary psychometric validation of patient-reported outcomes relevant to individuals with spinal muscular atrophy and their caregivers.

Orphanet journal of rare diseases
2025

Real-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 neurosurgery
2025

Differentiating upper- and lower motor neuron diseases using automated acoustic analysis.

Amyotrophic lateral sclerosis &amp; frontotemporal degeneration
2025

Association between sarcopenia on residual back pain after percutaneous kyphoplasty for osteoporotic vertebral compression fractures.

Journal of orthopaedic surgery and research
2025

Dissection and Whole-Mount Immunofluorescent Staining of Mouse Hind Paw Muscles for Neuromuscular Junction Analysis.

Bio-protocol
2025

Quality of Life, Caregiver Burden, and Symptoms of Depression and Anxiety in Parents of Children with Spinal Muscular Atrophy: A Comparison with Healthy Controls.

Medicina (Kaunas, Lithuania)
2025

Antisense oligonucleotide jacifusen for FUS-ALS: an investigator-initiated, multicentre, open-label case series.

Lancet (London, England)
2025

Carrier screening for survival motor neuron variants in 7709 pregnant women from Foshan, Guangdong Province.

Clinica chimica acta; international journal of clinical chemistry
2025

Patient and caregiver spinal muscular atrophy treatment attribute preferences in Latin America.

Journal of neuromuscular diseases
2025

Pain in adult and adolescent patients with 5q-associated Spinal Muscular Atrophy - an often underrated phenomenon.

Journal of neuromuscular diseases
2025

A 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 diseases
2025

Thinking outside the box: A re-evaluation of Canadian recommended outcome measures in adult spinal muscular atrophy - report of a national consensus workshop.

Journal of neuromuscular diseases
2025

Clinical and Genetic Landscape of IGHMBP2 -Related Disorders: From Novel Variants to Phenotypic Insights.

American journal of medical genetics. Part A
2025

[Carrier screening and prenatal diagnosis for Spinal muscular atrophy in 17 926 women of reproductive age in Chongqing].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2025

Postmarketing adverse events associated with onasemnogene abeparvovec: a real-world pharmacovigilance study.

Orphanet journal of rare diseases
2025

Kennedy's disease from India: An Indian Cohort with multisystemic manifestations.

Journal of neuromuscular diseases
2025

Different Properties of the Erector Spinae and Multifidus Muscles on Physical Performance in Patients With Chronic Obstructive Pulmonary Disease.

International journal of chronic obstructive pulmonary disease
2025

Long-Term Effects of Nusinersen Dosing Frequency on Adult Patients With Spinal Muscular Atrophy: Efficacy of a 6-Month Dosing Interval.

Brain and behavior
2025

SMA Community Priorities for Future Drug Therapies: Cross-Sectional Survey Findings Representing 410 Adults with SMA.

Neurology and therapy
2025

Cerebrospinal fluid biomarkers of efficacy in patients affected by spinal muscular atrophy type 1 treated with nusinersen.

Acta neurologica Belgica
2025

Serum creatinine to cystatin C ratio as monitoring biomarker in Chinese adult spinal muscular atrophy: a prospective cohort study.

Orphanet journal of rare diseases
2025

Aseptic meningoencephalitis during nusinersen therapy in a patient with type III spinal muscular atrophy: a case report.

Neuromuscular disorders : NMD
2025

The safety of COVID-19 vaccines in a large French series of patients with neuromuscular conditions and the impacts of vaccination on their daily lives.

Revue neurologique
2025

Development and Assessment of a Soft Wearable for sEMG-Based Hand Grip Detection and Control of a Virtual Environment.

Sensors (Basel, Switzerland)
2025

Analysis of Eye Movements in Adults with Spinal Muscular Atrophy.

Medicina (Kaunas, Lithuania)
2025

Upper Extremity Surgery in Hirayama Disease: A Modification of the Current Algorithm.

Annals of plastic surgery
2025

Enhancing the effects of nusinersen with cybernic treatment using Hybrid Assistive Limb (HAL) in spinal muscular atrophy: a real-world case series and exploratory cohort analysis.

Orphanet journal of rare diseases
2025

Early functional training is not superior to routine rehabilitation in improving walking distance and multifidus atrophy after lumbar fusion: a randomized controlled trial with 6-month follow-up.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
2025

Operative treatment of severe scoliosis and pelvic obliquity in patients with spinal muscular atrophy: assessment of outcomes and complications.

Orphanet journal of rare diseases
2025

Upper limb motor function in individuals with SMA type 2: natural history and impact of therapies.

Journal of neurology
2025

Alterations of Fat and Ketone Body Metabolism in ALS and SMA-A Prospective Observational Study.

European journal of neurology
2025

Incidence and health burden of 20 rare neurological diseases in South China from 2016 to 2022: a hospital-based observational study.

Orphanet journal of rare diseases
2025

[5q spinal muscular atrophy in adults].

Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
2025

[Spinal Muscular Atrophy: The Reality of the Adult Patient in Spain].

Revista de neurologia
2025

Exploring sleep quality, depressive symptoms, and quality of life in adults with spinal muscular atrophy.

Neuromuscular disorders : NMD
2025

Electrodiagnostic studies in the diagnosis of Hirayama disease: a focus on early identification.

BMJ case reports
2025

Mechanisms of functional improvement behind nusinersen treatment in adult spinal muscular atrophy.

Experimental neurology
2025

Prenatal genetic counseling challenges with indeterminate SMA results.

Journal of genetic counseling
2025

Rehabilitation practices for childhood spinal muscular atrophy.

Disability and rehabilitation
2025

Weighted cart pull: A novel outcome measure for sustained motor function in mice.

Experimental physiology
2025

Patients on treatment with risdiplam in Italy: challenges in the interpretation of the real-world data.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Epidemiology of spinal muscular atrophy in Aotearoa-New Zealand.

Journal of neuromuscular diseases
2025

Fertility Outcomes in Risdiplam-Treated Male Patients with Spinal Muscular Atrophy: A Multicenter Case Series.

Advances in therapy
2025

Setting multidisciplinary intervention goals for spinal muscular atrophy patients utilizing the international classification of functioning, disability, and health: a pilot study in a small sample sizes.

Acta neurologica Belgica
2025

Fluoroscopic guidance for intrathecal delivery of nusinersen in pediatric patients with spinal muscular atrophy and complex spines.

Neuromuscular disorders : NMD
2025

Long-read sequencing identifies copy-specific markers of SMN gene conversion in spinal muscular atrophy.

Genome medicine
2025

Views of the Public and Healthcare Professionals on Newborn Screening for Spinal Muscular Atrophy and the Potential for Detecting Adult-Onset Types in Patients-in-Waiting in Hong Kong.

Cureus
2025

Intraoperative Neurophysiological Monitoring During Scoliosis Surgery in Patients with Spinal Muscular Atrophy.

World neurosurgery
2025

Patient-reported assessment of bulbar function in spinal muscular atrophy (SMA): Validation of a self-report scale.

Journal of neuromuscular diseases
2025

Brazilian Portuguese version of the revised upper-limb module: cross-cultural adaptation and validation.

Arquivos de neuro-psiquiatria
2025

Whole-body muscle MRI in patients with spinal muscular atrophy.

Journal of neurology
2025

Long-term CSF responses in adult patients with spinal muscular atrophy type 2 or 3 on treatment with nusinersen.

Journal of neurology
2025

Carrier Frequency of Autosomal Recessive Diseases in a Population Attending a Human Fertility Institute in Colombia.

JBRA assisted reproduction
2025

Exploring the Prevalence of SMN1 Duplication and Deletion in Russia and Its Impact on Carrier Screening.

International journal of molecular sciences
2025

Adiponectin and Leptin-Considerations in Adult Patients with Spinal Muscular Atrophy Type 3.

Diagnostics (Basel, Switzerland)
2025

Families' 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 technology
2025

Targeted long-read sequencing facilitates effective carrier screening for complex monogenic diseases including spinal muscular atrophy, α-/β-thalassemia, 21-hydroxylase deficiency, and fragile-X syndrome.

Journal of translational medicine

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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

Respostas geradas por IA a partir das fontes citadas

Trata-se de uma entidade nosológica catalogada como uma atrofia bulbo-espinhal com manifestação em idade adulta. No banco Orphanet, ela está identificada pelo código ORPHA:206707 e marcada com status obsoleto.

Referências

Fontes citadas no texto, publicações do grafo e bases de dados usadas neste verbete

4 fontes citadas no texto · 8 publicações do grafo RarasNet (PubMed) · 3 bases de dados. Títulos, periódicos e PMIDs vêm direto da fonte, sem intermediação de IA.

  1. MONDO
    purl.obolibrary.org
  2. Q55785943
    Wikidata

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 do adulto. Em Raras — Enciclopédia de Doenças Raras do Brasil. https://raras.org/doenca/atrofia-muscular-bulbo-espinhal-do-adulto

Formato APA. Conteúdo sob CC BY 4.0 — reuso livre com atribuição.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Compêndio · Raras BR

Atrofia muscular bulbo-espinhal do adulto

ORPHA:206707 · MONDO:0016115
MedGen
UMLS
C5680796
Wikidata

📋 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
Rara