By David R. Lynch
Status on the vanguard of neurogenetic drugs, this reference offers the instruments and data required by way of clinicians to get to grips with glossy neurogenetic methods and follow the information gleaned from those applied sciences to the prognosis and therapy of neurogenetic issues, in addition to characteristically non-genetic stipulations resembling Parkinson's and Alzheimer's sickness.
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Extra resources for Neurogenetics: scientific and clinical advances
For example, the penetrance of the most common form of autosomal dominant dystonia (DYT1) is only about 40%. Also, penetrance depends on patient’s age and comprehensiveness of testing. Thus, the penetrance of the Huntington’s disease gene at age 20 is only about 10%, whereas it is greater than 90% by age 70. Similarly, many people with cerebral cavernous malformations seen on MRI will not have any clinical symptoms and appear not to have the disease. The family should also receive a discussion of prognosis and natural history of the speciﬁc neurogenetic disease.
Copyright 2006 by Taylor & Francis Group, LLC 24 Nance 6. Mankodi A, Thornton CA. Myotonic syndromes. Curr Opin Neurol 2002; 15:545–552. 7. Fink JK. Hereditary spastic paraplegia. Neurol Clin 2002; 20:711–726. 8. Berciano J, Combarros O. Hereditary neuropathies. Curr Opin Neurol 2003; 16:613–622. 9. Langbehn DR, Brinkman RR, et al. A new model for prediction of the age of onset and penetrance for Huntington’s disease based on CAG length. Clin Genet 2004; 65:267–277. 10. Brinkman RR, Mezei MM, et al.
Similarly, many people with cerebral cavernous malformations seen on MRI will not have any clinical symptoms and appear not to have the disease. The family should also receive a discussion of prognosis and natural history of the speciﬁc neurogenetic disease. It is especially important to convey information of variable expression, that is, the range of both severity and types of clinical signs in individuals who have the disease gene. It is often helpful to describe a very mild case, an average or typical case, and a severe case.
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