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Journal of Child Neurology
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*Spinal Muscular Atrophy
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A Newborn With Spinal Muscular Atrophy Type 0 Presenting With a Clinicopathological Picture Suggestive of Myotubular Myopathy

Amelie Nadeau, MD

Service de Neurologie, Hôpital Ste-Justine, 3175, Côte Ste-Catherine, Montréal (Québec), H3T 1C5, Canada, mmvanasse{at}videotron.ca

Guy D'Anjou, MD

Department of Pediatrics, Neurology Division Hopital Ste-Justine, Universite de Montreal, Montreal, Canada

Guillaume Debray, MD

Department of Pediatrics, Genetics Division Hopital Ste-Justine, Universite de Montreal, Montreal, Canada

Yves Robitaille, MD

Department of Neuropathology Hôpital Ste-Justine, Université de Montréal, Montréal, Canada

Louise R. Simard, PhD

Department of Biochemistry and Medical Genetics University of Manitoba, Winnipeg, Canada

Michel Vanasse, MD

Department of Pediatrics, Neurology Division Hopital Ste-Justine, Universite de Montreal, Montreal, Canada

We report a male term newborn with genetically confirmed spinal muscular atrophy type 0, presenting with arthrogryposis and severe generalized weakness and requiring ventilatory support. Muscle biopsy revealed fibers with central nuclei resembling myotubes and negative myotubularin immunohistochemical staining compared with a control muscle biopsy. The absence of myotubularin associated with survival motor neuron protein deficiency suggests that survival motor neuron protein may have a role in muscle fiber maturation and myotubularin expression. Studying the pathology of this rare and lethal neonatal form of spinal muscular atrophy may further our understanding of spinal muscular atrophy pathogenesis.

Key Words: spinal muscular atrophy • myotubular myopathy • myotubularin

Journal of Child Neurology, Vol. 22, No. 11, 1301-1304 (2007)
DOI: 10.1177/0883073807307105


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