The Life-Saving Impact of Early Diagnosis and Treatment for Spinal Muscular Atrophy Type 1

Spinal muscular atrophy (SMA) is a hereditary neuromuscular condition caused by mutations in the Survival Motor Neuron 1 gene. This report presents a clinical description of a case diagnosed with SMA and highlights the significance of early recognition and multidisciplinary management. SMA affects the anterior horn cells in the spinal cord, leading to progressive muscle weakness and atrophy. It is classified into four types based on the age of onset and clinical severity. Type 1 SMA, also known as Werdnig-Hoffmann disease, is the most severe form and generally manifests within the first six months of life. A boy was suspected of having SMA type 1 due to his hypotonic posture and 2.8 kg birth weight. Symptomatic treatment and diagnostic tests like MRI were done, but the infant died after a few days of readmission on day 28 due to severe breathing issues and muscular atrophy. The diagnosis was confirmed after his death.

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Publication Details

Journal
Pakistan Journal of Medicine and Dentistry
Published
2025-04-13
DOI
https://doi.org/10.36283/ziun-pjmd14-2/073
Primary Topic
Neurogenetic and Muscular Disorders Research
Type
article
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article

The Life-Saving Impact of Early Diagnosis and Treatment for Spinal Muscular Atrophy Type 1

Abdullah Siddique, S.A. Siddique, Erum Akhter
Pakistan Journal of Medicine and Dentistry
Neurogenetic and Muscular Disorders Research
article

The Life-Saving Impact of Early Diagnosis and Treatment for Spinal Muscular Atrophy Type 1

Abdullah Siddique, S.A. Siddique, Erum Akhter
article en

Abstract

Spinal muscular atrophy (SMA) is a hereditary neuromuscular condition caused by mutations in the Survival Motor Neuron 1 gene. This report presents a clinical description of a case diagnosed with SMA and highlights the significance of early recognition and multidisciplinary management. SMA affects the anterior horn cells in the spinal cord, leading to progressive muscle weakness and atrophy. It is classified into four types based on the age of onset and clinical severity. Type 1 SMA, also known as Werdnig-Hoffmann disease, is the most severe form and generally manifests within the first six months of life. A boy was suspected of having SMA type 1 due to his hypotonic posture and 2.8 kg birth weight. Symptomatic treatment and diagnostic tests like MRI were done, but the infant died after a few days of readmission on day 28 due to severe breathing issues and muscular atrophy. The diagnosis was confirmed after his death.

Pakistan Journal of Medicine and Dentistry
University of Karachi (PK), Shaheed Mohtarma Benazir Bhutto Medical University (PK)
Openalex Percentile: Top 84%
Neurogenetic and Muscular Disorders Research
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The Life-Saving Impact of Early Diagnosis and Treatment for Spinal Muscular Atrophy Type 1 — Abdullah Siddique, S.A. Siddique, et al. · Pakistan Journal of Medicine and Dentistry (2025) | TGRS Research Map | TGRS