title: [Progressive spinal amyotrophy type I or Werdnig-Hoffman disease. Apropos of 5 cases in Dakar (Senegal)].
abstract: Type I spinal muscular atrophy or Werdnig-Hoffman disease is rarely described in black populations. We report five such cases diagnosed in a paediatric outpatient clinic in Dakar. We conducted a retrospective study relating to patients examined for hypotonia progressing since birth for whom the electromyogram had made it possible to confirm an involvement of the peripheral nerve without nerve conduction anomaly. Mean age of diagnosis was 12.3 +/- 7.6 months. Respiratory distress was noted for 2 patients. A family background of similar symptomatology was found in 1 case and consanguinity in 2 cases. Only 1 case of death occurred whereas the 4 other patients were lost to follow-up. The diagnosis of spinal muscular atrophy must be considered in the presence of any severe hypotonia in infants.
authors.affiliation: Service de pédiatrie, Hôpital Abass Ndao de Dakar, Université Cheikh Anta Diop de Dakar, Sénégal. oussoundiaye@aol.fr
authors.forename: O
authors.initials: O
authors.lastname: Ndiaye
authors.forename: G
authors.initials: G
authors.lastname: Sall
authors.forename: A
authors.initials: A
authors.lastname: Sylla
authors.forename: S
authors.initials: S
authors.lastname: Diouf
authors.forename: I
authors.initials: I
authors.lastname: Diagne
authors.forename: N
authors.initials: N
authors.lastname: Kuakuvi
mesh_terms: D002675:Child, Preschool; D003241:Consanguinity; D018450:Disease Progression; D004576:Electromyography; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009123:Muscle Hypotonia / Q000503:physiopathology; D009431:Neural Conduction / Q000502:physiology; D010525:Peripheral Nerves / Q000503:physiopathology; D012131:Respiratory Insufficiency / Q000503:physiopathology; D012189:Retrospective Studies; D012675:Senegal; D014897:Spinal Muscular Atrophies of Childhood / Q000175:diagnosis* / Q000235:genetics / Q000503:physiopathology