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Published on: June 15, 2018
Inherited neuropathies: clinical overview and update
Christopher J Klein1, Xiaohui Duan, Michael E Shy
1Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota, 55905, USA; Department of Medical Genetics, Mayo Clinic, Rochester, Minnesota, USA.
Inherited neuropathies are common neurologic disorders. Comprehensive evaluations, including genetic testing, aid diagnosis and management, though treatments are mainly supportive.
Area of Science:
- Neurology
- Genetics
- Clinical Medicine
Background:
- Inherited neuropathies represent a common, genetically diverse group of neurologic disorders.
- Diagnosis can be challenging due to heterogeneous presentations and potential co-existing acquired factors.
- Current treatment strategies are primarily supportive, with exceptions for rare inherited metabolic types.
Purpose of the Study:
- To provide an updated clinical overview of inherited neuropathies.
- To outline diagnostic frameworks incorporating genetic testing.
- To discuss differential diagnoses and clinical features.
Main Methods:
- Review of clinical presentations and genetic etiologies of inherited neuropathies.
- Integration of neuromuscular evaluations: nerve conduction studies, laboratory tests, histopathology.
- Guidance on selecting and interpreting genetic tests.
Main Results:
- Detailed neuromuscular evaluations are crucial for identifying inherited components.
- Genetic testing is increasingly vital for definitive diagnosis.
- Diagnostic complexity arises from combined genetic and acquired influences.
Conclusions:
- A structured approach to inherited neuropathies, integrating clinical assessment and genetic testing, is essential.
- Evolving strategies aim to maximize the utility of genetic diagnostics.
- Supportive care remains the cornerstone of management for most inherited neuropathies.
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