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Published on: January 7, 2019
Sleep and Memory Disorders in a Patient Suffering from Charcot-Marie-Tooth Disease
C Florescu1, C V Albu2, C Dumitrescu3
1Department of Cardiology, University of Medicine and Pharmacy of Craiova, Romania.
Abstract:
Currently incurable, Charcot-Marie-Tooth (CMT) disease is the most commonly inherited neurological disorder, which affects a small percentage of the population. The most common cause of CMT is the duplication of a region on the short arm of chromosome 17, which includes the gene PMP22. We report a thirty-seven-year-old man with CMT disease having sleep, memory and attention disorders characterized by brief retrograde amnesia at early age. The patient has no genetic disease in the family, but was diagnosed with diabetes mellitus, which emphasizes the sensory loss and prolonged infections. Diabetes mellitus emphasizes the sensory symptomatology and predisposes to the development of infections with delayed healing.
Insights
Charcot-Marie-Tooth disease, a common inherited neurological disorder, can manifest with sleep, memory, and attention issues. This case highlights a patient with CMT and diabetes, emphasizing sensory loss and infection risks.
Area of Science:
- Neurology
- Genetics
Background:
- Charcot-Marie-Tooth (CMT) disease is the most prevalent inherited neurological disorder, currently without a cure.
- The primary genetic cause is PMP22 gene duplication on chromosome 17.
- CMT affects a small but significant portion of the population.
Purpose of the Study:
- To report a unique case of Charcot-Marie-Tooth disease presenting with cognitive and sleep disturbances.
- To explore the potential interplay between CMT, diabetes mellitus, and associated complications.
Main Methods:
- Case report of a 37-year-old male patient diagnosed with CMT.
- Clinical assessment including neurological examination and review of medical history.
- Analysis of patient's comorbidities, specifically diabetes mellitus.
Main Results:
- The patient exhibited sleep, memory, and attention deficits, including early-onset retrograde amnesia.
- No family history of genetic disease was reported.
- The patient was diagnosed with diabetes mellitus, correlating with sensory loss and prolonged infections.
Conclusions:
- This case underscores the diverse clinical manifestations of CMT, extending beyond peripheral neuropathy to include cognitive and sleep disorders.
- The presence of diabetes mellitus exacerbates sensory symptoms and increases susceptibility to infections with delayed healing in CMT patients.
- Further research is warranted to understand the complex relationship between CMT, diabetes, and neurological function.
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