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Neuronal ceroid lipofuscinoses (NCLS)

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Anonymous

14y ago
Updated: 11/10/2020
Definition

Neuronal ceroid lipofuscinoses (NCLS) refers to a group of rare, inherited disorders of the nerve cells.

There are three main types of NCLS:

  • Adult (Kufs' or Parry's disease)
  • Juvenile (Batten disease)
  • Late infantile (Jansky-Bielschowsky)
Alternative Names

Lipofuscinoses; Batten disease; Jansky-Bielschowsky; Kufs' disease; Spielmeyer-Vogt

Causes, incidence, and risk factors

NCLS is a type of neurodegenerative disorder. It involves the buildup of an abnormal material called lipofuscin in the brain. Evidence suggests that NCLS is caused by problems with the brain's ability to remove and recycle proteins.

Lipofuscinoses are inherited as autosomal recessive traits. That means if both parents carry the trait, each child has:

  • A 1 in 4 chance of having the disease
  • A 2 in 4 chance of not having the disease but carrying the trait
  • A 1 in 4 chance of not having the disease and not being a carrier
Symptoms
  • Abnormally increased muscle tone or spasm (myoclonus)
  • Blindness or vision problems
  • Dementia
  • Lack of muscle coordination
  • Mental retardation with decreasing mental function
  • Movement disorder (choreoathetosis)
  • Seizures
  • Unsteady gait (ataxia)
Signs and tests

The disorder may be seen at birth, but it is usually diagnosed much later.

Tests include:

Treatment

Treatment depends on the type and extent of symptoms. You may need lifelong assistance and care.

Support Groups

For information and support, see www.bdsra.org.

Expectations (prognosis)

The younger the person is when the disease appears, the greater the risk for disability and early death. Those who develop the disease early can have vision problems that progress to blindness, and problems with mental function that get worse. If the disease emerges in the first year of life, death by age 10 is likely.

If the disease occurs in adulthood symptoms will be milder, with no vision loss and a normal life expectancy.

Complications
  • Vision impairment or blindness (with the early-onset forms of the disease)
  • Mental impairment, ranging from severe retardation at birth to dementia later in life
  • Rigid muscles (due to severe problems with the nerves that control muscle tone)

The person may become totally dependent on others for help with daily activities.

Calling your health care provider

Call your health care provider if your child shows symptoms of blindness or retardation.

Prevention

Genetic counseling is recommended if your family has a known history of NCLS. Prenatal or preimplantation genetic testing may be available depending on the specific type of disease.

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Wiki User

14y ago

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How is batten disease inherited?

Batten disease is a group of disorders known as neuronal ceroid lipofuscinoses or NCLs. Over 400 different errors (mutations) in 14 different segments of DNA (genes) can lead to one of 14 forms of Batten disease. Symptoms associated with the disease are very similar. Each form differs primarily by when symptoms appear. Children with unhealthy CLN1 genes develop infantile Batten around 1 year old. Children with unhealthy CLN2 genes show symptoms at age 4. Children with unhealthy CLN3 genes show symptoms at age 6, etc. We each have 2 copies of every gene, one from each parent. To inherit one of the childhood forms of Batten, we need to receive the unhealthy gene from both parents so that we have 2 copies but neither works. Our parents are OK because they each have 1 healthy copy (that does all of the work) and an unhealthy copy. Every child of two parents who "carry" bad genes, has a 25% chance of developing Batten. Each form affects the nervous system resulting in blindness (except adults), seizures, movement disorders, altered thought (psychoses), cognitive decline and early death.


What are the demographics of Bataten disease?

Batten disease is relatively rare, occurring in two to four of every 100,000 births in the United States. NCLs appear to be more common in children living in Northern Europe and Newfoundland, Canada.


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There is no known treatment to prevent or reverse the symptoms of Batten disease or other NCLs. Anticonvulsant drugs are often prescribed to reduce or control seizures. Other medicines may be prescribed to manage other symptoms.


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