Journal of Inborn Errors of Metabolism and Screening (Dec 2020)

Position of Experts Regarding Follow-Up of Patients with Neuronal Ceroid Lipofuscinosis-2 Disease in Latin America

  • Norberto Guelbert,
  • Nora Atanacio,
  • Inés Denzler,
  • Emília Katiane Embiruçu,
  • Nury Mancilla,
  • Ricardo Naranjo,
  • André Pessoa,
  • Norma Spécola,
  • Lina Tavera,
  • Mónica Troncoso,
  • Diane Vergara

DOI
https://doi.org/10.1590/2326-4594-jiems-2020-0012
Journal volume & issue
Vol. 8

Abstract

Read online

Abstract Given the lack of standardized guidance for follow-up of patients with neuronal ceroid lipofucsinosis-2 disease in Latin-American countries and the heterogeneity of the region, an expert panel was created with the participation of 11 pediatric neurologists from Colombia, Argentina, Brazil and Chile. The aim of the expert panel was to describe a framework for standardized follow-up in patients with neuronal ceroid lipofucsinosis-2 disease, on or off therapy, that could benefit patients and treating physicians alike. Experts made recommendations in the following areas: seizures, abnormal movements and ataxia, sleep disorders and pain, cognitive function, visual function, hearing and speech, cardiac function, quality of life, and motor function. Recommendations include the most appropriate tools for use in the Latin-American context and health care systems, and provide feasible follow-up guidance, applicable in public and private healthcare facilities. They take into consideration the availability of clinical assessment resources, tools (scales, questionnaires, paraclinical tests) and access to these tools in Latin-American countries, as well as other regional and local needs defined by the participating experts.

Keywords