%0 Journal Article %T [Nusinersen in the treatment of 4 children with presymptomatic spinal muscular atrophy]. %A Feng YJ %A Yu YC %A Yan Y %A Xu L %A Zhao CY %A Sheng GX %A Chen C %A Yang RL %A Chen TT %A Gao F %A Mao SS %J Zhonghua Er Ke Za Zhi %V 62 %N 8 %D 2024 Aug 2 %M 39039883 暂无%R 10.3760/cma.j.cn112140-20240307-00159 %X 4例患儿均因新生儿筛查发现运动神经元存活(SMN)1基因7号外显子纯合缺失就诊,均无脊髓性肌萎缩症(SMA)临床症状,神经系统查体均无阳性体征,电生理检查尺神经、腓总神经复合肌肉动作电位(CMAP)波幅均处于同年龄段正常范围。4例患儿经基因检测提示SMN2基因拷贝数均为3,均诊断为症状前SMA。患儿在出现症状前接受诺西那生钠疾病修正治疗,随访14~18个月,均可实现正常运动里程碑,监测CMAP波幅均处于同年龄段正常范围,无患儿发病。.