A neurophysiological and genetic assessment of a case of rapidly progressive scoliosis
Abstract
Scoliosis is a three-dimensional spinal deformity characterized by a lateral deviation of at least 10° Cobb, categorized into idiopathic and non-idiopathic forms, caused by identifiable factors like congenital abnormalities, neuromuscular conditions, or genetic syndromes. This case report discusses a 15-year-old girl with growth delay and Growth Hormone (GH) deficiency who experienced rapid scoliosis progression. Initial evaluations were normal, and Electroencephalography (EEG) showed nonspecific alterations, but further assessment revealed a MYH3 gene variant associated with scoliosis, short stature, and distinct facial features. Treatment with a Lyon ARTbrace and tailored exercises stopped curve progression. This case highlights the need for thorough evaluations in atypical AIS cases to uncover potential causes.
References
- Negrini S, Donzelli S, Aulisa AG, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord 2018;13:3. DOI: https://doi.org/10.1186/s13013-017-0145-8
- Burnei G, Gavriliu S, Vlad C, et al. Congenital scoliosis: an up-to-date. J Med Life 2015;8:388-97.
- de Mauroy JC, Journe A, Gagaliano F, et al. The new Lyon ARTbrace versus the historical Lyon brace: a prospective case series of 148 consecutive scoliosis with short time results after 1 year compared with a historical retrospective case series of 100 consecutive scoliosis; SOSORT award 2015 winner. Scoliosis 2015;10:26. DOI: https://doi.org/10.1186/s13013-015-0047-6
- DiMeglio A, Canavese F, Charles YP. Growth and adolescent idiopathic scoliosis: when and how much? J Pediatr Orthop 2011;31:S28-36. Erratum in: J Pediatr Orthop 2011;31:221. DOI: https://doi.org/10.1097/BPO.0b013e318202c25d
- Park M, Kim YJ, Oh KE, et al. The association between idiopathic scoliosis and growth hormone treatment in short children. Ann Pediatr Endocrinol Metab 2022;27:207-13. DOI: https://doi.org/10.6065/apem.2142186.093
- Formaggio E, Bertuccelli M, Rubega M, et al. Brain oscillatory activity in adolescent idiopathic scoliosis. Sci Rep 2022;12:17266. DOI: https://doi.org/10.1038/s41598-022-19449-1
- Paramento M, Passarotto E, Maccarone MC, et al. Neurophysiological, balance and motion evidence in adolescent idiopathic scoliosis: A systematic review. PLoS One 2024;19:e0303086. DOI: https://doi.org/10.1371/journal.pone.0303086
- Yang Y, Zhang W, Wang H. Identification of two novel MYH3 variants causing different phenotypes in prenatal diagnosis. Prenat Diagn 2023;43:1467-71. DOI: https://doi.org/10.1002/pd.6440
- Zhao S, Zhang Y, Hallgrimsdottir S, et al. Expanding the mutation and phenotype spectrum of MYH3-associated skeletal disorders. NPJ Genom Med 2022;7:11. DOI: https://doi.org/10.1038/s41525-021-00273-x
- Maccarone MC, Barzizza E, Contessa P, et al. Lessons from the pandemic era: do we need new strategies to improve conservative treatment adherence in adolescent idiopathic scoliosis? A retrospective analysis. Eur J Transl Myol 2024;34:12859. DOI: https://doi.org/10.4081/ejtm.2024.12859
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