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Our Angels


You are listening to
"Enchanting"




Our Three Angels

Gone home to God

Sisters Julia & Lyndsay


Born Feb19/1992 Died Dec.9/1992


Born Oct.8/1996 Died Dec./28/97


First Cousin Kathleen
Born. Dec.30/2000 Died Nov.7/2001
My three grandaughters had
Spinal Musuclar Atrophy Infantile








Background:Spinal Musuclar Atrophies



The spinal muscular atrophies (SMAs)
are a clinically and genetically heterogeneous
group of disorders. They are characterized
by primary degeneration of the anterior
horn cells of the spinal cord
and often of the bulbar motor nuclei
without evidence of primary peripheral
nerve or long-tract involvement.
Because bulbar features are often
technically describe the disorder.
Consequently, alternative designations,
such as bulbospinal muscular atrophy,
hereditary motor neuronopathy (HMN),
and progressive muscular atrophy,
have been used. The SMAs present
with a diversity of symptoms and
differ in age of onset,
mode of inheritance, distribution
of muscle weakness, and progression,
of symptoms.

The fatal infantile form was
described originally by Sevestre in 1899.
Werdnig and Hoffmann described
the disorder as having a late-infantile
or early-childhood onset and usually
are credited with the first description of the
disease. (Werdnig-Hoffmann disease
traditionally refers to the
acute infantile form.)


The age of onset is the main feature
distinguishing the infantile


The major difference between
these types are the age of onset
and the severity of the condition.
Infantile spinal muscular atrophy
(Werdnig-Hoffamann disease) is the most
severe form of SMA. It usually
becomes evident in the first
six months of life. The child
is unable to roll or sit unsupported,
and the severe muscle weakness
eventually causes feeding
and breathing problems.
These children usually do not live
beyond about 18 months of age.


Is SMA inherited?



Every tissue in the body is
made up of cells. Each cell
has genetic material that determines
how that cell (and hence our body)
functions. The basic units of
genetic material which are responsible
for hereditary or inheritance are
called genes. Individual genes
cannot be seen even with powerful
microscopes but the genes are
located like beads on a string,
on structures called chromosomes.


Most cases of spinal muscular
atrophy are thought to be inherited
in what is called an autosomal
recessive manner. This means
that one defective genetic message
(gene) that causes the disease,
has come from each parent. Boys
or girls can be affected.


Every person has two copies
of each gene (or genetic message),
one coming from each parent.
People who have only one abnormal
gene for a particular condition,
along with a normal gene,
are called carriers. They do not
develop the disease, as the
normal gene counteracts the effects
of the abnormal gene. If a person
has two abnormal genes for a
particular disease, that disease
will develop. If two unsuspecting
carriers of the abnormal gene
for SMA have children, the chance
of a child inheriting the abnormal
gene from each parent and thus
developing the disease, is one
in four (25%). Parents who
carry the abnormal gene will
not be aware of this risk before
their first affected child is
born but thereafter they will
have to consider the one in
four risk of recurrence for each
subsequent pregnancy.


At this time there is no cure for any
types of SMA but this does not
mean that nothing can be done.
Much can be done to help the
child develop to the greatest
possible extent and to assist
families to manage their child's problems.


Brothers and sisters who are not
clinically affected have two in three
chance of being carriers
of one defective SMA gene. They
will not pass the disease onto
their own children except in
the very unlikely event that
their partner also is a carrier
of the abnormal gene.Both would need
have the exact same gene deficiency.



Spinal Muscular Atrophy

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