Table 6.

Recommended Surveillance for Individuals with TECPR2-Related Hereditary Sensory and Autonomic Neuropathy with Intellectual Disability

System/ConcernEvaluationFrequency
Neurologic
  • Neurologic exam for response to treatments & evidence of progression of existing findings or emergence of new findings
  • Perform EEG if indicated.
Every 6 mos
Development Monitor developmental progress & educational needs.
Respiratory
  • Pulmonary eval
  • Consider venous blood gases.
  • Consider chest x-ray & sputum cultures.
  • Consider echocardiography to monitor for pulmonary hypertension.
  • Consider arterial blood gases.
Every 12 mos
Gastroenterology Gastroenterology eval & consultation w/dieticianEvery 6 mos
Consider swallow study (unless fed by gastrostomy).Every 12 mos
Perform electrolytes & liver function tests.Every 12 mos & also during intercurrent illnesses
Orthopedic Orthopedic eval to assess for need for supportive devices (such as orthoses) & monitor for potential complications such as hip dislocation & scoliosisEvery 6 mos
Consider spine x-ray.Every 12 mos
Sleep Polysomnography study
ENT ENT evalIn case of snoring or consistent tonsillar enlargement
Family/
Community
Assess family need for social work support (e.g., palliative/respite care, home nursing, other local resources), care coordination, or follow-up genetic counseling if new questions arise (e.g., family planning).At each visit

From: TECPR2-Related Hereditary Sensory and Autonomic Neuropathy with Intellectual Disability

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