Table 3.

Recommended Evaluations Following Initial Diagnosis in Individuals with TRPM3-Related Neurodevelopmental Disorder

System/ConcernEvaluationComment
Development Developmental assessment
  • Incl motor, adaptive, cognitive, & speech-language eval
  • Eval for early intervention / special education
Neurologic Neurologic eval
  • Consider EEG if seizures are a concern.
  • Consider MRI if ataxia or other movement disorder is present.
Neurobehavioral/
Psychiatric
Neuropsychiatric evalFor persons age >12 mos: screening for concerns incl findings suggestive of ASD
Eyes Ophthalmologic evalTo assess for reduced vision, abnormal ocular movement, best corrected visual acuity, refractive errors, strabismus, & more complex findings that may require subspecialty referral
Musculoskeletal Orthopedics / physical medicine & rehab /
PT & OT eval
Incl assessment of:
  • Gross motor & fine motor skills
  • Talipes equinovarus, hip dysplasia, & scoliosis
  • Mobility, ADL, & need for adaptive devices
  • Need for PT (to improve gross motor skills) &/or OT (to improve fine motor skills)
Hearing Audiologic evalAssess for any hearing loss.
Genetic counseling By genetics professionals 1To obtain a pedigree & inform affected persons & their families re nature, MOI, & implications of TRPM3-NDD to facilitate medical & personal decision making & to consider variant testing in at-risk relatives
Family support
& resources
Assess need for:

ADL = activities of daily living; ASD = autism spectrum disorder; MOI = mode of inheritance; OT = occupational therapy; PT = physical therapy; TRPM3-NDD = TRPM3-related neurodevelopmental disorder

1.

Medical geneticist, certified genetic counselor, certified advanced genetic nurse

From: TRPM3-Related Neurodevelopmental Disorder

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