Table 4.

CSNK2B-Related Neurodevelopmental Disorder: Treatment of Manifestations

Manifestation/ConcernTreatmentConsiderations/Other
Developmental delay /
Intellectual disability /
Neurobehavioral manifestations
See Developmental Delay / Intellectual Disability Management Issues.
Epilepsy Standardized treatment w/ASM by experienced neurologist
  • No ASM has been demonstrated to have specific efficacy in CSNK2B-NDD.
  • Different ASMs have been reported to be effective in different persons.
  • Education of parents/caregivers 1
Ataxia / Poor coordination Orthopedics / physical medicine & rehab / PT & OT incl stretching to help avoid contractures & fallsConsider need for positioning & mobility devices, disability parking placard.
Cardiovascular Standardized treatment for any cardiovascular issues identified
Genital anomaly Per treating urologist
Endocrine Per treating endocrinologist
Family/Community
  • Ensure appropriate social work involvement to connect families w/local resources, respite, & support.
  • Coordinate care to manage multiple subspecialty appointments, equipment, medications, & supplies.
  • Ongoing assessment of need for palliative care involvement &/or home nursing
  • Consider involvement in adaptive sports or Special Olympics.

ASM = anti-seizure medication; OT = occupational therapy; PT = physical therapy

1.

Education of parents/caregivers regarding common seizure presentations is appropriate. For information on non-medical interventions and coping strategies for children diagnosed with epilepsy, see Epilepsy Foundation Toolbox.

From: CSNK2B-Related Neurodevelopmental Disorder

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