Genetic testing

Evidence-based neurology checklist on genetic testing: Diagnostic testing: goals and benefits To confirm or exclude a diagnosis in symptomatic subjects To refine a diagnosis the clinical features are not all present To refine a diagnosis when there is substantial overlap with other disorders To…

Diagnostic testing: goals and benefits

  • To confirm or exclude a diagnosis in symptomatic subjects
  • To refine a diagnosis the clinical features are not all present
  • To refine a diagnosis when there is substantial overlap with other disorders
  • To enable a timely follow-up to detect and treat complications early
  • To guide selection of appropriate disease-specific treatments
  • To facilitate enrolment into clinical trials
  • To provide reliable prognostic indicators
  • To estimate specific inheritance risks
  • To enable carrier testing and prenatal diagnosis
  • To avoid costly alternative diagnostic tests
  • To reduce uncertainty of unconfirmed diagnosis

Predictive (pre-symptomatic or carrier) testing: indications and limitations

Reproductive testing: types and benefits

Genetic testing techniques: conventional types

Genetic testing techniques: next generation sequencing

Reasons for a negative family history but positive genetic test result

Reasons for negative genetic tests

References

  1. Valente EM, Ferraris A, Dallapiccola B. Genetic testing for paediatric neurological disorders. Lancet Neurol 2008; 7:1113–1126.
  2. Manto MU. The wide spectrum of spinocerebellar ataxia (SCAs). Cerebellum 2005; 4:2-6.
  3. Gasser T, Finsterer J, Baets J, et al. EFNS guidelines on the molecular diagnosis of ataxias and spastic paraplegias. Eur J Neurol 2010; 17:179-188.
  4. Crook A, Jacobs C, Newton-John T, O'Shea R, McEwen A. Genetic counseling and testing practices for late-onset neurodegenerative disease: a systematic review. J Neurol 2022; 269:676-692. 
  5. Papadopoulou E, Pepe G, Konitsiotis S, et al. The evolution of comprehensive genetic analysis in neurology: Implications for precision medicine. J Neurol Sci 2023; 447:120609. 
  6. And 4 more. Subscribe to see the full list

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