Hereditary angiopathy with nephropathy aneurysms and cramps (HANAC)

Evidence-based neurology checklist on hereditary angiopathy with nephropathy aneurysms and cramps (hanac): Genetics This is caused by COL4A1 genetic mutations The transmission is autosomal dominant It is a systemic basalopathy Pathology Features of cramps Other neurological features Renal features…

Genetics

  • This is caused by COL4A1 genetic mutations
  • The transmission is autosomal dominant
  • It is a systemic basalopathy

Pathology

Features of cramps

Other neurological features

Renal features

Ophthalmic features

Other features

Differential diagnosis

Magnetic resonance imaging (MRI) brain

Other investigations

References

  1. Haga S, Takeguchi R, Tanaka R, et al. Clinical characteristics of muscle cramps in hereditary angiopathy with nephropathy, aneurysms, and muscle cramps syndrome associated with a novel COL4A1 pathogenic variant: a family case study. Brain Dev 2023; 45:390-394.
  2. Shan LD, Peng J, Xiao H, et al. Clinical features and COL4A1 genotype of a toddler with hereditary angiopathy with nephropathy, aneurysms and muscle cramps syndrome. Zhongguo Dang Dai Er Ke Za Zhi 2019; 21:754-760. 
  3. Bougea A, Kapaki E, Constantinides V, Yapijakis C, Paraskevas GP. An unusual phenocopy of the HANAC syndrome without genetic involvement of COL4A1/COL4A2. Acta Neurol Belg 2018; 118:135-136.
  4. Alamowitch S, Plaisier E, Favrole P, et al. Cerebrovascular disease related to COL4A1 mutations in HANAC syndrome. Neurology 2009; 73:1873-1882. 
  5. Plaisier E, Gribouval O, Alamowitch S, et al. COL4A1 mutations and hereditary angiopathy, ephropathy, aneurysms, and muscle cramps. N Engl J Med 2007; 357:2687-2695. 
  6. And 1 more. Subscribe to see the full list

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