Niemann Pick C (NPC): investigations

Evidence-based neurology checklist on niemann pick c (npc): investigations: Plasma oxysterols These are cholesterol oxidation products: they are sensitive and specific in NPC There are two types: Cholestane-3β,5α,6β-triol (C-triol) and 7-ketocholesterol (7-KC) False positive results may result…

Plasma oxysterols

  • These are cholesterol oxidation products: they are sensitive and specific in NPC
  • There are two types: Cholestane-3β,5α,6β-triol (C-triol) and 7-ketocholesterol (7-KC)
  • False positive results may result from prolonged sample storage at room temperature

Blood biomarkers

Magnetic resonance imaging (MRI) brain: features

Bone marrow analysis: features

Skin biopsy: techniques

Other investigations

References

  1. Patterson MC, Clayton P, Gissen P, et al. Recommendations for the detection and diagnosis of Niemann-Pick disease type C: an update. Neurol Clin Pract 2017; 7:499-511. 
  2. Wraith JE, Baumgartner MR, Bembi B, et al. Recommendations on the diagnosis and management of Niemann-Pick disease type C. Mol Genet Metab 2009; 98:152-165.
  3. Sevin M, Lesca G, Baumann N, et al. The adult form of Niemann-Pick disease type C. Brain 2007; 130:120-133.
  4. Goez HR, Jacob FD, Fealey RD, et al. An unusual presentation of copper metabolism disorder and a possible connection with Niemann-Pick type C. J Child Neurol 2011; 26:518-521.
  5. Patterson MC, Hendriksz CJ, Walterfang M, et al. Recommendations for the diagnosis and management of Niemann-Pick disease type C: an update. Mol Genet Metab 2012; 106:330-344.
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