Ceroid lipofuscinosis – Neuronal 5
Ceroid lipofuscinosis - Neuronal 5 (also known as CLN5, Neuronal ceroid lipofuscinosis Finnish variant and Finnish variant late infantile neuronal ceroid lipofuscinosis) is a rare metabolic disorder that affects the nervous system. It is characterised by the deposits of lipopigments (lipofuscin). CLN5-NCL is caused by changes (mutations) in the CLN5 gene and is inherited in an autosomal recessive manner.
Although the incidence of CLN5 disease is unknown; more than 85 cases have been described in the scientific literature. CLN5 disease was originally thought to affect only the Finnish population as they were the first individuals to be diagnosed with the condition. However, research has since shown that CLN5 disease affects populations worldwide. CLNs, including CLN5 disease, are still most common in Finland, where approximately 1 in 12,500 individuals are affected. Collectively, all forms of NCL affect an estimated 1 in 100,000 individuals worldwide.
Signs and symptoms of the condition generally develop between ages 4.5 and 7 years, although later onset cases have been reported. Affected people may experience loss of muscle coordination (ataxia), seizures that do not respond to medications, muscle twitches (myoclonus), visual impairment, and cognitive/motor decline. Treatment options are limited to therapies that can help relieve some of the symptom(s).
