{"id":768,"date":"2021-03-04T14:31:48","date_gmt":"2021-03-04T14:31:48","guid":{"rendered":"https:\/\/ring20researchsupport.co.uk\/?page_id=768"},"modified":"2021-03-16T13:59:16","modified_gmt":"2021-03-16T13:59:16","slug":"diagnosing-r20","status":"publish","type":"page","link":"https:\/\/ring20researchsupport.co.uk\/it\/r20-syndrome\/diagnosing-r20\/","title":{"rendered":"DIAGNOSI R(20)"},"content":{"rendered":"<h3>PERCH\u00c9<br \/>\nDIAGNOSI<br \/>\nR(20) CONTA?<\/h3>\n<p>Ci sono molte ragioni per cui i pazienti hanno convulsioni, sia genetiche che non genetiche. Trovare la causa \u00e8 di enorme aiuto ai medici per guidare il trattamento,<br \/>\nidentificare altri problemi clinici per i quali i pazienti potrebbero essere a rischio e fornire informazioni prognostiche. \u00c8 anche molto emotivamente vantaggioso per una famiglia essere<br \/>\nin grado di avere una diagnosi per il loro bambino. Poich\u00e9 r(20) viene diagnosticato mediante analisi cromosomica, che non \u00e8 una procedura di routine per la maggior parte dei pazienti con convulsioni, questo<br \/>\nil disturbo \u00e8 probabilmente sottodiagnosticato. Questa sindrome pu\u00f2 essere confusa con la sindrome di Lennox Gastaut (LGS) e altre sindromi epilettiche con caratteristiche del lobo frontale. L&#039;elettroencefalogramma (<span class='tooltipsall tooltipsincontent classtoolTips1'>EEG<\/span>) possono avere caratteristiche distintive nel sonno, ma queste non sono sempre riconosciute.<\/p>\n<p><img decoding=\"async\" title=\"\" src=\"https:\/\/ring20researchsupport.co.uk\/wp-content\/plugins\/elementor\/assets\/images\/placeholder.png\" alt=\"\" \/><br \/>\n<img decoding=\"async\" title=\"\" src=\"https:\/\/ring20researchsupport.co.uk\/wp-content\/plugins\/elementor\/assets\/images\/placeholder.png\" alt=\"\" \/><\/p>\n<h2><strong>DIAGNOSTICA R(20):<\/strong><\/h2>\n<p>Appropriata procedura di test diagnostico<br \/>\nR(20) viene solitamente diagnosticato mediante analisi citogenetica (cromosoma) da un piccolo campione di sangue. Il <span class='tooltipsall tooltipsincontent classtoolTips0'>cromosomi<\/span> dalle cellule nel sangue vengono esaminati<br \/>\ne l&#039;anello \u00e8 solitamente evidente al microscopio. La diagnosi pu\u00f2 essere effettuata anche dalle cellule della pelle utilizzando la stessa tecnica citogenetica. Il test dei microarray cromosomici identificher\u00e0 le delezioni che possono verificarsi quando si forma l&#039;anello, ma questo \u00e8 vero solo per i pazienti con r(20) non a mosaico. Per una diagnosi, resta necessario guardare <span class='tooltipsall tooltipsincontent classtoolTips0'>cromosomi<\/span> al microscopio per vederne la forma. Tuttavia, ulteriori test genetici molecolari come FISH e microarray dallo stesso campione di sangue possono mostrare pi\u00f9 precisamente come le estremit\u00e0 del cromosoma si sono unite e<\/p>\n<h1><strong>\u201c\u00c8 anche molto emotivamente vantaggioso per una famiglia essere<br \/>\n<\/strong><strong>in grado di avere una diagnosi per il loro bambino\u201d<\/strong><\/h1>\n<h2><strong>Cosa fare se sospetti che r (20)<\/strong><\/h2>\n<p>Se si sospetta r(20), \u00e8 essenziale la conferma citogenetica (cromosoma) della diagnosi. Discuti l&#039;analisi cromosomica con lo screening del mosaico con il tuo neurologo. I test genetici pi\u00f9 recenti come il microarray cromosomico non diagnosticheranno r (20) nella maggior parte dei casi.<\/p>\n<p><img decoding=\"async\" title=\"\" src=\"https:\/\/ring20researchsupport.co.uk\/wp-content\/plugins\/elementor\/assets\/images\/placeholder.png\" alt=\"\" \/><br \/>\n<img decoding=\"async\" title=\"\" src=\"https:\/\/ring20researchsupport.co.uk\/wp-content\/plugins\/elementor\/assets\/images\/placeholder.png\" alt=\"\" \/><\/p>\n<h2><strong>COME VIENE TRATTATA LA SINDROME R(20)?<\/strong><\/h2>\n<p>Il soggiorno principale del trattamento \u00e8 la terapia con farmaci antiepilettici (AED). Non ci sono studi comparativi che sono stati fatti e nella recente letteratura pubblicata nessuno<br \/>\nla droga sembra essere migliore di un&#039;altra. I pazienti sono frequentemente sottoposti a pi\u00f9 farmaci antiepilettici (politerapia), con limitato miglioramento delle crisi. \u00c8 ben noto che<br \/>\nla politerapia aumenta il rischio di effetti collaterali dei farmaci. Sia la terapia di stimolazione del nervo vago (VNS) che la dieta chetogenica sono state segnalate per essere benefiche.<br \/>\nEntrambi i trattamenti sono ormai ben consolidati in termini di sicurezza ed efficacia nel trattamento delle epilessie resistenti ai farmaci. Altre ricerche e serie di casi segnalati<br \/>\nsono necessari per valutare meglio terapie di trattamento alternative per r(20).<\/p>\n<script type=\"text\/javascript\"> toolTips('.classtoolTips0','Chromosomes are long string-like structures that store all of our DNA. Each cell in the human body usually has 23 pairs of chromosomes (or 46 chromosomes in total).'); <\/script><script type=\"text\/javascript\"> toolTips('.classtoolTips1','Electroencephalography'); <\/script>","protected":false},"excerpt":{"rendered":"<p>WHY DIAGNOSING R(20) MATTERS? There are many reasons why patients have seizures, both genetic and non-genetic. Finding the cause is enormously helpful to physicians to guide treatment, identify other clinical problems that patients may be at risk for, and provide prognostic information. It is also very emotionally beneficial for a family to be able to [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":70,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-768","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>DIAGNOSING R(20) - Ring20 Research and Support UK CIO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ring20researchsupport.co.uk\/it\/r20-syndrome\/diagnosing-r20\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"DIAGNOSING R(20) - Ring20 Research and Support UK CIO\" \/>\n<meta property=\"og:description\" content=\"WHY DIAGNOSING R(20) MATTERS? 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