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Consensus Clinical Management Guideline for PLA2G6-Associated Neurodegeneration (PLAN)

Wilson JL, Soo AKS, Gregory A, Nardocci N, Zorzi G, Ritzman M, Hope A, Duncan DW et al.

Journal of child neurology, 2025

5 citations

Abstract

This clinical guideline provides recommendations for the evaluation and management of individuals with PLA2G6-associated neurodegeneration (PLAN). PLAN, a neurodegeneration with brain iron accumulation disorder, presents with infantile-onset (infantile neuroaxonal dystrophy), juvenile-onset, and adult-onset forms with motor, cognitive, ophthalmologic, and autonomic symptoms. This guideline was developed using a modified Delphi process with input from PLAN experts and family members of individuals with PLAN. A literature search was performed, although in the absence of data, recommendations were based on expert opinion. The guideline contains recommendations on diagnostic approach, disease-specific treatment, and symptom-based management.

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