[Genetic testing in neurological diseases: a practical guide].

Medicina (B Aires)

Sección Genética Médica, Hospital de Niños Dr. Ricardo Gutiérrez, Buenos Aires, Argentina. E-mail:

Published: September 2024

AI Article Synopsis

  • Genomic medicine has integrated molecular genetics into medical consultations, enhancing diagnosis and genetic counseling through advanced scientific data.
  • Recent advancements in genomic sequencing have led to the reclassification of various neurological conditions, improving the understanding and treatment of disorders like epileptic encephalopathies and ataxias.
  • The article aims to outline current laboratory studies and algorithms for genetic disease diagnosis, especially in neuropediatrics, to promote best practices, reduce confusion and costs, and expedite accurate diagnoses.

Article Abstract

During the last decades, genomic medicine has made it possible to bring the knowledge of molecular genetics to the field of medical consultation. There are several studies that contribute to the diagnosis, the definition of prognoses, as well as the possibility of providing genetic counseling based on accurate scientific data. Advances in genomic sequencing have promoted the reclassification of entities according to an etiological criterion. Such is the case of epileptic encephalopathies, ataxias, dystonias, among many other neurological conditions. Its implementation requires strategies aimed at achieving the best diagnostic yield. This requires a greater understanding of the molecular bases of each of these practices, as well as their scope. They allow reducing the time until a certain diagnosis is made and the possibility, in some cases, of improving the quality of life of those affected with the use of tailored treatments. The objective of this article was to describe current laboratory studies, their scope and emphasize the algorithms for the study of genetic diseases in general, focusing the attention on those specific to neuropediatrics, in order to promote good practices, avoiding confusion, errors, and unnecessary expenditures of money and shortening the so-called "diagnostic odyssey".

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