Distal hereditary motor neuropathies (DHMNs) are a rare type of genetic disorder that affects the nerves that control movement in the body. These nerves are called motor neurons and they send signals from the brain and spinal cord to the muscles to create movement.
In DHMNs, there is a problem with these motor neurons, which causes them to slowly deteriorate over time. This affects the muscles and makes them weaker, especially in the hands and feet, which are the farthest parts of the body from the brain and spinal cord (hence the term "distal").
The symptoms of DHMNs typically appear in adolescence or early adulthood, and may include things like difficulty walking, feeling clumsy, tripping or falling frequently, and weak grip strength. Over time, as the disease progresses, the muscles can become so weak that it becomes difficult to perform simple tasks like buttoning a shirt or lifting a glass.
DHMNs can be caused by mutations in several different genes, which can be inherited from one or both parents. There are several different types of DHMNs, each with its own specific genetic cause and pattern of symptoms.
There is currently no cure for DHMNs, but there are treatments available that can help manage the symptoms and improve quality of life. These may include physical therapy to help maintain muscle strength and mobility, medications to reduce pain and discomfort, and assistive devices like braces or special shoes to help with walking.
In summary, DHMNs are a rare genetic disorder that affect the nerves that control movement in the hands and feet, causing weakness and difficulty with tasks like walking and gripping. While there is no cure, treatments are available to manage symptoms and improve quality of life.