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Neuronal Ceroid Lipofuscinosis Type 2 (CLN2) Disease

Afsha Rais, MD, Shisto Rais and Niyomi De Silva, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Neuronal ceroid lipofuscinosis type 2 (CLN2) is a rare autosomal recessive lysosomal storage disease.

  • This neurodegenerative disorder presents between ages 2 and 4 years with psychomo...

DIAGNOSIS

  • Usually a delay in diagnosis due to the lack of disease awareness and the presence of nonspecific initial symptoms.

  • In 82% of cases, there is a ≥1 year delay in referral to NCL specialist.

  • Cla...

TREATMENT

GENERAL MEASURES

  • Mainstay of treatment: symptom control and quality of life improvement.

  • Seizures

    • Family and caregivers at home and school should have an emergency seizure management plan inclu...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

In patients receiving cerliponase alfa, CSF samples should be routinely analyzed for subclinical device infections. 

Patient Monitoring

  • Patients need lifelong super...

REFERENCES

1
Fietz  M, AlSayed  M, Burke  D, et al. Diagnosis of neuronal ceroid lipofuscinosis type 2 (CLN2 disease): expert recommendations for early detection and laboratory ...

ADDITIONAL READING

  • Breau  LM, Burkitt  C. Assessing pain in children with intellectual disabilities. Pain Res Manag.  2009;14(2):116–120. [View Abstract on OvidMedline]...

CODES

ICD10

E75.4 Neuronal ceroid lipofuscinosis 

SNOMED

  • 42012007 Neuronal ceroid lipofuscinosis

  • 14637005 Late-infantile neuronal ceroid lipofuscinosis

  • 58258004 Infantile neuronal ceroid lipofuscinosis

  • 6166...

CLINICAL PEARLS

  • CLN2, an autosomal recessive disorder due to lysosomal deficiency of TPP1, usually presents between ages 2 and 4.

  • Symptoms: seizures, developmental regression, vision deterioration, and...

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