From: The experience of living with Niemann–Pick type C: a patient and caregiver perspective
Patient ID (age at diagnosis) | Most important current worry | Most important past worry | Most bothersome symptoms | Treatment priority |
---|---|---|---|---|
18*** (7) | Seizures | No therapies available at diagnosis | Cognition | Cognition |
2 (10) | Dysphagia, infection, decline in mobility | Dysphagia, infection, decline in mobility | Dysarthria, dysphagia, comprehension difficulty | Dysphagia (cognition is stable) |
17*** (10) | Dysphagia and mobility | No therapies available at diagnosis | Seizures, dysphagia, mobility | Motor functions and aspiration |
12 (14) | Sleep apnea, seizures, cognition | Seizures | Seizures and loss of physical function | Cognition and physical functioning |
19 (14) | Enlarged spleen, vertical gaze spatial palsy; parent: not enjoying child’s milestones | Cognition | Dysarthria, cognition | Cognition |
1 (14) | Memory loss | Motor deficits | Cognition and motor deficits | Memory and cognition |
3 (22) | Unsure | Unsure | Tripping and falling | Unsure |
13 (24) | Cognition | Cognition | Cognition | No tangible way available to measure improvement/decline |
16** (25) | Autonomy | Uncertainty about available resources | Cognition | Cognition and motor functions |
4 (27) | Motor deficits, dysphagia, autonomy, uncertainty about future | Motor deficits, dysphagia, autonomy | Cognition and social decline | Cognition |
10* (28) | Psychiatric and behavioral problems (paranoia, delusional thinking, anger, frustration), dysphagia | Psychiatric problems | Psychiatric problems, cognition | Psychiatric problems, cognition, dysphagia |
11a (29) | N/A | Cognition | Social | All symptoms |
6 (30) | Autonomy, falling, uncertainty about future | Uncertainty about future | Insomnia, cognition | Cognition |
15** (30) | Autonomy | Uncertainty about available resources | Motor deficits | Cognition and motor functions |
9* (30) | Cognition, fine motor skills, dysphagia | Memory and balance | Cognition | Cognition |
14** (36) | Dysphagia, motor deficits, quality of life | Uncertainty about available resources | Dysphagia | Cognition and motor functions |
7 (39) | Autonomy and general physical decline | Ataxia | Gait, ataxia, dysarthria | Ataxia |
8 (46) | Hearing loss and cognition | Hearing loss and cognition, enlarged spleen | Hearing loss and cognition | Hearing loss and cognition |
5 (59) | Patient: gait and balance; caregiver: motor deficits and dysphagia | Patient: gait and balance; caregiver: dysarthria and gait | Caregiver: dysarthria, lack of concern for safety | Patient: gait and balance; caregiver: dysphagia |