Table 5.

Recommended Surveillance for Individuals with Costeff Syndrome

System/ConcernEvaluationFrequency
Visual impairment
  • Ophthalmologic exam incl best corrected visual acuity, color vision testing, & visual field testing
  • Appropriateness of visual aids
Annually
Pyramidal dysfunction / Spasticity / Cerebellar dysfunction
  • Neurologic exam for progression of findings
  • Orthopedics (eval of Achilles tendon shortening); OT/PT eval
  • Speech & language assessment
Feeding & nutrition By feeding teamAs needed
Orthopedic involvement 1 Eval by orthopedic surgeon
Family/Community Assess family need for social work support (e.g., palliative/respite care, home nursing, other local resources) & care coordination.At each visit

OT = occupational therapy; PT = physical therapy

1.

Shortening of Achilles tendon

From: Costeff Syndrome

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