RT Journal Article SR Electronic T1 Facial Onset Sensory and Motor Neuronopathy JF Neurology: Clinical Practice FD Lippincott Williams & Wilkins SP 147 OP 157 DO 10.1212/CPJ.0000000000000834 VO 11 IS 2 A1 Eva M.J. de Boer A1 Andrew W. Barritt A1 Marwa Elamin A1 Stuart J. Anderson A1 Rebecca Broad A1 Angus Nisbet A1 H. Stephan Goedee A1 Juan F. Vázquez Costa A1 Johannes Prudlo A1 Christian A. Vedeler A1 Julio Pardo Fernandez A1 Mónica Povedano Panades A1 Maria A. Albertí Aguilo A1 Eleonora Dalla Bella A1 Giuseppe Lauria A1 Wladimir B.V.R. Pinto A1 Paulo V.S. de Souza A1 Acary S.B. Oliveira A1 Camilo Toro A1 Joost van Iersel A1 Malu Parson A1 Oliver Harschnitz A1 Leonard H. van den Berg A1 Jan H. Veldink A1 Ammar Al-Chalabi A1 Peter N. Leigh A1 Michael A. van Es YR 2021 UL http://cp.neurology.org/content/11/2/147.abstract AB Purpose of Review To improve our clinical understanding of facial onset sensory and motor neuronopathy (FOSMN).Recent Findings We identified 29 new cases and 71 literature cases, resulting in a cohort of 100 patients with FOSMN. During follow-up, cognitive and behavioral changes became apparent in 8 patients, suggesting that changes within the spectrum of frontotemporal dementia (FTD) are a part of the natural history of FOSMN. Another new finding was chorea, seen in 6 cases. Despite reports of autoantibodies, there is no consistent evidence to suggest an autoimmune pathogenesis. Four of 6 autopsies had TAR DNA-binding protein (TDP) 43 pathology. Seven cases had genetic mutations associated with neurodegenerative diseases.Summary FOSMN is a rare disease with a highly characteristic onset and pattern of disease progression involving initial sensory disturbances, followed by bulbar weakness with a cranial to caudal spread of pathology. Although not conclusive, the balance of evidence suggests that FOSMN is most likely to be a TDP-43 proteinopathy within the amyotrophic lateral sclerosis–FTD spectrum.