Batten Disease

Also known as Spielmeyer-Vogt-Sjogren-Batten disease, Batten disease is the most common form of a group of disorders called neuronal ceroid lipofuscinoses (or NCLs).

What Is Batten Disease?

Ceroid lipofuscinosis type 2 disease (CLN2), more commonly called Batten disease, is a rare disorder that is passed down in families (genetic). It’s caused by a change to a CLN gene in the body. The CLN gene breaks down and gets rid of cell waste in the brain. Cell waste is what cells don’t need or can’t use anymore. If it builds up, the brain and body may not work as they should. Your child will have this disease their whole life.

How Is Batten Disease Diagnosed?

  • Genetic testing
  • Blood test
  • Physical and eye exam

What Are the Signs and Symptoms of Batten Disease?

  • Seizures/epilepsy
  • Dementia
  • Vision loss
  • Language delay or loss
  • Walking less (decreasing)
  • Personality and behavior changes
  • Motor decline like balance, coordination, and muscle weakness

How Is Batten Disease Treated?

Your child will have an Ommaya® or Rickham® reservoir implanted under their scalp. Their medicine, called Brineura® will be given through their scalp or chest port every 2 weeks. This medicine helps prolong your child’s ability to walk. These reservoirs are only used for Brineura and should only be accessed by a brain doctor (neurologist) or brain surgeon (neurosurgeon).

The neurologist will insert the needle into your child’s port. Lidocaine cream is used to numb the skin before they insert the needle. The nurse will pull cerebrospinal fluid from the port. The sample will be sent to the lab. During the infusion, your child will be monitored. The infusion may last 4 hours. When it’s done, the needle will be removed, and your child will go home.


Tayla’s Batten Disease Journey

Diagnosed with Batten disease in Sydney, Australia, Tayla’s parents were told there was nothing that could be done. They started to explore what clinical trials and options might exist from a global standpoint. That search led them to Dr. Emily De Los Reyes at Nationwide Children’s where new research hinted at the first sign of real hope for children with Batten disease.

Watch Tayla's Story

When Should I Call the Doctor?

Call your child’s doctor or health care provider right away if they:

  • Have seizures.
  • Have a headache.
  • Feel shaky.
  • Have low blood pressure (hypotension).
  • Feel grumpy (irritable).
  • Are vomiting.
  • Have a fever of 100.4° Fahrenheit (F) or 38° Celsius (C) or higher.

 

 


Helping Hands™ Patient Education Materials

Helping Hands™ are easy-to-read guides about different illnesses, therapies, surgeries, and more. They’re created by the Patient Education team at Nationwide Children’s Hospital and are reviewed and approved by clinical staff, like nurses, doctors, pharmacists, and psychologists. Nationwide Children's Hospital is not responsible for misuse of information in patient education materials, including Helping Hands.

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Batten Disease Center of Excellence

In 2010, Nationwide Children’s was designated a Center of Excellence by the Batten Disease Support and Research Association (BDSRA), the largest research and support organization in North America for families that have children with Batten disease. Chosen because of its clinical and research history with the disease and its ability to provide comprehensive care for these unique children, Nationwide Children's is one of only a handful of organizations in the U.S. with this designation.