rumyantsev, he is in direct contact, alexander grigorievich, can you hear us, yes, i can hear you, thank talk to us , well, we already reported the news, explain what this spinal muscular trophy is, what causes it, this genetic mutation, how it manifests itself, spinal muscular atrophy is a disease of motor neurons, in fact we are talking about the lack of production of a protein that works at the level of the neuromuscular impulse, since our muscles contract and behave adequately at a normal level of innervation, when innervation is disturbed, which occurs genetically, these people’s lives are disrupted ... important muscle functions and this disease occurs in several variants, clinical, several forms, and the earliest disorders can be detected already in utero, and these children who get sick immediately after birth, have a clinical picture after birth, get sick in the first months and a year of life, they usually die because the function of the muscles involved in breathing, the muscles that provide heart contractions, and so on is disrupted, but there are cases of a later debut of th