ATP13A2 Mutations (PARK9) Cause Neurodegeneration with Brain Iron Accumulation

被引:134
作者
Schneider, Susanne A. [2 ,3 ]
Paisan-Ruiz, Coro
Quinn, Niall P. [2 ]
Lees, Andrew J. [2 ]
Houlden, Henry
Hardy, John [1 ]
Bhatia, Kailash P. [2 ]
机构
[1] UCL Inst Neurol, Dept Mol Neurosci, Reta Lila Weston Labs, London WC1N 3BG, England
[2] UCL Inst Neurol, Sobell Dept Motor Neurosci & Movement Disorders, London WC1N 3BG, England
[3] Univ Lubeck, Dept Neurol, Schilling Sect Clin & Mol Neurogenet, Lubeck, Germany
基金
英国医学研究理事会;
关键词
PARK9; ATP13A2; Kufor Rakeb; dystonia parkinsonism; brain iron; NBIA; iron deposition; neurodegeneration with brain iron accumulation; Parkinson genetics; PALLIDO-PYRAMIDAL DEGENERATION; SUPRANUCLEAR UPGAZE PARESIS; HALLERVORDEN-SPATZ-SYNDROME; KUFOR-RAKEB-SYNDROME; JUVENILE PARKINSONISM; DYSTONIA-PARKINSONISM; DEMENTIA; DISEASE; PLA2G6; MRI;
D O I
10.1002/mds.22947
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Kufor Rakeb disease (KRD, PARK9) is an autosomal recessive extrapyramidal-pyramidal syndrome with generalized brain atrophy due to ATP13A2 gene mutations. We report clinical details and investigational results focusing on radiological findings of a genetically-proven KRD case. Clinically, there was early onset levodopa-responsive dystonia-parkinsonism with pyramidal signs and eye movement abnormalities. Brain MRI revealed generalized atrophy and putaminal and caudate iron accumulation bilaterally. Our findings add KRD to the group of syndromes of neurodegeneration with brain iron accumulation (NBIA). KRD should be considered in patients with dystonia-parkinsonism with iron on brain imaging and we suggest classifying as NBIA type 3. (C) 2010 Movement Disorder Society
引用
收藏
页码:979 / 984
页数:6
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