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Published on: September 12, 2020
Tremor in Primary Monogenic Dystonia
Sanjay Pandey1, Sonali Bhattad2, Shreya Dinesh2
1Department of Neurology, Govind Ballabh Pant Postgraduate Institute of Medical Education and Research, Academic Block, Room No 501, New Delhi, 110002, India. sanjaysgpgi2002@yahoo.co.in.
Purpose Of Review:
Tremor is an important phenotypic feature of dystonia with wide variability in the reported prevalence ranging from 14 to 86.67%. This variability may be due to the types of dystonia patients reported in different studies. This article reviews research articles reporting tremor in primary monogenic dystonia.
Recent Findings:
We searched the MDS gene data and selected all research articles reporting tremor in primary monogenic dystonia. Tremor was reported in nine dystonia genes, namely DYT-HPCA, DYT-ANO3, DYT-KCTD17, DYT-THAP1, DYT-PRKRA, DYT-GNAL, DYT-TOR1A, DYT-KMT2B, and DYT-SGCE in the descending order of its frequency. HPCA gene mutation is rare, but all reported patients had tremor. Similarly, tremor was reported in eight genes associated with dystonia parkinsonism, namely DYT-SLC6A3, DYT-TH, DYT-SPR, DYT-PTS, DYT-GCH1, DYT-TAF1, DYT-QDPR, and DYT-SCL30A10 in the descending order of its prevalence. DYT-HPCA and DYT-ANO3 gene showed the highest prevalence of tremor in isolated dystonia, and DYT-SLC6A3 has the highest prevalence of tremor in combined dystonia.
Insights
Tremor is a common dystonia symptom, but prevalence varies. This review found tremor in nine primary monogenic dystonia genes, with DYT-HPCA and DYT-ANO3 showing high prevalence in isolated dystonia.
Area of Science:
- Neurology
- Genetics
- Movement Disorders
Background:
- Tremor is a key feature of dystonia, with reported prevalence varying widely (14-86.67%).
- This variability may stem from different dystonia types studied.
- Understanding tremor in primary monogenic dystonia is crucial for diagnosis and treatment.
Purpose of the Study:
- To review research on tremor prevalence in primary monogenic dystonia.
- To identify specific genes associated with tremor in dystonia.
Main Methods:
- Searched the MDS gene database for research articles on tremor in primary monogenic dystonia.
- Analyzed reported frequencies of tremor across different dystonia genes.
Main Results:
- Tremor was identified in nine primary monogenic dystonia genes (DYT-HPCA, DYT-ANO3, DYT-KCTD17, DYT-THAP1, DYT-PRKRA, DYT-GNAL, DYT-TOR1A, DYT-KMT2B, DYT-SGCE).
- DYT-HPCA and DYT-ANO3 showed the highest tremor prevalence in isolated dystonia.
- DYT-SLC6A3 exhibited the highest tremor prevalence in dystonia parkinsonism.
Conclusions:
- Specific genes are frequently associated with tremor in primary monogenic dystonia.
- Gene identification aids in understanding tremor's role in dystonia phenotypes.
- Further research can refine the understanding of tremor in genetic dystonia subtypes.
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