作为SCA21的主要临床表现的distonic震
Vidal Yahya1,2, Claudio Baiata3,4, Edoardo Monfrini1,2
1Neurology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
由TMEM240变体引起的21型脊髓小脑动症 (SCA21),即使没有显著的动症,也可能主要表现为 dystonic tremor. 这一发现扩大了这种罕见的遗传神经系统疾病的已知的临床谱.
科学领域:
- 遗传学 是一个遗传学.
- 神经学 神经学
- 分子生物学分子生物学
背景情况:
- 21型脊髓小脑动症 (SCA21) 是一种罕见的,自体主导的遗传神经系统疾病.
- 它的特点是运动,认知和行为障碍.
- 这种疾病是由TMEM240基因的变异引起的.
研究的目的:
- 为了确定一种特定形式的遗传和 dystonia 的遗传原因.
- 为了研究TMEM240变异在一个具有自体主导遗传的法国家族中的作用.
主要方法:
- 来自一个多代法国家庭的六名受影响个体的临床评估.
- 全外因子测序分析以识别遗传变异.
主要成果:
- 所有受试者都表现出早期发作,突出的手 dystonic震和多焦点/泛型 dystonia.
- 轻微的小脑动症是次要发展的,在年轻人中认知和行为障碍更为明显.
- 在所有受影响的受试者中,发现了致病性TMEM240 c.509C>T (p.P170L) 变种.
结论:
- 消极震可能是SCA21的主要临床表现,即使没有明显的小脑动.
- 病原性TMEM240变体应在患有 dystonic tremor 的人群中考虑,这可能与,帕金森症,神经发育障碍和认知障碍有关.
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