脑小叶 - 耳聋 - 麻醉症综合征 (ADCA). 一个可变家族现象型的描述
María José Abenza-Abildúa1, Itziar Palmí-Cortés2, Joaquín Ojeda-Ruiz de Luna2
1Neurology DepartmentMultidisciplinary Sleep Unit., Infanta Sofía University Hospital. FIIB HUIS HUHEN, Madrid, (Spain)., Paseo de Europa 34, San Sebastián de los Reyes, Madrid, 28702, Spain. mjose.abenza@salud.madrid.org.
Acta neurologica Belgica
|April 26, 2025
概括
大脑 - 聋 - 麻醉症综合征 (ADCA-DN) 在家庭内表现出不同的症状. 这项研究在一个家庭中发现了DNMT1基因突变,在受影响的个体中,麻醉症往往是先前的性衰竭.
科学领域:
- 遗传学 遗传学 是一个
- 神经学 神经学
- 罕见疾病 罕见疾病
背景情况:
- 大脑 - 聋 - 麻醉症综合征 (ADCA-DN) 是一种罕见的,多形亚型的自体主导性型1.
- 它通常在成年时表现出不同的症状,包括视力缩,白内障,精神病,抑郁症或感官神经病变.
研究的目的:
- 介绍一个被诊断为ADCA-DN的家庭,详细说明其表型描述和遗传研究.
- 为了研究ADCA-DN在单一家族中的遗传基础和临床变异性.
主要方法:
- 在不同世代的三个受影响的家庭成员的表型描述.
- 基因分析以确定与该综合征相关的突变.
- 临床评估包括神经学检查,听力测试和认知评估.
主要成果:
- 在受影响的家庭成员中发现了DNMT1基因 (c.1709 C>T; p.Ala570Val) 的突变.
- 在这三个病例中,麻醉症是最初的症状,随后是震和认知障碍.
- 发病年龄和症状呈现各不相同,年轻患者呈现轻度智力障碍和麻醉症,而老年患者表现出缺氧,听力损失和认知障碍.
结论:
- 即使在同一家族内,ADCA-DN也呈现出可变的表型.
- 麻醉症可能是最初的症状,在某些个体中先前出现过敏症.
- 鉴定到的DNMT1基因突变与ADCA-DN表型有关,突出显示了它在综合征的发病过程中的作用.
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