Dopa-responsive dystonia : pathological and biochemical observations in a case
Identifieur interne : 004303 ( Main/Exploration ); précédent : 004302; suivant : 004304Dopa-responsive dystonia : pathological and biochemical observations in a case
Auteurs : A. H. Rajput [Canada] ; W. R. G. Gibb ; X. H. Zhong ; K. S. Shannak ; S. Kish ; L. G. Chang ; O. HornykiewiczSource :
- Annals of neurology [ 0364-5134 ] ; 1994.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
We report the first neuropathological and neurochemical study of a patient with dopa-responsive dystonia. She had onset of foot dystonia at age 5 years and by age 8 years it was generalized with prominent right leg and arm involvement. On levodopa 750 mg daily she had complete symptomatic improvement that was sustained for 11 years until death. Pathological studies revealed normal numbers of hypopigmented substantia nigra neurons, normal tyrosine hydroxylase (TH) immunoreactivity and TH protein in the SN, no inclusion bodies or gliosis, and no evidence of a degenerative process in the striatum. Biochemical studies revealed reduced dopamine in the substantia nigra and striatum (8% in the putamen and 18% of control in the caudate) with a similar but not identical subregional distribution as in idiopathic Parkinson's disease
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Biochemical analysis</term>
<term>Brain (vertebrata)</term>
<term>Case study</term>
<term>Chemotherapy</term>
<term>Dopamine</term>
<term>Dystonia</term>
<term>Exploration</term>
<term>Human</term>
<term>Levodopa</term>
<term>Nigrostriatal pathway</term>
<term>Pathology</term>
<term>Treatment efficiency</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term>
<term>Chimiothérapie</term>
<term>Efficacité traitement</term>
<term>Lévodopa</term>
<term>Anatomopathologie</term>
<term>Exploration</term>
<term>Encéphale</term>
<term>Analyse biochimique</term>
<term>Homme</term>
<term>Etude cas</term>
<term>Dopamine</term>
<term>Voie nigrostriatale</term>
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<front><div type="abstract" xml:lang="en">We report the first neuropathological and neurochemical study of a patient with dopa-responsive dystonia. She had onset of foot dystonia at age 5 years and by age 8 years it was generalized with prominent right leg and arm involvement. On levodopa 750 mg daily she had complete symptomatic improvement that was sustained for 11 years until death. Pathological studies revealed normal numbers of hypopigmented substantia nigra neurons, normal tyrosine hydroxylase (TH) immunoreactivity and TH protein in the SN, no inclusion bodies or gliosis, and no evidence of a degenerative process in the striatum. Biochemical studies revealed reduced dopamine in the substantia nigra and striatum (8% in the putamen and 18% of control in the caudate) with a similar but not identical subregional distribution as in idiopathic Parkinson's disease</div>
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