Movement Disorders (revue)

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Genetic analysis of SCA 2 and 3 repeat expansions in essential tremor and atypical Parkinsonism

Identifieur interne : 002A74 ( Istex/Corpus ); précédent : 002A73; suivant : 002A75

Genetic analysis of SCA 2 and 3 repeat expansions in essential tremor and atypical Parkinsonism

Auteurs : Eng-King Tan ; Justina Tong ; Ratnagopal Pavanni ; Meng-Cheong Wong ; Yi Zhao

Source :

RBID : ISTEX:E932F10548A60C9EEA5789F8B0273986E8F77535

English descriptors

Abstract

Anecdotal reports suggest that patients with spinocerebellar ataxia (SCA 2) patients can present with postural tremor with ataxia. We determined the prevalence of SCA2 and SCA3 mutations in a cohort of ET and atypical Parkinsonism patients. A total of 277 subjects comprising of 177 ET and 100 atypical Parkinsonism were examined. We identified one positive case of SCA3 among those who were diagnosed with ET, yielding a prevalence of 0.5%, but a zero prevalence among our atypical Parkinsonism patients. No study subjects carried an abnormal SCA2 repeat expansion. Our study highlights that SCA3 can present initially with ET symptoms, expanding the spectrum of genetic diseases that can be associated with ET‐like phenotype. Routine screening for SCA2 and SCA3 in ET and atypical Parkinsonism patients may not be cost effective. However, in the long‐term follow‐up of patients who present with an ET phenotype, clinicians should be vigilant for other neurological signs, which may be point to an alternate diagnosis. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21699

Links to Exploration step

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<i>.</i>
Routine screening for SCA2 and SCA3 in ET and atypical Parkinsonism patients may not be cost effective. However, in the long‐term follow‐up of patients who present with an ET phenotype, clinicians should be vigilant for other neurological signs, which may be point to an alternate diagnosis. © 2007 Movement Disorder Society</p>
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<title>Genetic analysis of SCA 2 and 3 repeat expansions in essential tremor and atypical Parkinsonism</title>
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<titleInfo type="abbreviated" lang="en">
<title>Genetic Analysis of SCA 2 and 3 Repeat Expansions</title>
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<title>Genetic analysis of SCA 2 and 3 repeat expansions in essential tremor and atypical Parkinsonism</title>
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<name type="personal">
<namePart type="given">Eng‐King</namePart>
<namePart type="family">Tan</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Singapore General Hospital, Singapore</affiliation>
<affiliation>National Neuroscience Institute, Singapore</affiliation>
<description>Correspondence: Department of Neurology, Singapore General Hospital, Outram Road, Singapore 169608</description>
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<name type="personal">
<namePart type="given">Justina</namePart>
<namePart type="family">Tong</namePart>
<namePart type="termsOfAddress">BSc</namePart>
<affiliation>Department of Clinical Research, Singapore General Hospital, Singapore</affiliation>
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<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Ratnagopal</namePart>
<namePart type="family">Pavanni</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Singapore General Hospital, Singapore</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">Meng‐Cheong</namePart>
<namePart type="family">Wong</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Singapore General Hospital, Singapore</affiliation>
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<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Yi</namePart>
<namePart type="family">Zhao</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Clinical Research, Singapore General Hospital, Singapore</affiliation>
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<dateIssued encoding="w3cdtf">2007-10-15</dateIssued>
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<abstract lang="fr">Anecdotal reports suggest that patients with spinocerebellar ataxia (SCA 2) patients can present with postural tremor with ataxia. We determined the prevalence of SCA2 and SCA3 mutations in a cohort of ET and atypical Parkinsonism patients. A total of 277 subjects comprising of 177 ET and 100 atypical Parkinsonism were examined. We identified one positive case of SCA3 among those who were diagnosed with ET, yielding a prevalence of 0.5%, but a zero prevalence among our atypical Parkinsonism patients. No study subjects carried an abnormal SCA2 repeat expansion. Our study highlights that SCA3 can present initially with ET symptoms, expanding the spectrum of genetic diseases that can be associated with ET‐like phenotype. Routine screening for SCA2 and SCA3 in ET and atypical Parkinsonism patients may not be cost effective. However, in the long‐term follow‐up of patients who present with an ET phenotype, clinicians should be vigilant for other neurological signs, which may be point to an alternate diagnosis. © 2007 Movement Disorder Society</abstract>
<note type="funding">National Medical Research Council</note>
<note type="funding">Department of Clinical Research, Singapore General Hospital</note>
<subject lang="en">
<genre>Keywords</genre>
<topic>SCA2</topic>
<topic>SCA3</topic>
<topic>Parkinsonism</topic>
<topic>essential tremor</topic>
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<title>Movement Disorders</title>
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<title>Mov. Disord.</title>
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<topic>Brief Report</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2007</date>
<detail type="volume">
<caption>vol.</caption>
<number>22</number>
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<detail type="issue">
<caption>no.</caption>
<number>13</number>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2007 Movement Disorder Society</accessCondition>
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