Clinical phenotype and neuroimaging findings in a French family with hereditary ferritinopathy (FTL498‐499InsTC)
Identifieur interne : 002397 ( Main/Curation ); précédent : 002396; suivant : 002398Clinical phenotype and neuroimaging findings in a French family with hereditary ferritinopathy (FTL498‐499InsTC)
Auteurs : Fabienne Ory-Magne [France] ; Christine Brefel-Courbon [France] ; Pierre Payoux [France] ; Sabrina Debruxelles [France] ; Igor Sibon [France] ; Cyril Goizet [France] ; Pierre Labauge [France] ; Patrice Menegon [France] ; Emmanuelle Uro-Coste [France] ; Bernardino Ghetti [États-Unis] ; Marie Bernadetle Delisle [France] ; Ruben Vidal [États-Unis] ; Olivier Rascol [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-08-15.
Descripteurs français
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult, Age of Onset, Apoferritins (genetics), Basal Ganglia Diseases (genetics), Basal Ganglia Diseases (metabolism), Basal Ganglia Diseases (pathology), Basal Ganglia Diseases (radionuclide imaging), Central Nervous System (chemistry), Central Nervous System (pathology), Cerebellar Ataxia (genetics), Cerebellar Ataxia (metabolism), Cerebellar Ataxia (pathology), Cerebellar Ataxia (radionuclide imaging), Dementia (genetics), Dementia (metabolism), Dementia (pathology), Dementia (radionuclide imaging), Female, Ferritins (analysis), France (epidemiology), Humans, Iron (analysis), Liver (chemistry), Liver (pathology), Magnetic Resonance Imaging, Male, Middle Aged, Movement Disorders (genetics), Movement Disorders (metabolism), Movement Disorders (pathology), Movement Disorders (radionuclide imaging), Muscle, Skeletal (chemistry), Muscle, Skeletal (pathology), Mutagenesis, Insertional, Mutation, Pedigree, Phenotype, Positron-Emission Tomography, Skin (chemistry), Skin (pathology), Tremor (genetics), Tremor (metabolism), Tremor (pathology), Tremor (radionuclide imaging), basal ganglia, ferritin, hereditary ferritinopathy, iron, neuroferritinopathy.
- MESH :
- chemical , analysis : Ferritins, Iron.
- chemical , genetics : Apoferritins.
- geographic , epidemiology : France.
- chemistry : Central Nervous System, Liver, Muscle, Skeletal, Skin.
- genetics : Basal Ganglia Diseases, Cerebellar Ataxia, Dementia, Movement Disorders, Tremor.
- metabolism : Basal Ganglia Diseases, Cerebellar Ataxia, Dementia, Movement Disorders, Tremor.
- pathology : Basal Ganglia Diseases, Central Nervous System, Cerebellar Ataxia, Dementia, Liver, Movement Disorders, Muscle, Skeletal, Skin, Tremor.
- radionuclide imaging : Basal Ganglia Diseases, Cerebellar Ataxia, Dementia, Movement Disorders, Tremor.
- Adult, Age of Onset, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Mutagenesis, Insertional, Mutation, Pedigree, Phenotype, Positron-Emission Tomography.
Abstract
To describe a family with a hereditary ferritinopathy (HF) due to a mutation in the ferritin light chain gene (FTL498‐499InsTC mutation). Case reports of the clinical features, MRI, 18FDG PET, and pathological findings observed in this family with two patients described in more details. Postural tremor (phenotype‐1) or cerebellar signs (phenotype‐2) were the first neurological symptoms detected. Parkinsonian, cerebellar and pyramidal syndromes, abnormal involuntary movements, dementia were observed in both phenotypes at more advanced stages. Beside characteristics T2* hypointense signals suggestive of iron accumulation in the striatum, mesencephalon, and cerebellum, we detected more diffuse changes including cerebellar, cortical and subcortical atrophy, cortical iron deposition, and severe leukoencephalopathy. 18FDG PET showed frontal and cerebellum hypometabolism with more severe frontal defect in patients with cognitive decline. Pathological examination showed ferritin and iron deposition in the liver, kidney, muscle, skin, and in the central nervous system. Members of this family affected by HF due to the FTL498‐499InsTC mutation have a specific clinical presentation with initial postural tremor or cerebellar ataxia, followed by pyramidal and extrapyramidal motor syndromes and late severe subcortical dementia. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22669
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Age of Onset</term>
<term>Apoferritins (genetics)</term>
<term>Basal Ganglia Diseases (genetics)</term>
<term>Basal Ganglia Diseases (metabolism)</term>
<term>Basal Ganglia Diseases (pathology)</term>
<term>Basal Ganglia Diseases (radionuclide imaging)</term>
<term>Central Nervous System (chemistry)</term>
<term>Central Nervous System (pathology)</term>
<term>Cerebellar Ataxia (genetics)</term>
<term>Cerebellar Ataxia (metabolism)</term>
<term>Cerebellar Ataxia (pathology)</term>
<term>Cerebellar Ataxia (radionuclide imaging)</term>
<term>Dementia (genetics)</term>
<term>Dementia (metabolism)</term>
<term>Dementia (pathology)</term>
<term>Dementia (radionuclide imaging)</term>
<term>Female</term>
<term>Ferritins (analysis)</term>
<term>France (epidemiology)</term>
<term>Humans</term>
<term>Iron (analysis)</term>
<term>Liver (chemistry)</term>
<term>Liver (pathology)</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Movement Disorders (genetics)</term>
<term>Movement Disorders (metabolism)</term>
<term>Movement Disorders (pathology)</term>
<term>Movement Disorders (radionuclide imaging)</term>
<term>Muscle, Skeletal (chemistry)</term>
<term>Muscle, Skeletal (pathology)</term>
<term>Mutagenesis, Insertional</term>
<term>Mutation</term>
<term>Pedigree</term>
<term>Phenotype</term>
<term>Positron-Emission Tomography</term>
<term>Skin (chemistry)</term>
<term>Skin (pathology)</term>
<term>Tremor (genetics)</term>
<term>Tremor (metabolism)</term>
<term>Tremor (pathology)</term>
<term>Tremor (radionuclide imaging)</term>
<term>basal ganglia</term>
<term>ferritin</term>
<term>hereditary ferritinopathy</term>
<term>iron</term>
<term>neuroferritinopathy</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Ferritins</term>
<term>Iron</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en"><term>Apoferritins</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="chemistry" xml:lang="en"><term>Central Nervous System</term>
<term>Liver</term>
<term>Muscle, Skeletal</term>
<term>Skin</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Basal Ganglia Diseases</term>
<term>Cerebellar Ataxia</term>
<term>Dementia</term>
<term>Movement Disorders</term>
<term>Tremor</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Basal Ganglia Diseases</term>
<term>Cerebellar Ataxia</term>
<term>Dementia</term>
<term>Movement Disorders</term>
<term>Tremor</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Basal Ganglia Diseases</term>
<term>Central Nervous System</term>
<term>Cerebellar Ataxia</term>
<term>Dementia</term>
<term>Liver</term>
<term>Movement Disorders</term>
<term>Muscle, Skeletal</term>
<term>Skin</term>
<term>Tremor</term>
</keywords>
<keywords scheme="MESH" qualifier="radionuclide imaging" xml:lang="en"><term>Basal Ganglia Diseases</term>
<term>Cerebellar Ataxia</term>
<term>Dementia</term>
<term>Movement Disorders</term>
<term>Tremor</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age of Onset</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mutagenesis, Insertional</term>
<term>Mutation</term>
<term>Pedigree</term>
<term>Phenotype</term>
<term>Positron-Emission Tomography</term>
</keywords>
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<front><div type="abstract" xml:lang="en">To describe a family with a hereditary ferritinopathy (HF) due to a mutation in the ferritin light chain gene (FTL498‐499InsTC mutation). Case reports of the clinical features, MRI, 18FDG PET, and pathological findings observed in this family with two patients described in more details. Postural tremor (phenotype‐1) or cerebellar signs (phenotype‐2) were the first neurological symptoms detected. Parkinsonian, cerebellar and pyramidal syndromes, abnormal involuntary movements, dementia were observed in both phenotypes at more advanced stages. Beside characteristics T2* hypointense signals suggestive of iron accumulation in the striatum, mesencephalon, and cerebellum, we detected more diffuse changes including cerebellar, cortical and subcortical atrophy, cortical iron deposition, and severe leukoencephalopathy. 18FDG PET showed frontal and cerebellum hypometabolism with more severe frontal defect in patients with cognitive decline. Pathological examination showed ferritin and iron deposition in the liver, kidney, muscle, skin, and in the central nervous system. Members of this family affected by HF due to the FTL498‐499InsTC mutation have a specific clinical presentation with initial postural tremor or cerebellar ataxia, followed by pyramidal and extrapyramidal motor syndromes and late severe subcortical dementia. © 2009 Movement Disorder Society</div>
</front>
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