Movement Disorders (revue)

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Reversible Generalized Dystonia and Encephalopathy from Thiamine Transporter 2 Deficiency

Identifieur interne : 000F98 ( Main/Exploration ); précédent : 000F97; suivant : 000F99

Reversible Generalized Dystonia and Encephalopathy from Thiamine Transporter 2 Deficiency

Auteurs : Mercedes Serrano [Espagne] ; Monica Rebollo [Espagne] ; Christel Depienne [France] ; Agnes Rastetter [France] ; Emilio Fernandez-Alvarez [Espagne] ; Jordi Muchart [Espagne] ; Loreto Martorell [Espagne] ; Rafael Artuch [Espagne] ; José A. Obeso [Espagne] ; Belén Perez-Duenas [Espagne]

Source :

RBID : Pascal:12-0369641

Descripteurs français

English descriptors

Abstract

Background: Thiamine transporter-2 deficiency, a condition resulting from mutations in the SLC19A3 gene, has been described in patients with subacute dystonia and striatal necrosis. The condition responds extremely well to treatment with biotin and has thus been named biotin-responsive basal ganglia disease. Recently, this deficiency has also been related to Wernicke's-like encephalopathy and atypical infantile spasms, showing heterogeneous responses to biotin and/or thiamine. Methods: Two Spanish siblings with a biotin-responsive basal ganglia disease phenotype and mutations in SLC19A3 presented with acute episodes of generalized dystonia, rigidity, and symmetrical lesions involving the striatum, midline nuclei of the thalami, and the cortex of cerebral hemispheres as shown by magnetic resonance imaging. Results: The clinical features resolved rapidly after thiamine administration. Conclusions: Despite the rarity of thiamine transporter-2 deficiency, it should be suspected in patients with acute dystonia and basal ganglia injury, as thiamine can halt disease evolution and prevent further episodes.


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Le document en format XML

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<title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
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<title level="j" type="main">Movement disorders</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>B-Vitamins</term>
<term>Basal ganglion</term>
<term>Biotin</term>
<term>Dystonia</term>
<term>Encephalopathy</term>
<term>Necrosis</term>
<term>Nervous system diseases</term>
<term>THTR-2 thiamine transporter</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Dystonie</term>
<term>Encéphalopathie</term>
<term>Pathologie du système nerveux</term>
<term>Biotine</term>
<term>Noyau gris central</term>
<term>Nécrose</term>
<term>Vitamine B</term>
<term>Carence vitaminique thiamine</term>
<term>Transporteur thiamine THTR-2</term>
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<front>
<div type="abstract" xml:lang="en">Background: Thiamine transporter-2 deficiency, a condition resulting from mutations in the SLC19A3 gene, has been described in patients with subacute dystonia and striatal necrosis. The condition responds extremely well to treatment with biotin and has thus been named biotin-responsive basal ganglia disease. Recently, this deficiency has also been related to Wernicke's-like encephalopathy and atypical infantile spasms, showing heterogeneous responses to biotin and/or thiamine. Methods: Two Spanish siblings with a biotin-responsive basal ganglia disease phenotype and mutations in SLC19A3 presented with acute episodes of generalized dystonia, rigidity, and symmetrical lesions involving the striatum, midline nuclei of the thalami, and the cortex of cerebral hemispheres as shown by magnetic resonance imaging. Results: The clinical features resolved rapidly after thiamine administration. Conclusions: Despite the rarity of thiamine transporter-2 deficiency, it should be suspected in patients with acute dystonia and basal ganglia injury, as thiamine can halt disease evolution and prevent further episodes.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Espagne</li>
<li>France</li>
</country>
<region>
<li>Catalogne</li>
</region>
<settlement>
<li>Barcelone</li>
<li>Paris</li>
</settlement>
</list>
<tree>
<country name="Espagne">
<region name="Catalogne">
<name sortKey="Serrano, Mercedes" sort="Serrano, Mercedes" uniqKey="Serrano M" first="Mercedes" last="Serrano">Mercedes Serrano</name>
</region>
<name sortKey="Artuch, Rafael" sort="Artuch, Rafael" uniqKey="Artuch R" first="Rafael" last="Artuch">Rafael Artuch</name>
<name sortKey="Artuch, Rafael" sort="Artuch, Rafael" uniqKey="Artuch R" first="Rafael" last="Artuch">Rafael Artuch</name>
<name sortKey="Fernandez Alvarez, Emilio" sort="Fernandez Alvarez, Emilio" uniqKey="Fernandez Alvarez E" first="Emilio" last="Fernandez-Alvarez">Emilio Fernandez-Alvarez</name>
<name sortKey="Martorell, Loreto" sort="Martorell, Loreto" uniqKey="Martorell L" first="Loreto" last="Martorell">Loreto Martorell</name>
<name sortKey="Muchart, Jordi" sort="Muchart, Jordi" uniqKey="Muchart J" first="Jordi" last="Muchart">Jordi Muchart</name>
<name sortKey="Obeso, Jose A" sort="Obeso, Jose A" uniqKey="Obeso J" first="José A." last="Obeso">José A. Obeso</name>
<name sortKey="Perez Duenas, Belen" sort="Perez Duenas, Belen" uniqKey="Perez Duenas B" first="Belén" last="Perez-Duenas">Belén Perez-Duenas</name>
<name sortKey="Perez Duenas, Belen" sort="Perez Duenas, Belen" uniqKey="Perez Duenas B" first="Belén" last="Perez-Duenas">Belén Perez-Duenas</name>
<name sortKey="Rebollo, Monica" sort="Rebollo, Monica" uniqKey="Rebollo M" first="Monica" last="Rebollo">Monica Rebollo</name>
<name sortKey="Serrano, Mercedes" sort="Serrano, Mercedes" uniqKey="Serrano M" first="Mercedes" last="Serrano">Mercedes Serrano</name>
</country>
<country name="France">
<noRegion>
<name sortKey="Depienne, Christel" sort="Depienne, Christel" uniqKey="Depienne C" first="Christel" last="Depienne">Christel Depienne</name>
</noRegion>
<name sortKey="Depienne, Christel" sort="Depienne, Christel" uniqKey="Depienne C" first="Christel" last="Depienne">Christel Depienne</name>
<name sortKey="Rastetter, Agnes" sort="Rastetter, Agnes" uniqKey="Rastetter A" first="Agnes" last="Rastetter">Agnes Rastetter</name>
</country>
</tree>
</affiliations>
</record>

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