Apraxia of lid opening mimicking ptosis in compound heterozygosity for A467T and W748S POLG1 mutations
Identifieur interne : 002996 ( Main/Exploration ); précédent : 002995; suivant : 002997Apraxia of lid opening mimicking ptosis in compound heterozygosity for A467T and W748S POLG1 mutations
Auteurs : Sebastian Paus [Allemagne] ; Gabor Zsurka [Allemagne] ; Miriam Baron [Allemagne] ; Marcus Deschauer [Allemagne] ; Christian Bamberg [Allemagne] ; Thomas Klockgether [Allemagne] ; Wolfram S. Kunz [Allemagne] ; Cornelia Kornblum [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-07-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Apraxia, Apraxias (complications), Apraxias (genetics), Blepharoptosis (etiology), Blepharospasm, Bontoxilysin, DNA Mutational Analysis, DNA-Directed DNA Polymerase (genetics), Differential diagnostic, Dystonia, Female, Heterozygosity, Heterozygote, Humans, Mutation, Nervous system diseases, Ophthalmoplegia, Chronic Progressive External (complications), Ophthalmoplegia, Chronic Progressive External (genetics), POLG, Ptosis, Serine (genetics), Siblings, Tryptophan (genetics), blepharospasm, botulinum neurotoxin, focal dystonia, ptosis.
- MESH :
- chemical , genetics : DNA-Directed DNA Polymerase, Serine, Tryptophan.
- complications : Apraxias, Ophthalmoplegia, Chronic Progressive External.
- etiology : Blepharoptosis.
- genetics : Apraxias, Ophthalmoplegia, Chronic Progressive External.
- Adult, DNA Mutational Analysis, Female, Heterozygote, Humans, Mutation, Siblings.
Abstract
Patients harboring A467T and W748S POLG1 mutations present with a broad variety of neurological phenotypes, including cerebellar ataxia, progressive external ophthalmoplegia (PEO), myoclonus, epilepsy, and peripheral neuropathy. With exception of ataxia and myoclonus, movement disorders are not typical features of POLG1 associated disorders. We report on two affected siblings compound heterozygous for A467T and W748S mutations, one suffering from choreoathetosis and apraxia of lid opening due to focal eyelid dystonia that mimicked progression of ptosis, resulting in functional blindness. So far, focal dystonia has not been reported in POLG1 mutation carriers, and should be considered when investigating patients with PEO and ptosis. Further studies on POLG1 mutations in focal dystonia are warranted. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.22135
Affiliations:
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Le document en format XML
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<term>Apraxias (complications)</term>
<term>Apraxias (genetics)</term>
<term>Blepharoptosis (etiology)</term>
<term>Blepharospasm</term>
<term>Bontoxilysin</term>
<term>DNA Mutational Analysis</term>
<term>DNA-Directed DNA Polymerase (genetics)</term>
<term>Differential diagnostic</term>
<term>Dystonia</term>
<term>Female</term>
<term>Heterozygosity</term>
<term>Heterozygote</term>
<term>Humans</term>
<term>Mutation</term>
<term>Nervous system diseases</term>
<term>Ophthalmoplegia, Chronic Progressive External (complications)</term>
<term>Ophthalmoplegia, Chronic Progressive External (genetics)</term>
<term>POLG</term>
<term>Ptosis</term>
<term>Serine (genetics)</term>
<term>Siblings</term>
<term>Tryptophan (genetics)</term>
<term>blepharospasm</term>
<term>botulinum neurotoxin</term>
<term>focal dystonia</term>
<term>ptosis</term>
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<term>Serine</term>
<term>Tryptophan</term>
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<term>Ophthalmoplegia, Chronic Progressive External</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Blepharoptosis</term>
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<keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Apraxias</term>
<term>Ophthalmoplegia, Chronic Progressive External</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>DNA Mutational Analysis</term>
<term>Female</term>
<term>Heterozygote</term>
<term>Humans</term>
<term>Mutation</term>
<term>Siblings</term>
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<term>Blépharospasme</term>
<term>Bontoxilysin</term>
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<term>Dystonie</term>
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<term>Mutation</term>
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<front><div type="abstract" xml:lang="en">Patients harboring A467T and W748S POLG1 mutations present with a broad variety of neurological phenotypes, including cerebellar ataxia, progressive external ophthalmoplegia (PEO), myoclonus, epilepsy, and peripheral neuropathy. With exception of ataxia and myoclonus, movement disorders are not typical features of POLG1 associated disorders. We report on two affected siblings compound heterozygous for A467T and W748S mutations, one suffering from choreoathetosis and apraxia of lid opening due to focal eyelid dystonia that mimicked progression of ptosis, resulting in functional blindness. So far, focal dystonia has not been reported in POLG1 mutation carriers, and should be considered when investigating patients with PEO and ptosis. Further studies on POLG1 mutations in focal dystonia are warranted. © 2008 Movement Disorder Society</div>
</front>
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<name sortKey="Bamberg, Christian" sort="Bamberg, Christian" uniqKey="Bamberg C" first="Christian" last="Bamberg">Christian Bamberg</name>
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<name sortKey="Deschauer, Marcus" sort="Deschauer, Marcus" uniqKey="Deschauer M" first="Marcus" last="Deschauer">Marcus Deschauer</name>
<name sortKey="Klockgether, Thomas" sort="Klockgether, Thomas" uniqKey="Klockgether T" first="Thomas" last="Klockgether">Thomas Klockgether</name>
<name sortKey="Kornblum, Cornelia" sort="Kornblum, Cornelia" uniqKey="Kornblum C" first="Cornelia" last="Kornblum">Cornelia Kornblum</name>
<name sortKey="Kunz, Wolfram S" sort="Kunz, Wolfram S" uniqKey="Kunz W" first="Wolfram S." last="Kunz">Wolfram S. Kunz</name>
<name sortKey="Zsurka, Gabor" sort="Zsurka, Gabor" uniqKey="Zsurka G" first="Gabor" last="Zsurka">Gabor Zsurka</name>
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