Movement Disorders (revue)

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Apraxia of lid opening mimicking ptosis in compound heterozygosity for A467T and W748S POLG1 mutations

Identifieur interne : 002996 ( Main/Exploration ); précédent : 002995; suivant : 002997

Apraxia 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 :

RBID : ISTEX:3655CD9E41CD27B576E6EE9750B515D5CD4E9BCC

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English descriptors

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>Blepharoptosis (etiology)</term>
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<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>
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