Movement Disorders (revue)

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Heterogeneity of presentation and outcome in the Irish rapid‐onset dystonia–Parkinsonism kindred

Identifieur interne : 002E19 ( Main/Exploration ); précédent : 002E18; suivant : 002E20

Heterogeneity of presentation and outcome in the Irish rapid‐onset dystonia–Parkinsonism kindred

Auteurs : Andrew Mckeon [Irlande (pays)] ; Laurie J. Ozelius [États-Unis] ; Oria Hardiman [Irlande (pays)] ; Matthew J. Greenway [Irlande (pays)] ; Sean J. Pittock [Irlande (pays), États-Unis]

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RBID : ISTEX:601A046A4AA3314B9082AC9EBCE619F980BF828B

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Abstract

The authors report a 7‐year follow‐up video study and molecular data on the Irish rapid‐onset dystonia–Parkinsonism kindred. All affected patients tested had a missense mutation in the Na+/K+ ‐ATPase α3 subunit (ATP1A3), twice previously identified, suggestive of a mutation hotspot. Clinical presentation, progression, and outcome in this kindred is varied. Some patients remain stable over many years, others worsen, have a fluctuating course, or improve over time. To date there have been no effective treatments for this disorder, although Na+/K+ ATPase may be a future therapeutic target. The broad phenotypic spectrum of RDP described in the text and detailed in the video, should be considered when evaluating patients with dystonia. © 2007 Movement Disorder Society

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DOI: 10.1002/mds.21335


Affiliations:


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<div type="abstract" xml:lang="en">The authors report a 7‐year follow‐up video study and molecular data on the Irish rapid‐onset dystonia–Parkinsonism kindred. All affected patients tested had a missense mutation in the Na+/K+ ‐ATPase α3 subunit (ATP1A3), twice previously identified, suggestive of a mutation hotspot. Clinical presentation, progression, and outcome in this kindred is varied. Some patients remain stable over many years, others worsen, have a fluctuating course, or improve over time. To date there have been no effective treatments for this disorder, although Na+/K+ ATPase may be a future therapeutic target. The broad phenotypic spectrum of RDP described in the text and detailed in the video, should be considered when evaluating patients with dystonia. © 2007 Movement Disorder Society</div>
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