Clinical characteristics of paroxysmal nonkinesigenic dyskinesia in serbian family with Myofibrillogenesis regulator 1 gene mutation
Identifieur interne : 003530 ( Main/Exploration ); précédent : 003529; suivant : 003531Clinical characteristics of paroxysmal nonkinesigenic dyskinesia in serbian family with Myofibrillogenesis regulator 1 gene mutation
Auteurs : Elka Stefanova ; Ana Djarmati [Allemagne] ; Dragana Mom Ilovi ; Nataša Dragaševi ; Marina Svetel ; Christine Klein [Allemagne] ; Vladimir S. KostiSource :
- Movement Disorders [ 0885-3185 ] ; 2006-11.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adolescent, Adult, Alanine (genetics), Chorea (diagnosis), Chorea (genetics), DNA Mutational Analysis (methods), Dyskinesia, Family Health, Female, Humans, MR‐1 mutation, Male, Middle Aged, Muscle Proteins (genetics), Mutation, Nervous system diseases, Regulator gene, Valine (genetics), Yugoslavia (ethnology), paroxysmal nonkinesigenic dyskinesia.
- MESH :
- chemical , genetics : Alanine, Muscle Proteins, Valine.
- geographic , ethnology : Yugoslavia.
- diagnosis : Chorea.
- genetics : Chorea.
- methods : DNA Mutational Analysis.
- Adolescent, Adult, Family Health, Female, Humans, Male, Middle Aged, Mutation.
Abstract
The aim of this study was to describe the clinical features of a large Serbian family with paroxysmal nonkinesigenic dyskinesia (PNKD) and one of the two previously described mutations in the Myofibrillogenesis regulator 1 gene (MR‐1), which causes an alanine‐to‐valine substitution at position 9. In 5 examined out of 12 affected family members, attacks of dyskinesias appeared in the first 6 months of life. Both frequency and severity of attacks showed an age‐dependent incremental–decremental pattern with a peak between 13 to 15 years of age. They were frequently precipitated by stress, caffeine, fever, hunger, tiredness, as well as abrupt changes in temperature. Three of our patients differentiated two types of attacks: mild (120–180 minutes), with a predominance of functionally insignificant choreoathetoid movements, and severe (∼ 15–30 minutes), characterized by disabling dystonic and choreic movements of the extremities, trunk, and face. Sleep was the most reliable factor to discontinue an attack. This Serbian family further demonstrates that recurrent MR‐1 mutations are associated with PNKD worldwide, which will affect genetic testing. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.21095
Affiliations:
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Le document en format XML
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<term>Chorea (genetics)</term>
<term>DNA Mutational Analysis (methods)</term>
<term>Dyskinesia</term>
<term>Family Health</term>
<term>Female</term>
<term>Humans</term>
<term>MR‐1 mutation</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Proteins (genetics)</term>
<term>Mutation</term>
<term>Nervous system diseases</term>
<term>Regulator gene</term>
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<term>Yugoslavia (ethnology)</term>
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<term>Humans</term>
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<front><div type="abstract" xml:lang="en">The aim of this study was to describe the clinical features of a large Serbian family with paroxysmal nonkinesigenic dyskinesia (PNKD) and one of the two previously described mutations in the Myofibrillogenesis regulator 1 gene (MR‐1), which causes an alanine‐to‐valine substitution at position 9. In 5 examined out of 12 affected family members, attacks of dyskinesias appeared in the first 6 months of life. Both frequency and severity of attacks showed an age‐dependent incremental–decremental pattern with a peak between 13 to 15 years of age. They were frequently precipitated by stress, caffeine, fever, hunger, tiredness, as well as abrupt changes in temperature. Three of our patients differentiated two types of attacks: mild (120–180 minutes), with a predominance of functionally insignificant choreoathetoid movements, and severe (∼ 15–30 minutes), characterized by disabling dystonic and choreic movements of the extremities, trunk, and face. Sleep was the most reliable factor to discontinue an attack. This Serbian family further demonstrates that recurrent MR‐1 mutations are associated with PNKD worldwide, which will affect genetic testing. © 2006 Movement Disorder Society</div>
</front>
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<tree><noCountry><name sortKey="Dragasevi, Natasa" sort="Dragasevi, Natasa" uniqKey="Dragasevi N" first="Nataša" last="Dragaševi">Nataša Dragaševi</name>
<name sortKey="Kosti, Vladimir S" sort="Kosti, Vladimir S" uniqKey="Kosti V" first="Vladimir S." last="Kosti">Vladimir S. Kosti</name>
<name sortKey="Mom Ilovi, Dragana" sort="Mom Ilovi, Dragana" uniqKey="Mom Ilovi D" first="Dragana" last="Mom Ilovi">Dragana Mom Ilovi</name>
<name sortKey="Stefanova, Elka" sort="Stefanova, Elka" uniqKey="Stefanova E" first="Elka" last="Stefanova">Elka Stefanova</name>
<name sortKey="Svetel, Marina" sort="Svetel, Marina" uniqKey="Svetel M" first="Marina" last="Svetel">Marina Svetel</name>
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<country name="Allemagne"><noRegion><name sortKey="Djarmati, Ana" sort="Djarmati, Ana" uniqKey="Djarmati A" first="Ana" last="Djarmati">Ana Djarmati</name>
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