Movement Disorders (revue)

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Parkin disease in a Brazilian kindred: Manifesting heterozygotes and clinical follow‐up over 10 years

Identifieur interne : 003805 ( Main/Exploration ); précédent : 003804; suivant : 003806

Parkin disease in a Brazilian kindred: Manifesting heterozygotes and clinical follow‐up over 10 years

Auteurs : Naheed L. Khan [Royaume-Uni] ; Wagner Horta [Brésil] ; Louise Eunson [Royaume-Uni] ; Elizabeth Graham [Royaume-Uni] ; Janel O. Johnson [États-Unis] ; Shannon Chang [États-Unis] ; Mary Davis [Royaume-Uni] ; Andrew Singleton [États-Unis] ; Nicholas W. Wood [Royaume-Uni] ; Andrew Lees (neurologue) [Royaume-Uni]

Source :

RBID : ISTEX:078159AAB03402D287C00EDCC3BCA2514985A4FD

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English descriptors

Abstract

We report on a large Brazilian kindred with young‐onset parkinsonism due to either a homozygous or heterozygous mutation in parkin. A total of 6 members were affected: 5 were homozygous and 1 heterozygous for a deletion in exon 4. Two other heterozygotes also had extrapyramidal signs. All affected subjects showed characteristic features of parkin disease with foot dystonia and an excellent response to levodopa complicated by motor fluctuations and dyskinesia within 3 years of therapy. Careful clinical follow‐up over 10 years showed the phenotype was similar in all the homozygotes with asymmetrical limb bradykinesia and early walking difficulties. Some acceleration of disability was observed in some of the cases as they entered the third decade of illness, but dementia was absent. © 2005 Movement Disorder Society

Url:
DOI: 10.1002/mds.20335


Affiliations:


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Le document en format XML

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<term>Exons (genetics)</term>
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<div type="abstract" xml:lang="en">We report on a large Brazilian kindred with young‐onset parkinsonism due to either a homozygous or heterozygous mutation in parkin. A total of 6 members were affected: 5 were homozygous and 1 heterozygous for a deletion in exon 4. Two other heterozygotes also had extrapyramidal signs. All affected subjects showed characteristic features of parkin disease with foot dystonia and an excellent response to levodopa complicated by motor fluctuations and dyskinesia within 3 years of therapy. Careful clinical follow‐up over 10 years showed the phenotype was similar in all the homozygotes with asymmetrical limb bradykinesia and early walking difficulties. Some acceleration of disability was observed in some of the cases as they entered the third decade of illness, but dementia was absent. © 2005 Movement Disorder Society</div>
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