Phenotypic variability of DYT1‐PTD: Does the clinical spectrum include psychogenic dystonia?
Identifieur interne : 004350 ( Main/Exploration ); précédent : 004349; suivant : 004351Phenotypic variability of DYT1‐PTD: Does the clinical spectrum include psychogenic dystonia?
Auteurs : Anna Rita Bentivoglio [Italie] ; Mario Loi [Italie] ; Enza M. Valente [Italie] ; Tamara Ialongo [Italie] ; Pietro Tonali [Italie] ; Alberto Albanese [Italie]Source :
- Movement Disorders [ 0885-3185 ] ; 2002-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Carrier Proteins (genetics), Case study, Chromosomes, Human, Pair 9 (genetics), DYT1, Dystonia, Dystonic Disorders (complications), Dystonic Disorders (genetics), Family study, Female, Genetic Variation, Genetic variability, Human, Humans, Male, Middle Aged, Molecular Chaperones, Pedigree, Phenotype, Primary, Psychogenic, Symptomatology, Torsion, Video recording, Videotape Recording, dystonia, primary torsion dystonia, psychogenic movement disorder.
- MESH :
- chemical , genetics : Carrier Proteins.
- complications : Dystonic Disorders.
- genetics : Chromosomes, Human, Pair 9, Dystonic Disorders.
- Adult, Female, Genetic Variation, Humans, Male, Middle Aged, Molecular Chaperones, Pedigree, Phenotype, Videotape Recording.
Abstract
Primary torsion dystonia (PTD) is a clinically and genetically heterogeneous group of movement disorders, usually inherited in an autosomal dominant manner with reduced (30–40%) penetrance. The DYT1 gene on chromosome 9q34 is responsible for most cases of early limb‐onset PTD. DYT1‐PTD clinical spectrum is broad, as the disease may present with several degrees of body involvement and severity. We identified an Italian family with 4 members definitely affected by PTD, genetically diagnosed as carriers of the GAG mutation at DYT1 gene. Phenotype was homogeneous when considering the presentation at onset (limb involvement and early onset), the disease progression was variable; in the subjects of the last generation, the disease progressed to a severe, generalized PTD; in the remaining 2 subjects, dystonia presented with writer's cramp or upper body segmental dystonia of mild severity. One family member, carrier of the GAG mutation on DYT1 gene and mother of the most severely affected individual, presented with a clinically established psychogenic movement disorder resembling dystonia initially diagnosed as a severe generalized PTD. Psychogenic movement disorders are among the most controversial and challenging diseases to diagnose, in particular when the affected individual belongs to a family with an inherited movement disorder. © 2002 Movement Disorder Society
Url:
DOI: 10.1002/mds.10236
Affiliations:
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Le document en format XML
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<term>Carrier Proteins (genetics)</term>
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<term>DYT1</term>
<term>Dystonia</term>
<term>Dystonic Disorders (complications)</term>
<term>Dystonic Disorders (genetics)</term>
<term>Family study</term>
<term>Female</term>
<term>Genetic Variation</term>
<term>Genetic variability</term>
<term>Human</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Molecular Chaperones</term>
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<term>Phenotype</term>
<term>Primary</term>
<term>Psychogenic</term>
<term>Symptomatology</term>
<term>Torsion</term>
<term>Video recording</term>
<term>Videotape Recording</term>
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<term>primary torsion dystonia</term>
<term>psychogenic movement disorder</term>
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<term>Genetic Variation</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Pedigree</term>
<term>Phenotype</term>
<term>Videotape Recording</term>
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<term>Enregistrement vidéo</term>
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<term>Etude familiale</term>
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<front><div type="abstract" xml:lang="en">Primary torsion dystonia (PTD) is a clinically and genetically heterogeneous group of movement disorders, usually inherited in an autosomal dominant manner with reduced (30–40%) penetrance. The DYT1 gene on chromosome 9q34 is responsible for most cases of early limb‐onset PTD. DYT1‐PTD clinical spectrum is broad, as the disease may present with several degrees of body involvement and severity. We identified an Italian family with 4 members definitely affected by PTD, genetically diagnosed as carriers of the GAG mutation at DYT1 gene. Phenotype was homogeneous when considering the presentation at onset (limb involvement and early onset), the disease progression was variable; in the subjects of the last generation, the disease progressed to a severe, generalized PTD; in the remaining 2 subjects, dystonia presented with writer's cramp or upper body segmental dystonia of mild severity. One family member, carrier of the GAG mutation on DYT1 gene and mother of the most severely affected individual, presented with a clinically established psychogenic movement disorder resembling dystonia initially diagnosed as a severe generalized PTD. Psychogenic movement disorders are among the most controversial and challenging diseases to diagnose, in particular when the affected individual belongs to a family with an inherited movement disorder. © 2002 Movement Disorder Society</div>
</front>
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