Neuronal intranuclear inclusion disease and juvenile Parkinsonism
Identifieur interne : 004A18 ( Main/Exploration ); précédent : 004A17; suivant : 004A19Neuronal intranuclear inclusion disease and juvenile Parkinsonism
Auteurs : John D. O'Sullivan [Royaume-Uni] ; Hasmet A. Hanagasi [Royaume-Uni] ; Susan E. Daniel [Royaume-Uni] ; Phillip Tidswell [Royaume-Uni] ; Stephen W. Davies [Royaume-Uni] ; Andrew Lees (neurologue) [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-09.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adolescent, Age of onset, Brain (metabolism), Brain (pathology), Case study, Cell inclusion, Cell nucleus, Diagnosis, Differential, Differential diagnostic, Fatal Outcome, Humans, Immunohistochemistry, Inclusion Bodies (chemistry), Inclusion Bodies (pathology), Intranuclear inclusion, Juvenile, Juvenile character, Levodopa, Male, Neurodegenerative Diseases (diagnosis), Neurodegenerative Diseases (immunology), Neurodegenerative Diseases (pathology), Neuron, Parkinsonian Disorders (diagnosis), Parkinsonian Disorders (immunology), Parkinsonian Disorders (pathology), Parkinsonism, Ubiquitins (analysis), Ubiquitins (immunology), Videotape Recording.
- MESH :
- chemical , analysis : Ubiquitins.
- chemistry : Inclusion Bodies.
- diagnosis : Neurodegenerative Diseases, Parkinsonian Disorders.
- immunology : Neurodegenerative Diseases, Parkinsonian Disorders, Ubiquitins.
- metabolism : Brain.
- pathology : Brain, Inclusion Bodies, Neurodegenerative Diseases, Parkinsonian Disorders.
- Adolescent, Diagnosis, Differential, Fatal Outcome, Humans, Immunohistochemistry, Male, Videotape Recording.
Abstract
Juvenile parkinsonism (onset age <20 yrs) is uncommon and few cases with neuropathologic confirmation have been reported. We present the case of a 17‐year‐old boy who presented with asymmetric arm tremor and bulbar symptoms. His paternal great aunt had parkinsonism with onset at age 22 years. Examination revealed parkinsonism in the absence of additional neurologic signs except for delayed pupillary responses to light. He responded well to levodopa but developed motor fluctuations and disabling dyskinesias after 3 years of treatment. Following attempted withdrawal of levodopa at age 24 years, he developed severe aspiration pneumonia complicated by cardiorepiratory arrests and he died 6 months later. At autopsy, the dominant histologic feature was widespread neuronal hyaline intranuclear inclusions. Neuronal depletion was observed in the substantia nigra, locus ceruleus, and, to a lesser extent, in the frontal cortex, and inclusions were particularly prominent in these areas. Inclusions were immunoreactive for ubiquitin and were typical of those seen in neuronal intranuclear inclusion disease (NIID), a rare, multisytem neurodegenerative disease. NIID should be considered in the differential diagnosis of juvenile parkinsonism. A link between NIID and hereditary neurodegenerative disorders characterized by expanded polyglutamine tracts is supported by the similar appearance of intranuclear inclusions in both conditions and by a family history in some cases of NIID.
Url:
DOI: 10.1002/1531-8257(200009)15:5<990::AID-MDS1035>3.0.CO;2-I
Affiliations:
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Le document en format XML
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O'Sullivan</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Parkinson's Disease Society Brain Research Centre, Institute of Neurology, University College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Hanagasi, Hasmet A" sort="Hanagasi, Hasmet A" uniqKey="Hanagasi H" first="Hasmet A." last="Hanagasi">Hasmet A. 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Daniel</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Parkinson's Disease Society Brain Research Centre, Institute of Neurology, University College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Tidswell, Phillip" sort="Tidswell, Phillip" uniqKey="Tidswell P" first="Phillip" last="Tidswell">Phillip Tidswell</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Neurology, Royal Preston Hospital</wicri:regionArea><wicri:noRegion>Royal Preston Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Davies, Stephen W" sort="Davies, Stephen W" uniqKey="Davies S" first="Stephen W." last="Davies">Stephen W. Davies</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Anatomy and Developmental Biology, University College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Parkinson's Disease Society Brain Research Centre, Institute of Neurology, University College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName>National Hospital for Neurology and Neurosurgery</orgName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="2000-09">2000-09</date><biblScope unit="vol">15</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="990">990</biblScope><biblScope unit="page" to="995">995</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">239F07DB970EFCD62598483367C8504BBA164306</idno><idno type="DOI">10.1002/1531-8257(200009)15:5<990::AID-MDS1035>3.0.CO;2-I</idno><idno type="ArticleID">MDS1035</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Age of onset</term><term>Brain (metabolism)</term><term>Brain (pathology)</term><term>Case study</term><term>Cell inclusion</term><term>Cell nucleus</term><term>Diagnosis, Differential</term><term>Differential diagnostic</term><term>Fatal Outcome</term><term>Humans</term><term>Immunohistochemistry</term><term>Inclusion Bodies (chemistry)</term><term>Inclusion Bodies (pathology)</term><term>Intranuclear inclusion</term><term>Juvenile</term><term>Juvenile character</term><term>Levodopa</term><term>Male</term><term>Neurodegenerative Diseases (diagnosis)</term><term>Neurodegenerative Diseases (immunology)</term><term>Neurodegenerative Diseases (pathology)</term><term>Neuron</term><term>Parkinsonian Disorders (diagnosis)</term><term>Parkinsonian Disorders (immunology)</term><term>Parkinsonian Disorders (pathology)</term><term>Parkinsonism</term><term>Ubiquitins (analysis)</term><term>Ubiquitins (immunology)</term><term>Videotape Recording</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Ubiquitins</term></keywords><keywords scheme="MESH" qualifier="chemistry" xml:lang="en"><term>Inclusion Bodies</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Neurodegenerative Diseases</term><term>Parkinsonian Disorders</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Neurodegenerative Diseases</term><term>Parkinsonian Disorders</term><term>Ubiquitins</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Brain</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term><term>Inclusion Bodies</term><term>Neurodegenerative Diseases</term><term>Parkinsonian Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Diagnosis, Differential</term><term>Fatal Outcome</term><term>Humans</term><term>Immunohistochemistry</term><term>Male</term><term>Videotape Recording</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Age apparition</term><term>Caractère juvénile</term><term>Diagnostic différentiel</term><term>Etude cas</term><term>Immunohistochimie</term><term>Inclusion cellulaire</term><term>Mâle</term><term>Neurone</term><term>Noyau cellulaire</term><term>Parkinsonisme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Juvenile parkinsonism (onset age <20 yrs) is uncommon and few cases with neuropathologic confirmation have been reported. We present the case of a 17‐year‐old boy who presented with asymmetric arm tremor and bulbar symptoms. His paternal great aunt had parkinsonism with onset at age 22 years. Examination revealed parkinsonism in the absence of additional neurologic signs except for delayed pupillary responses to light. He responded well to levodopa but developed motor fluctuations and disabling dyskinesias after 3 years of treatment. Following attempted withdrawal of levodopa at age 24 years, he developed severe aspiration pneumonia complicated by cardiorepiratory arrests and he died 6 months later. At autopsy, the dominant histologic feature was widespread neuronal hyaline intranuclear inclusions. Neuronal depletion was observed in the substantia nigra, locus ceruleus, and, to a lesser extent, in the frontal cortex, and inclusions were particularly prominent in these areas. Inclusions were immunoreactive for ubiquitin and were typical of those seen in neuronal intranuclear inclusion disease (NIID), a rare, multisytem neurodegenerative disease. NIID should be considered in the differential diagnosis of juvenile parkinsonism. A link between NIID and hereditary neurodegenerative disorders characterized by expanded polyglutamine tracts is supported by the similar appearance of intranuclear inclusions in both conditions and by a family history in some cases of NIID.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>National Hospital for Neurology and Neurosurgery</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="O Sullivan, John D" sort="O Sullivan, John D" uniqKey="O Sullivan J" first="John D." last="O'Sullivan">John D. O'Sullivan</name></region><name sortKey="Daniel, Susan E" sort="Daniel, Susan E" uniqKey="Daniel S" first="Susan E." last="Daniel">Susan E. Daniel</name><name sortKey="Davies, Stephen W" sort="Davies, Stephen W" uniqKey="Davies S" first="Stephen W." last="Davies">Stephen W. Davies</name><name sortKey="Hanagasi, Hasmet A" sort="Hanagasi, Hasmet A" uniqKey="Hanagasi H" first="Hasmet A." last="Hanagasi">Hasmet A. Hanagasi</name><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name><name sortKey="Tidswell, Phillip" sort="Tidswell, Phillip" uniqKey="Tidswell P" first="Phillip" last="Tidswell">Phillip Tidswell</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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