Movement Disorders (revue)

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Responsiveness to Levodopa in Epsilon-Sarcoglycan Deletions

Identifieur interne : 002E14 ( Main/Merge ); précédent : 002E13; suivant : 002E15

Responsiveness to Levodopa in Epsilon-Sarcoglycan Deletions

Auteurs : Marta San Luciano [États-Unis] ; Laurie Ozelius [États-Unis] ; Katherine Sims [États-Unis] ; Deborah Raymond [États-Unis] ; LIU LIU [États-Unis] ; Rachel Saunders-Pullman [États-Unis]

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RBID : Pascal:09-0136800

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English descriptors

Abstract

Myoclonus-dystonia (M-D) is characterized by early-onset myoclonus and dystonia, and is often due to mutations in the epsilon-sarcoglycan gene (SCGE) at locus 7q21. The pathogenesis of M-D is poorly understood, and in a murine knockout model, dopaminergic hyperactivity has been postulated as a mechanism. We present two unrelated individuals with M-D due to SCGE deletions who displayed a robust and sustained response to levodopa (L-dopa) treatment. In contrast to using dopamine blocking agents suggested by the hyperdopaminergic knockout model, we propose that a trial of L-dopa may be considered in patients with myoclonus-dystonia.

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Pascal:09-0136800

Le document en format XML

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<term>Délétion</term>
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<div type="abstract" xml:lang="en">Myoclonus-dystonia (M-D) is characterized by early-onset myoclonus and dystonia, and is often due to mutations in the epsilon-sarcoglycan gene (SCGE) at locus 7q21. The pathogenesis of M-D is poorly understood, and in a murine knockout model, dopaminergic hyperactivity has been postulated as a mechanism. We present two unrelated individuals with M-D due to SCGE deletions who displayed a robust and sustained response to levodopa (L-dopa) treatment. In contrast to using dopamine blocking agents suggested by the hyperdopaminergic knockout model, we propose that a trial of L-dopa may be considered in patients with myoclonus-dystonia.</div>
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