Movement Disorders (revue)

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Clinical and neuropsychological correlates in two brothers with pantothenate kinase–associated neurodegeneration

Identifieur interne : 005063 ( Main/Merge ); précédent : 005062; suivant : 005064

Clinical and neuropsychological correlates in two brothers with pantothenate kinase–associated neurodegeneration

Auteurs : Cecilia Marelli [Italie] ; Sylvie Piacentini [Italie] ; Barbara Garavaglia [Italie] ; Floriano Girotti [Italie] ; Alberto Albanese [Italie]

Source :

RBID : ISTEX:0BED1052DC854248B5E96E9708D8CF900FC2E768

English descriptors

Abstract

Adult‐onset focal dystonia was the presenting sign of pantothenate kinase‐associated neurodegeneration (PKAN) in a patient with a novel homozygous missense mutation (C856T). His brother shared the same mutation and showed similar, albeit minor, motor signs, but a different behavioral profile. Both brothers had an atypical form of PKAN. The neuropsychological assessment showed that, despite a normal Mini‐Mental State Examination, both patients presented a deficit of executive functions and of attention. The profile of cognitive impairment in these cases was typically that of a subcortical dementia. Both patients fulfilled Diagnostic and Statistical Manual for Mental Disorders criteria for obsessive–compulsive disorder; however, paranoia was associated with depression and aggressive behavior in Patient 1, whereas Patient 2 had hyperactivity, disinhibition, and euphoria. Our findings suggest that these two brothers had a different pattern of involvement of motor and nonmotor basal ganglia–thalamocortical circuits. © 2004 Movement Disorder Society

Url:
DOI: 10.1002/mds.20282

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ISTEX:0BED1052DC854248B5E96E9708D8CF900FC2E768

Le document en format XML

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<front>
<div type="abstract" xml:lang="en">Adult-onset focal dystonia was the presenting sign of pantothenate kinase-associated neurodegeneration (PKAN) in a patient with a novel homozygous missense mutation (C856T). His brother shared the same mutation and showed similar, albeit minor, motor signs, but a different behavioral profile. Both brothers had an atypical form of PKAN. The neuropsychological assessment showed that, despite a normal Mini-Mental State Examination, both patients presented a deficit of executive functions and of attention. The profile of cognitive impairment in these cases was typically that of a subcortical dementia. Both patients fulfilled Diagnostic and Statistical Manual for Mental Disorders criteria for obsessive-compulsive disorder; however, paranoia was associated with depression and aggressive behavior in Patient 1, whereas Patient 2 had hyperactivity, disinhibition, and euphoria. Our findings suggest that these two brothers had a different pattern of involvement of motor and nonmotor basal ganglia-thalamocortical circuits.</div>
</front>
</TEI>
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