Movement Disorders (revue)

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CADASIL presenting with a movement disorder: a clinical study of a Chilean kindred.

Identifieur interne : 001601 ( Ncbi/Checkpoint ); précédent : 001600; suivant : 001602

CADASIL presenting with a movement disorder: a clinical study of a Chilean kindred.

Auteurs : Marcelo Miranda [Chili] ; Martin Dichgans ; Andrea Slachevsky ; Francisco Urbina ; Ismael Mena ; Pablo Venegas ; Marcelo Galvez

Source :

RBID : pubmed:16538621

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English descriptors

Abstract

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a hereditary vascular disease that usually begins with migraine, followed by repeated strokes and progressive dementia. We describe an unusual clinical presentation of this condition in members of a Chilean family with an established NOTCH3 mutation. We report early clinical, neuropsychological, transcranial ultrasound, magnetic resonance imaging (MRI), cerebral blood flow, and skin biopsy findings on these patients. Of the patients, 2 presented with facial dystonia, 1 of whom had abnormal single photon emission computed tomography and transcranial ultrasound studies after normal brain MRI scans. Our report emphasizes that CADASIL must be considered in the study of patients with secondary dystonia.

DOI: 10.1002/mds.20879
PubMed: 16538621


Affiliations:


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pubmed:16538621

Le document en format XML

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<name sortKey="Miranda, Marcelo" sort="Miranda, Marcelo" uniqKey="Miranda M" first="Marcelo" last="Miranda">Marcelo Miranda</name>
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<nlm:affiliation>Department of Neurology, Nuclear Medicine and Dermatology, Clinica Las Condes and Universidad de Chile, Santiago, Chile. marcelomiranda@terra.cl</nlm:affiliation>
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<name sortKey="Urbina, Francisco" sort="Urbina, Francisco" uniqKey="Urbina F" first="Francisco" last="Urbina">Francisco Urbina</name>
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<name sortKey="Mena, Ismael" sort="Mena, Ismael" uniqKey="Mena I" first="Ismael" last="Mena">Ismael Mena</name>
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<name sortKey="Slachevsky, Andrea" sort="Slachevsky, Andrea" uniqKey="Slachevsky A" first="Andrea" last="Slachevsky">Andrea Slachevsky</name>
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<name sortKey="Urbina, Francisco" sort="Urbina, Francisco" uniqKey="Urbina F" first="Francisco" last="Urbina">Francisco Urbina</name>
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<name sortKey="Mena, Ismael" sort="Mena, Ismael" uniqKey="Mena I" first="Ismael" last="Mena">Ismael Mena</name>
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<name sortKey="Venegas, Pablo" sort="Venegas, Pablo" uniqKey="Venegas P" first="Pablo" last="Venegas">Pablo Venegas</name>
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<name sortKey="Galvez, Marcelo" sort="Galvez, Marcelo" uniqKey="Galvez M" first="Marcelo" last="Galvez">Marcelo Galvez</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Biopsy</term>
<term>Brain (pathology)</term>
<term>Brain Ischemia (diagnosis)</term>
<term>Brain Ischemia (genetics)</term>
<term>CADASIL (diagnosis)</term>
<term>CADASIL (genetics)</term>
<term>Cerebral Ventricles (pathology)</term>
<term>Chile</term>
<term>DNA Mutational Analysis</term>
<term>Dementia (diagnosis)</term>
<term>Dementia (genetics)</term>
<term>Diagnosis, Differential</term>
<term>Diagnostic Imaging</term>
<term>Disease Progression</term>
<term>Endothelium, Vascular (pathology)</term>
<term>Exons</term>
<term>Facial Muscles</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Gyrus Cinguli (pathology)</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Imaging, Three-Dimensional</term>
<term>Male</term>
<term>Meige Syndrome (diagnosis)</term>
<term>Meige Syndrome (genetics)</term>
<term>Microcirculation (pathology)</term>
<term>Microscopy, Electron, Transmission</term>
<term>Neuropsychological Tests</term>
<term>Pedigree</term>
<term>Receptors, Notch (genetics)</term>
<term>Skin (blood supply)</term>
<term>Skin (pathology)</term>
<term>Temporal Lobe (pathology)</term>
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<term>Receptors, Notch</term>
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<keywords scheme="MESH" qualifier="blood supply" xml:lang="en">
<term>Skin</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Brain Ischemia</term>
<term>CADASIL</term>
<term>Dementia</term>
<term>Meige Syndrome</term>
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<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Brain Ischemia</term>
<term>CADASIL</term>
<term>Dementia</term>
<term>Meige Syndrome</term>
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<term>Brain</term>
<term>Cerebral Ventricles</term>
<term>Endothelium, Vascular</term>
<term>Gyrus Cinguli</term>
<term>Microcirculation</term>
<term>Skin</term>
<term>Temporal Lobe</term>
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<term>Adult</term>
<term>Aged</term>
<term>Biopsy</term>
<term>DNA Mutational Analysis</term>
<term>Diagnosis, Differential</term>
<term>Diagnostic Imaging</term>
<term>Disease Progression</term>
<term>Exons</term>
<term>Facial Muscles</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Imaging, Three-Dimensional</term>
<term>Male</term>
<term>Microscopy, Electron, Transmission</term>
<term>Neuropsychological Tests</term>
<term>Pedigree</term>
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<front>
<div type="abstract" xml:lang="en">Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a hereditary vascular disease that usually begins with migraine, followed by repeated strokes and progressive dementia. We describe an unusual clinical presentation of this condition in members of a Chilean family with an established NOTCH3 mutation. We report early clinical, neuropsychological, transcranial ultrasound, magnetic resonance imaging (MRI), cerebral blood flow, and skin biopsy findings on these patients. Of the patients, 2 presented with facial dystonia, 1 of whom had abnormal single photon emission computed tomography and transcranial ultrasound studies after normal brain MRI scans. Our report emphasizes that CADASIL must be considered in the study of patients with secondary dystonia.</div>
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<name sortKey="Mena, Ismael" sort="Mena, Ismael" uniqKey="Mena I" first="Ismael" last="Mena">Ismael Mena</name>
<name sortKey="Slachevsky, Andrea" sort="Slachevsky, Andrea" uniqKey="Slachevsky A" first="Andrea" last="Slachevsky">Andrea Slachevsky</name>
<name sortKey="Urbina, Francisco" sort="Urbina, Francisco" uniqKey="Urbina F" first="Francisco" last="Urbina">Francisco Urbina</name>
<name sortKey="Venegas, Pablo" sort="Venegas, Pablo" uniqKey="Venegas P" first="Pablo" last="Venegas">Pablo Venegas</name>
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