Movement Disorders (revue)

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Clinical Spectrum of Kufor-Rakeb Syndrome in the Chilean Kindred with ATP13A2 Mutations

Identifieur interne : 000924 ( PascalFrancis/Corpus ); précédent : 000923; suivant : 000925

Clinical Spectrum of Kufor-Rakeb Syndrome in the Chilean Kindred with ATP13A2 Mutations

Auteurs : Maria I. Behrens ; Norbert Brüggemann ; Pedro Chana ; Pablo Venegas ; Marianne K Gi ; Teresa Parrao ; Patricia Orellana ; Cristian Garrido ; Cecilia V. Rojas ; Jan Hauke ; Eric Hahnen ; Rafael Gonzalez ; Nicolas Seleme ; Ver Nica Fernandez ; Alexander Schmidt ; Ferdinand Binkofski ; Detlef Kömpf ; Christian Kubisch ; Johann Hagenah ; Christine Klein ; Alfredo Ramirez

Source :

RBID : Pascal:10-0446305

Descripteurs français

English descriptors

Abstract

We report the clinical features of the original Chilean family with Kufor-Rakeb syndrome (KRS) that led to the discovery of the ATP13A2 gene at the PARK9 locus. KRS is a rare juvenile-onset autosomal recessive disease characterized by progressive Parkinsonism, pyramidal signs, and cognitive decline in addition to vertical gaze palsy and facial-faucial-finger minimyoclonus. Neurological and neuropsychological examination during a 10-year period, videotaping, nemoimaging, and measurement of DNA methylation of the ATP13A2 promoter region were performed. The youngest 5 of 17 children of nonconsanguineous parents, carrying compound-heterozygous ATP13A2 mutations, had normal development until ages ˜10 to 12 years, when school performance deteriorated and slowness, rigidity, and frequent falls developed. Examination revealed bradykinesia, subtle postural/ action tremor, cogwheel rigidity, spasticity, upward gaze palsy, smooth pursuit with saccadic intrusions, and dementia. Additional signs included facial-faucial-finger minimyoclonus, absent postural reflexes, visual/auditory hallucinations, and insomnia. Levodopa response could not be fully judged in this family. T2* magnetic resonance imaging sequences revealed marked diffuse hypointensity of the caudate (head and body) and lenticular nucleus bilaterally. Disease progression was slow including epilepsy, cachexia, and anarthria. Four affected members died after 28.5 ± 5.5 (mean ± SD) years of disease. Two heterozygous carriers, the mother and eldest sibling, showed jerky perioral muscle contractions and clumsiness of hand movements. There was no significant correlation between DNA methylation of the ATP13A2 promoter region and disease progression. The marked caudate and lenticular nucleus T2*-hypointensity suggests that KRS might belong to the family of neurodegenerative diseases associated with brain iron accumulation.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 25
A06       @2 12
A08 01  1  ENG  @1 Clinical Spectrum of Kufor-Rakeb Syndrome in the Chilean Kindred with ATP13A2 Mutations
A11 01  1    @1 BEHRENS (Maria I.)
A11 02  1    @1 BRÜGGEMANN (Norbert)
A11 03  1    @1 CHANA (Pedro)
A11 04  1    @1 VENEGAS (Pablo)
A11 05  1    @1 KÄGI (Marianne)
A11 06  1    @1 PARRAO (Teresa)
A11 07  1    @1 ORELLANA (Patricia)
A11 08  1    @1 GARRIDO (Cristian)
A11 09  1    @1 ROJAS (Cecilia V.)
A11 10  1    @1 HAUKE (Jan)
A11 11  1    @1 HAHNEN (Eric)
A11 12  1    @1 GONZALEZ (Rafael)
A11 13  1    @1 SELEME (Nicolas)
A11 14  1    @1 FERNANDEZ (Verónica)
A11 15  1    @1 SCHMIDT (Alexander)
A11 16  1    @1 BINKOFSKI (Ferdinand)
A11 17  1    @1 KÖMPF (Detlef)
A11 18  1    @1 KUBISCH (Christian)
A11 19  1    @1 HAGENAH (Johann)
A11 20  1    @1 KLEIN (Christine)
A11 21  1    @1 RAMIREZ (Alfredo)
A14 01      @1 Departamento de Neurología y Neurocirugía, Hospital Clínico Universidad de Chile @2 Santiago @3 CHL @Z 1 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 12 aut.
A14 02      @1 Clínica Alemana de Santiago @2 Santiago @3 CHL @Z 1 aut. @Z 3 aut. @Z 6 aut.
A14 03      @1 Department of Neurology, University of Luebeck @2 Lübeck @3 DEU @Z 2 aut. @Z 15 aut. @Z 16 aut. @Z 17 aut. @Z 19 aut. @Z 20 aut. @Z 21 aut.
A14 04      @1 Centro de Estudios del Movimiento @2 Santiago @3 CHL @Z 3 aut.
A14 05      @1 Departamento de Radiología, Hospital Clínico Universidad de Chile @2 Santiago @3 CHL @Z 7 aut. @Z 8 aut.
A14 06      @1 Institute Nutrición y Tecnología Alimentos, Universidad de Chile @2 Santiago @3 CHL @Z 9 aut.
A14 07      @1 Institute of Human Genetics, University of Cologne @2 Cologne @3 DEU @Z 10 aut. @Z 11 aut. @Z 18 aut.
A14 08      @1 Departamento de Oftalmología, Hospital Clínico Universidad de Chile @2 Santiago @3 CHL @Z 13 aut.
A14 09      @1 Departamento de Ciencias Neurológicas Oriente, Servicio Neuro-Oftalmología, Universidad de Chile @2 Santiago @3 CHL @Z 14 aut.
A20       @1 1929-1937
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000194841700220
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 24 ref.
A47 01  1    @0 10-0446305
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 We report the clinical features of the original Chilean family with Kufor-Rakeb syndrome (KRS) that led to the discovery of the ATP13A2 gene at the PARK9 locus. KRS is a rare juvenile-onset autosomal recessive disease characterized by progressive Parkinsonism, pyramidal signs, and cognitive decline in addition to vertical gaze palsy and facial-faucial-finger minimyoclonus. Neurological and neuropsychological examination during a 10-year period, videotaping, nemoimaging, and measurement of DNA methylation of the ATP13A2 promoter region were performed. The youngest 5 of 17 children of nonconsanguineous parents, carrying compound-heterozygous ATP13A2 mutations, had normal development until ages ˜10 to 12 years, when school performance deteriorated and slowness, rigidity, and frequent falls developed. Examination revealed bradykinesia, subtle postural/ action tremor, cogwheel rigidity, spasticity, upward gaze palsy, smooth pursuit with saccadic intrusions, and dementia. Additional signs included facial-faucial-finger minimyoclonus, absent postural reflexes, visual/auditory hallucinations, and insomnia. Levodopa response could not be fully judged in this family. T2* magnetic resonance imaging sequences revealed marked diffuse hypointensity of the caudate (head and body) and lenticular nucleus bilaterally. Disease progression was slow including epilepsy, cachexia, and anarthria. Four affected members died after 28.5 ± 5.5 (mean ± SD) years of disease. Two heterozygous carriers, the mother and eldest sibling, showed jerky perioral muscle contractions and clumsiness of hand movements. There was no significant correlation between DNA methylation of the ATP13A2 promoter region and disease progression. The marked caudate and lenticular nucleus T2*-hypointensity suggests that KRS might belong to the family of neurodegenerative diseases associated with brain iron accumulation.
C02 01  X    @0 002B17
C02 02  X    @0 002B17H
C03 01  X  FRE  @0 Parkinsonisme @2 NM @5 01
C03 01  X  ENG  @0 Parkinsonism @2 NM @5 01
C03 01  X  SPA  @0 Parkinson síndrome @2 NM @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Mutation @5 09
C03 03  X  ENG  @0 Mutation @5 09
C03 03  X  SPA  @0 Mutación @5 09
C03 04  X  FRE  @0 Méthylation @5 10
C03 04  X  ENG  @0 Methylation @5 10
C03 04  X  SPA  @0 Metilación @5 10
N21       @1 291
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 10-0446305 INIST
ET : Clinical Spectrum of Kufor-Rakeb Syndrome in the Chilean Kindred with ATP13A2 Mutations
AU : BEHRENS (Maria I.); BRÜGGEMANN (Norbert); CHANA (Pedro); VENEGAS (Pablo); KÄGI (Marianne); PARRAO (Teresa); ORELLANA (Patricia); GARRIDO (Cristian); ROJAS (Cecilia V.); HAUKE (Jan); HAHNEN (Eric); GONZALEZ (Rafael); SELEME (Nicolas); FERNANDEZ (Verónica); SCHMIDT (Alexander); BINKOFSKI (Ferdinand); KÖMPF (Detlef); KUBISCH (Christian); HAGENAH (Johann); KLEIN (Christine); RAMIREZ (Alfredo)
AF : Departamento de Neurología y Neurocirugía, Hospital Clínico Universidad de Chile/Santiago/Chili (1 aut., 4 aut., 5 aut., 6 aut., 12 aut.); Clínica Alemana de Santiago/Santiago/Chili (1 aut., 3 aut., 6 aut.); Department of Neurology, University of Luebeck/Lübeck/Allemagne (2 aut., 15 aut., 16 aut., 17 aut., 19 aut., 20 aut., 21 aut.); Centro de Estudios del Movimiento/Santiago/Chili (3 aut.); Departamento de Radiología, Hospital Clínico Universidad de Chile/Santiago/Chili (7 aut., 8 aut.); Institute Nutrición y Tecnología Alimentos, Universidad de Chile/Santiago/Chili (9 aut.); Institute of Human Genetics, University of Cologne/Cologne/Allemagne (10 aut., 11 aut., 18 aut.); Departamento de Oftalmología, Hospital Clínico Universidad de Chile/Santiago/Chili (13 aut.); Departamento de Ciencias Neurológicas Oriente, Servicio Neuro-Oftalmología, Universidad de Chile/Santiago/Chili (14 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 12; Pp. 1929-1937; Bibl. 24 ref.
LA : Anglais
EA : We report the clinical features of the original Chilean family with Kufor-Rakeb syndrome (KRS) that led to the discovery of the ATP13A2 gene at the PARK9 locus. KRS is a rare juvenile-onset autosomal recessive disease characterized by progressive Parkinsonism, pyramidal signs, and cognitive decline in addition to vertical gaze palsy and facial-faucial-finger minimyoclonus. Neurological and neuropsychological examination during a 10-year period, videotaping, nemoimaging, and measurement of DNA methylation of the ATP13A2 promoter region were performed. The youngest 5 of 17 children of nonconsanguineous parents, carrying compound-heterozygous ATP13A2 mutations, had normal development until ages ˜10 to 12 years, when school performance deteriorated and slowness, rigidity, and frequent falls developed. Examination revealed bradykinesia, subtle postural/ action tremor, cogwheel rigidity, spasticity, upward gaze palsy, smooth pursuit with saccadic intrusions, and dementia. Additional signs included facial-faucial-finger minimyoclonus, absent postural reflexes, visual/auditory hallucinations, and insomnia. Levodopa response could not be fully judged in this family. T2* magnetic resonance imaging sequences revealed marked diffuse hypointensity of the caudate (head and body) and lenticular nucleus bilaterally. Disease progression was slow including epilepsy, cachexia, and anarthria. Four affected members died after 28.5 ± 5.5 (mean ± SD) years of disease. Two heterozygous carriers, the mother and eldest sibling, showed jerky perioral muscle contractions and clumsiness of hand movements. There was no significant correlation between DNA methylation of the ATP13A2 promoter region and disease progression. The marked caudate and lenticular nucleus T2*-hypointensity suggests that KRS might belong to the family of neurodegenerative diseases associated with brain iron accumulation.
CC : 002B17; 002B17H
FD : Parkinsonisme; Pathologie du système nerveux; Mutation; Méthylation
ED : Parkinsonism; Nervous system diseases; Mutation; Methylation
SD : Parkinson síndrome; Sistema nervioso patología; Mutación; Metilación
LO : INIST-20953.354000194841700220
ID : 10-0446305

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Pascal:10-0446305

Le document en format XML

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<name sortKey="Schmidt, Alexander" sort="Schmidt, Alexander" uniqKey="Schmidt A" first="Alexander" last="Schmidt">Alexander Schmidt</name>
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<name sortKey="Binkofski, Ferdinand" sort="Binkofski, Ferdinand" uniqKey="Binkofski F" first="Ferdinand" last="Binkofski">Ferdinand Binkofski</name>
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<name sortKey="Kompf, Detlef" sort="Kompf, Detlef" uniqKey="Kompf D" first="Detlef" last="Kömpf">Detlef Kömpf</name>
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<name sortKey="Kubisch, Christian" sort="Kubisch, Christian" uniqKey="Kubisch C" first="Christian" last="Kubisch">Christian Kubisch</name>
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<name sortKey="Hagenah, Johann" sort="Hagenah, Johann" uniqKey="Hagenah J" first="Johann" last="Hagenah">Johann Hagenah</name>
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<name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name>
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<name sortKey="Ramirez, Alfredo" sort="Ramirez, Alfredo" uniqKey="Ramirez A" first="Alfredo" last="Ramirez">Alfredo Ramirez</name>
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<title xml:lang="en" level="a">Clinical Spectrum of Kufor-Rakeb Syndrome in the Chilean Kindred with ATP13A2 Mutations</title>
<author>
<name sortKey="Behrens, Maria I" sort="Behrens, Maria I" uniqKey="Behrens M" first="Maria I." last="Behrens">Maria I. Behrens</name>
<affiliation>
<inist:fA14 i1="01">
<s1>Departamento de Neurología y Neurocirugía, Hospital Clínico Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>1 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>12 aut.</sZ>
</inist:fA14>
</affiliation>
<affiliation>
<inist:fA14 i1="02">
<s1>Clínica Alemana de Santiago</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Bruggemann, Norbert" sort="Bruggemann, Norbert" uniqKey="Bruggemann N" first="Norbert" last="Brüggemann">Norbert Brüggemann</name>
<affiliation>
<inist:fA14 i1="03">
<s1>Department of Neurology, University of Luebeck</s1>
<s2>Lübeck</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
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<sZ>16 aut.</sZ>
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<sZ>21 aut.</sZ>
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</author>
<author>
<name sortKey="Chana, Pedro" sort="Chana, Pedro" uniqKey="Chana P" first="Pedro" last="Chana">Pedro Chana</name>
<affiliation>
<inist:fA14 i1="02">
<s1>Clínica Alemana de Santiago</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
</affiliation>
<affiliation>
<inist:fA14 i1="04">
<s1>Centro de Estudios del Movimiento</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Venegas, Pablo" sort="Venegas, Pablo" uniqKey="Venegas P" first="Pablo" last="Venegas">Pablo Venegas</name>
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<inist:fA14 i1="01">
<s1>Departamento de Neurología y Neurocirugía, Hospital Clínico Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>1 aut.</sZ>
<sZ>4 aut.</sZ>
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</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="K Gi, Marianne" sort="K Gi, Marianne" uniqKey="K Gi M" first="Marianne" last="K Gi">Marianne K Gi</name>
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<s1>Departamento de Neurología y Neurocirugía, Hospital Clínico Universidad de Chile</s1>
<s2>Santiago</s2>
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<sZ>1 aut.</sZ>
<sZ>4 aut.</sZ>
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</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Parrao, Teresa" sort="Parrao, Teresa" uniqKey="Parrao T" first="Teresa" last="Parrao">Teresa Parrao</name>
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<inist:fA14 i1="01">
<s1>Departamento de Neurología y Neurocirugía, Hospital Clínico Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>1 aut.</sZ>
<sZ>4 aut.</sZ>
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<sZ>12 aut.</sZ>
</inist:fA14>
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<affiliation>
<inist:fA14 i1="02">
<s1>Clínica Alemana de Santiago</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Orellana, Patricia" sort="Orellana, Patricia" uniqKey="Orellana P" first="Patricia" last="Orellana">Patricia Orellana</name>
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<inist:fA14 i1="05">
<s1>Departamento de Radiología, Hospital Clínico Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Garrido, Cristian" sort="Garrido, Cristian" uniqKey="Garrido C" first="Cristian" last="Garrido">Cristian Garrido</name>
<affiliation>
<inist:fA14 i1="05">
<s1>Departamento de Radiología, Hospital Clínico Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Rojas, Cecilia V" sort="Rojas, Cecilia V" uniqKey="Rojas C" first="Cecilia V." last="Rojas">Cecilia V. Rojas</name>
<affiliation>
<inist:fA14 i1="06">
<s1>Institute Nutrición y Tecnología Alimentos, Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Hauke, Jan" sort="Hauke, Jan" uniqKey="Hauke J" first="Jan" last="Hauke">Jan Hauke</name>
<affiliation>
<inist:fA14 i1="07">
<s1>Institute of Human Genetics, University of Cologne</s1>
<s2>Cologne</s2>
<s3>DEU</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>18 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Hahnen, Eric" sort="Hahnen, Eric" uniqKey="Hahnen E" first="Eric" last="Hahnen">Eric Hahnen</name>
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<inist:fA14 i1="07">
<s1>Institute of Human Genetics, University of Cologne</s1>
<s2>Cologne</s2>
<s3>DEU</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>18 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Gonzalez, Rafael" sort="Gonzalez, Rafael" uniqKey="Gonzalez R" first="Rafael" last="Gonzalez">Rafael Gonzalez</name>
<affiliation>
<inist:fA14 i1="01">
<s1>Departamento de Neurología y Neurocirugía, Hospital Clínico Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>1 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>12 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Seleme, Nicolas" sort="Seleme, Nicolas" uniqKey="Seleme N" first="Nicolas" last="Seleme">Nicolas Seleme</name>
<affiliation>
<inist:fA14 i1="08">
<s1>Departamento de Oftalmología, Hospital Clínico Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Fernandez, Ver Nica" sort="Fernandez, Ver Nica" uniqKey="Fernandez V" first="Ver Nica" last="Fernandez">Ver Nica Fernandez</name>
<affiliation>
<inist:fA14 i1="09">
<s1>Departamento de Ciencias Neurológicas Oriente, Servicio Neuro-Oftalmología, Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Schmidt, Alexander" sort="Schmidt, Alexander" uniqKey="Schmidt A" first="Alexander" last="Schmidt">Alexander Schmidt</name>
<affiliation>
<inist:fA14 i1="03">
<s1>Department of Neurology, University of Luebeck</s1>
<s2>Lübeck</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 aut.</sZ>
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<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
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</author>
<author>
<name sortKey="Binkofski, Ferdinand" sort="Binkofski, Ferdinand" uniqKey="Binkofski F" first="Ferdinand" last="Binkofski">Ferdinand Binkofski</name>
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<inist:fA14 i1="03">
<s1>Department of Neurology, University of Luebeck</s1>
<s2>Lübeck</s2>
<s3>DEU</s3>
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<sZ>15 aut.</sZ>
<sZ>16 aut.</sZ>
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</author>
<author>
<name sortKey="Kompf, Detlef" sort="Kompf, Detlef" uniqKey="Kompf D" first="Detlef" last="Kömpf">Detlef Kömpf</name>
<affiliation>
<inist:fA14 i1="03">
<s1>Department of Neurology, University of Luebeck</s1>
<s2>Lübeck</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 aut.</sZ>
<sZ>19 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Kubisch, Christian" sort="Kubisch, Christian" uniqKey="Kubisch C" first="Christian" last="Kubisch">Christian Kubisch</name>
<affiliation>
<inist:fA14 i1="07">
<s1>Institute of Human Genetics, University of Cologne</s1>
<s2>Cologne</s2>
<s3>DEU</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>18 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Hagenah, Johann" sort="Hagenah, Johann" uniqKey="Hagenah J" first="Johann" last="Hagenah">Johann Hagenah</name>
<affiliation>
<inist:fA14 i1="03">
<s1>Department of Neurology, University of Luebeck</s1>
<s2>Lübeck</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 aut.</sZ>
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<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
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</affiliation>
</author>
<author>
<name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name>
<affiliation>
<inist:fA14 i1="03">
<s1>Department of Neurology, University of Luebeck</s1>
<s2>Lübeck</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 aut.</sZ>
<sZ>19 aut.</sZ>
<sZ>20 aut.</sZ>
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</author>
<author>
<name sortKey="Ramirez, Alfredo" sort="Ramirez, Alfredo" uniqKey="Ramirez A" first="Alfredo" last="Ramirez">Alfredo Ramirez</name>
<affiliation>
<inist:fA14 i1="03">
<s1>Department of Neurology, University of Luebeck</s1>
<s2>Lübeck</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 aut.</sZ>
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<sZ>20 aut.</sZ>
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</analytic>
<series>
<title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
<imprint>
<date when="2010">2010</date>
</imprint>
</series>
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<title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Methylation</term>
<term>Mutation</term>
<term>Nervous system diseases</term>
<term>Parkinsonism</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Parkinsonisme</term>
<term>Pathologie du système nerveux</term>
<term>Mutation</term>
<term>Méthylation</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">We report the clinical features of the original Chilean family with Kufor-Rakeb syndrome (KRS) that led to the discovery of the ATP13A2 gene at the PARK9 locus. KRS is a rare juvenile-onset autosomal recessive disease characterized by progressive Parkinsonism, pyramidal signs, and cognitive decline in addition to vertical gaze palsy and facial-faucial-finger minimyoclonus. Neurological and neuropsychological examination during a 10-year period, videotaping, nemoimaging, and measurement of DNA methylation of the ATP13A2 promoter region were performed. The youngest 5 of 17 children of nonconsanguineous parents, carrying compound-heterozygous ATP13A2 mutations, had normal development until ages ˜10 to 12 years, when school performance deteriorated and slowness, rigidity, and frequent falls developed. Examination revealed bradykinesia, subtle postural/ action tremor, cogwheel rigidity, spasticity, upward gaze palsy, smooth pursuit with saccadic intrusions, and dementia. Additional signs included facial-faucial-finger minimyoclonus, absent postural reflexes, visual/auditory hallucinations, and insomnia. Levodopa response could not be fully judged in this family. T2
<sup>*</sup>
magnetic resonance imaging sequences revealed marked diffuse hypointensity of the caudate (head and body) and lenticular nucleus bilaterally. Disease progression was slow including epilepsy, cachexia, and anarthria. Four affected members died after 28.5 ± 5.5 (mean ± SD) years of disease. Two heterozygous carriers, the mother and eldest sibling, showed jerky perioral muscle contractions and clumsiness of hand movements. There was no significant correlation between DNA methylation of the ATP13A2 promoter region and disease progression. The marked caudate and lenticular nucleus T2
<sup>*</sup>
-hypointensity suggests that KRS might belong to the family of neurodegenerative diseases associated with brain iron accumulation.</div>
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<s1>RAMIREZ (Alfredo)</s1>
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<s1>Departamento de Neurología y Neurocirugía, Hospital Clínico Universidad de Chile</s1>
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<s1>Clínica Alemana de Santiago</s1>
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<sZ>3 aut.</sZ>
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<s1>Department of Neurology, University of Luebeck</s1>
<s2>Lübeck</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>16 aut.</sZ>
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<s1>Centro de Estudios del Movimiento</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="05">
<s1>Departamento de Radiología, Hospital Clínico Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="06">
<s1>Institute Nutrición y Tecnología Alimentos, Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>9 aut.</sZ>
</fA14>
<fA14 i1="07">
<s1>Institute of Human Genetics, University of Cologne</s1>
<s2>Cologne</s2>
<s3>DEU</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>18 aut.</sZ>
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<s1>Departamento de Oftalmología, Hospital Clínico Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>13 aut.</sZ>
</fA14>
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<s1>Departamento de Ciencias Neurológicas Oriente, Servicio Neuro-Oftalmología, Universidad de Chile</s1>
<s2>Santiago</s2>
<s3>CHL</s3>
<sZ>14 aut.</sZ>
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<s0>We report the clinical features of the original Chilean family with Kufor-Rakeb syndrome (KRS) that led to the discovery of the ATP13A2 gene at the PARK9 locus. KRS is a rare juvenile-onset autosomal recessive disease characterized by progressive Parkinsonism, pyramidal signs, and cognitive decline in addition to vertical gaze palsy and facial-faucial-finger minimyoclonus. Neurological and neuropsychological examination during a 10-year period, videotaping, nemoimaging, and measurement of DNA methylation of the ATP13A2 promoter region were performed. The youngest 5 of 17 children of nonconsanguineous parents, carrying compound-heterozygous ATP13A2 mutations, had normal development until ages ˜10 to 12 years, when school performance deteriorated and slowness, rigidity, and frequent falls developed. Examination revealed bradykinesia, subtle postural/ action tremor, cogwheel rigidity, spasticity, upward gaze palsy, smooth pursuit with saccadic intrusions, and dementia. Additional signs included facial-faucial-finger minimyoclonus, absent postural reflexes, visual/auditory hallucinations, and insomnia. Levodopa response could not be fully judged in this family. T2
<sup>*</sup>
magnetic resonance imaging sequences revealed marked diffuse hypointensity of the caudate (head and body) and lenticular nucleus bilaterally. Disease progression was slow including epilepsy, cachexia, and anarthria. Four affected members died after 28.5 ± 5.5 (mean ± SD) years of disease. Two heterozygous carriers, the mother and eldest sibling, showed jerky perioral muscle contractions and clumsiness of hand movements. There was no significant correlation between DNA methylation of the ATP13A2 promoter region and disease progression. The marked caudate and lenticular nucleus T2
<sup>*</sup>
-hypointensity suggests that KRS might belong to the family of neurodegenerative diseases associated with brain iron accumulation.</s0>
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<ET>Clinical Spectrum of Kufor-Rakeb Syndrome in the Chilean Kindred with ATP13A2 Mutations</ET>
<AU>BEHRENS (Maria I.); BRÜGGEMANN (Norbert); CHANA (Pedro); VENEGAS (Pablo); KÄGI (Marianne); PARRAO (Teresa); ORELLANA (Patricia); GARRIDO (Cristian); ROJAS (Cecilia V.); HAUKE (Jan); HAHNEN (Eric); GONZALEZ (Rafael); SELEME (Nicolas); FERNANDEZ (Verónica); SCHMIDT (Alexander); BINKOFSKI (Ferdinand); KÖMPF (Detlef); KUBISCH (Christian); HAGENAH (Johann); KLEIN (Christine); RAMIREZ (Alfredo)</AU>
<AF>Departamento de Neurología y Neurocirugía, Hospital Clínico Universidad de Chile/Santiago/Chili (1 aut., 4 aut., 5 aut., 6 aut., 12 aut.); Clínica Alemana de Santiago/Santiago/Chili (1 aut., 3 aut., 6 aut.); Department of Neurology, University of Luebeck/Lübeck/Allemagne (2 aut., 15 aut., 16 aut., 17 aut., 19 aut., 20 aut., 21 aut.); Centro de Estudios del Movimiento/Santiago/Chili (3 aut.); Departamento de Radiología, Hospital Clínico Universidad de Chile/Santiago/Chili (7 aut., 8 aut.); Institute Nutrición y Tecnología Alimentos, Universidad de Chile/Santiago/Chili (9 aut.); Institute of Human Genetics, University of Cologne/Cologne/Allemagne (10 aut., 11 aut., 18 aut.); Departamento de Oftalmología, Hospital Clínico Universidad de Chile/Santiago/Chili (13 aut.); Departamento de Ciencias Neurológicas Oriente, Servicio Neuro-Oftalmología, Universidad de Chile/Santiago/Chili (14 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 12; Pp. 1929-1937; Bibl. 24 ref.</SO>
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<EA>We report the clinical features of the original Chilean family with Kufor-Rakeb syndrome (KRS) that led to the discovery of the ATP13A2 gene at the PARK9 locus. KRS is a rare juvenile-onset autosomal recessive disease characterized by progressive Parkinsonism, pyramidal signs, and cognitive decline in addition to vertical gaze palsy and facial-faucial-finger minimyoclonus. Neurological and neuropsychological examination during a 10-year period, videotaping, nemoimaging, and measurement of DNA methylation of the ATP13A2 promoter region were performed. The youngest 5 of 17 children of nonconsanguineous parents, carrying compound-heterozygous ATP13A2 mutations, had normal development until ages ˜10 to 12 years, when school performance deteriorated and slowness, rigidity, and frequent falls developed. Examination revealed bradykinesia, subtle postural/ action tremor, cogwheel rigidity, spasticity, upward gaze palsy, smooth pursuit with saccadic intrusions, and dementia. Additional signs included facial-faucial-finger minimyoclonus, absent postural reflexes, visual/auditory hallucinations, and insomnia. Levodopa response could not be fully judged in this family. T2
<sup>*</sup>
magnetic resonance imaging sequences revealed marked diffuse hypointensity of the caudate (head and body) and lenticular nucleus bilaterally. Disease progression was slow including epilepsy, cachexia, and anarthria. Four affected members died after 28.5 ± 5.5 (mean ± SD) years of disease. Two heterozygous carriers, the mother and eldest sibling, showed jerky perioral muscle contractions and clumsiness of hand movements. There was no significant correlation between DNA methylation of the ATP13A2 promoter region and disease progression. The marked caudate and lenticular nucleus T2
<sup>*</sup>
-hypointensity suggests that KRS might belong to the family of neurodegenerative diseases associated with brain iron accumulation.</EA>
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<FD>Parkinsonisme; Pathologie du système nerveux; Mutation; Méthylation</FD>
<ED>Parkinsonism; Nervous system diseases; Mutation; Methylation</ED>
<SD>Parkinson síndrome; Sistema nervioso patología; Mutación; Metilación</SD>
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