Movement Disorders (revue)

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The Spectrum of Movement Disorders in Glut-1 Deficiency

Identifieur interne : 000C33 ( PascalFrancis/Corpus ); précédent : 000C32; suivant : 000C34

The Spectrum of Movement Disorders in Glut-1 Deficiency

Auteurs : Roser Pons ; Abbie Collins ; Michael Rotstein ; Kristin Engelstad ; Darryl C. De Vivo

Source :

RBID : Pascal:10-0161569

Descripteurs français

English descriptors

Abstract

To assess the spectrum of movement disorders, we reviewed video recordings and charts of 57 patients with Glut-1 deficiency. Eighty-nine percent of patients with Glut-1 deficiency syndrome had a disturbance of gait. The most frequent gait abnormalities were ataxic-spastic and ataxic. Action limb dystonia was observed in 86% of cases and mild chorea in 75%. Cerebellar action tremor was seen in 70% of patients, myoclonus in 16%, and dyspraxia in 21%. Nonepileptic paroxysmal events occurred in 28% of patients, and included episodes of ataxia, weakness, Parkinsonism and nonkinesogenic dyskinesias. The 40 patients (70%) who were on the ketogenic diet had less severe gait disturbances but more dystonia, chorea, tremor, myoclonus, dyspraxia, and paroxysmal events compared with the 17 patients on a conventional diet. Poor dietary compliance and low ketonuria appear to trigger the paroxysmal events in some patients. Gait disturbances and movement disorders are frequent in patients with Glut-1 deficiency and are signs of chronic and intermittent pyramidal, cerebellar and extrapyramidal circuit dysfunction. These clinical symptoms reflect chronic nutrient deficiency during brain development and may be mitigated by chronic ketosis.

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A03   1    @0 Mov. disord.
A05       @2 25
A06       @2 3
A08 01  1  ENG  @1 The Spectrum of Movement Disorders in Glut-1 Deficiency
A11 01  1    @1 PONS (Roser)
A11 02  1    @1 COLLINS (Abbie)
A11 03  1    @1 ROTSTEIN (Michael)
A11 04  1    @1 ENGELSTAD (Kristin)
A11 05  1    @1 DE VIVO (Darryl C.)
A14 01      @1 Agia Sofia Hospital, First Department of Pediatrics, University of Athens @2 Athens @3 GRC @Z 1 aut.
A14 02      @1 Department of Pediatrics, Section of Child Neurology, University of Colorado @2 Denver, Colorado @3 USA @Z 2 aut.
A14 03      @1 Colleen Giblin Laboratories for Pediatric Neurology Research, Columbia University @2 New York, New York @3 USA @Z 3 aut. @Z 4 aut. @Z 5 aut.
A20       @1 275-281
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000181820230040
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 20 ref.
A47 01  1    @0 10-0161569
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
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C01 01    ENG  @0 To assess the spectrum of movement disorders, we reviewed video recordings and charts of 57 patients with Glut-1 deficiency. Eighty-nine percent of patients with Glut-1 deficiency syndrome had a disturbance of gait. The most frequent gait abnormalities were ataxic-spastic and ataxic. Action limb dystonia was observed in 86% of cases and mild chorea in 75%. Cerebellar action tremor was seen in 70% of patients, myoclonus in 16%, and dyspraxia in 21%. Nonepileptic paroxysmal events occurred in 28% of patients, and included episodes of ataxia, weakness, Parkinsonism and nonkinesogenic dyskinesias. The 40 patients (70%) who were on the ketogenic diet had less severe gait disturbances but more dystonia, chorea, tremor, myoclonus, dyspraxia, and paroxysmal events compared with the 17 patients on a conventional diet. Poor dietary compliance and low ketonuria appear to trigger the paroxysmal events in some patients. Gait disturbances and movement disorders are frequent in patients with Glut-1 deficiency and are signs of chronic and intermittent pyramidal, cerebellar and extrapyramidal circuit dysfunction. These clinical symptoms reflect chronic nutrient deficiency during brain development and may be mitigated by chronic ketosis.
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C02 02  X    @0 002B17H
C03 01  X  FRE  @0 Déficit @5 01
C03 01  X  ENG  @0 Deficiency @5 01
C03 01  X  SPA  @0 Déficiencia @5 01
C03 02  X  FRE  @0 Dystonie @5 02
C03 02  X  ENG  @0 Dystonia @5 02
C03 02  X  SPA  @0 Distonía @5 02
C03 03  X  FRE  @0 Ataxie @5 03
C03 03  X  ENG  @0 Ataxia @5 03
C03 03  X  SPA  @0 Ataxia @5 03
C03 04  X  FRE  @0 Hypertonie spastique @5 04
C03 04  X  ENG  @0 Spasticity @5 04
C03 04  X  SPA  @0 Hipertonia espástica @5 04
C03 05  X  FRE  @0 Pathologie du système nerveux @5 05
C03 05  X  ENG  @0 Nervous system diseases @5 05
C03 05  X  SPA  @0 Sistema nervioso patología @5 05
C03 06  X  FRE  @0 Glucose @2 NK @5 09
C03 06  X  ENG  @0 Glucose @2 NK @5 09
C03 06  X  SPA  @0 Glucosa @2 NK @5 09
C07 01  X  FRE  @0 Syndrome extrapyramidal @5 37
C07 01  X  ENG  @0 Extrapyramidal syndrome @5 37
C07 01  X  SPA  @0 Extrapiramidal síndrome @5 37
C07 02  X  FRE  @0 Mouvement involontaire @5 38
C07 02  X  ENG  @0 Involuntary movement @5 38
C07 02  X  SPA  @0 Movimiento involuntario @5 38
C07 03  X  FRE  @0 Pathologie du muscle strié @5 39
C07 03  X  ENG  @0 Striated muscle disease @5 39
C07 03  X  SPA  @0 Músculo estriado patología @5 39
C07 04  X  FRE  @0 Trouble neurologique @5 41
C07 04  X  ENG  @0 Neurological disorder @5 41
C07 04  X  SPA  @0 Trastorno neurológico @5 41
C07 05  X  FRE  @0 Pathologie de l'encéphale @5 42
C07 05  X  ENG  @0 Cerebral disorder @5 42
C07 05  X  SPA  @0 Encéfalo patología @5 42
C07 06  X  FRE  @0 Pathologie du système nerveux central @5 43
C07 06  X  ENG  @0 Central nervous system disease @5 43
C07 06  X  SPA  @0 Sistema nervosio central patología @5 43
C07 07  X  FRE  @0 Trouble du tonus @5 44
C07 07  X  ENG  @0 Muscle tonus alteration @5 44
C07 07  X  SPA  @0 Trastorno tono muscular @5 44
N21       @1 102
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 10-0161569 INIST
ET : The Spectrum of Movement Disorders in Glut-1 Deficiency
AU : PONS (Roser); COLLINS (Abbie); ROTSTEIN (Michael); ENGELSTAD (Kristin); DE VIVO (Darryl C.)
AF : Agia Sofia Hospital, First Department of Pediatrics, University of Athens/Athens/Grèce (1 aut.); Department of Pediatrics, Section of Child Neurology, University of Colorado/Denver, Colorado/Etats-Unis (2 aut.); Colleen Giblin Laboratories for Pediatric Neurology Research, Columbia University/New York, New York/Etats-Unis (3 aut., 4 aut., 5 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 3; Pp. 275-281; Bibl. 20 ref.
LA : Anglais
EA : To assess the spectrum of movement disorders, we reviewed video recordings and charts of 57 patients with Glut-1 deficiency. Eighty-nine percent of patients with Glut-1 deficiency syndrome had a disturbance of gait. The most frequent gait abnormalities were ataxic-spastic and ataxic. Action limb dystonia was observed in 86% of cases and mild chorea in 75%. Cerebellar action tremor was seen in 70% of patients, myoclonus in 16%, and dyspraxia in 21%. Nonepileptic paroxysmal events occurred in 28% of patients, and included episodes of ataxia, weakness, Parkinsonism and nonkinesogenic dyskinesias. The 40 patients (70%) who were on the ketogenic diet had less severe gait disturbances but more dystonia, chorea, tremor, myoclonus, dyspraxia, and paroxysmal events compared with the 17 patients on a conventional diet. Poor dietary compliance and low ketonuria appear to trigger the paroxysmal events in some patients. Gait disturbances and movement disorders are frequent in patients with Glut-1 deficiency and are signs of chronic and intermittent pyramidal, cerebellar and extrapyramidal circuit dysfunction. These clinical symptoms reflect chronic nutrient deficiency during brain development and may be mitigated by chronic ketosis.
CC : 002B17; 002B17H
FD : Déficit; Dystonie; Ataxie; Hypertonie spastique; Pathologie du système nerveux; Glucose
FG : Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Pathologie de l'encéphale; Pathologie du système nerveux central; Trouble du tonus
ED : Deficiency; Dystonia; Ataxia; Spasticity; Nervous system diseases; Glucose
EG : Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Cerebral disorder; Central nervous system disease; Muscle tonus alteration
SD : Déficiencia; Distonía; Ataxia; Hipertonia espástica; Sistema nervioso patología; Glucosa
LO : INIST-20953.354000181820230040
ID : 10-0161569

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Pascal:10-0161569

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<s0>Extrapyramidal syndrome</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie du muscle strié</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Striated muscle disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Músculo estriado patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Trouble du tonus</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Muscle tonus alteration</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Trastorno tono muscular</s0>
<s5>44</s5>
</fC07>
<fN21>
<s1>102</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
<server>
<NO>PASCAL 10-0161569 INIST</NO>
<ET>The Spectrum of Movement Disorders in Glut-1 Deficiency</ET>
<AU>PONS (Roser); COLLINS (Abbie); ROTSTEIN (Michael); ENGELSTAD (Kristin); DE VIVO (Darryl C.)</AU>
<AF>Agia Sofia Hospital, First Department of Pediatrics, University of Athens/Athens/Grèce (1 aut.); Department of Pediatrics, Section of Child Neurology, University of Colorado/Denver, Colorado/Etats-Unis (2 aut.); Colleen Giblin Laboratories for Pediatric Neurology Research, Columbia University/New York, New York/Etats-Unis (3 aut., 4 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 3; Pp. 275-281; Bibl. 20 ref.</SO>
<LA>Anglais</LA>
<EA>To assess the spectrum of movement disorders, we reviewed video recordings and charts of 57 patients with Glut-1 deficiency. Eighty-nine percent of patients with Glut-1 deficiency syndrome had a disturbance of gait. The most frequent gait abnormalities were ataxic-spastic and ataxic. Action limb dystonia was observed in 86% of cases and mild chorea in 75%. Cerebellar action tremor was seen in 70% of patients, myoclonus in 16%, and dyspraxia in 21%. Nonepileptic paroxysmal events occurred in 28% of patients, and included episodes of ataxia, weakness, Parkinsonism and nonkinesogenic dyskinesias. The 40 patients (70%) who were on the ketogenic diet had less severe gait disturbances but more dystonia, chorea, tremor, myoclonus, dyspraxia, and paroxysmal events compared with the 17 patients on a conventional diet. Poor dietary compliance and low ketonuria appear to trigger the paroxysmal events in some patients. Gait disturbances and movement disorders are frequent in patients with Glut-1 deficiency and are signs of chronic and intermittent pyramidal, cerebellar and extrapyramidal circuit dysfunction. These clinical symptoms reflect chronic nutrient deficiency during brain development and may be mitigated by chronic ketosis.</EA>
<CC>002B17; 002B17H</CC>
<FD>Déficit; Dystonie; Ataxie; Hypertonie spastique; Pathologie du système nerveux; Glucose</FD>
<FG>Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Pathologie de l'encéphale; Pathologie du système nerveux central; Trouble du tonus</FG>
<ED>Deficiency; Dystonia; Ataxia; Spasticity; Nervous system diseases; Glucose</ED>
<EG>Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Cerebral disorder; Central nervous system disease; Muscle tonus alteration</EG>
<SD>Déficiencia; Distonía; Ataxia; Hipertonia espástica; Sistema nervioso patología; Glucosa</SD>
<LO>INIST-20953.354000181820230040</LO>
<ID>10-0161569</ID>
</server>
</inist>
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