Movement Disorders (revue)

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Adult-onset chorea and mitochondrial cytopathy

Identifieur interne : 000E19 ( PascalFrancis/Curation ); précédent : 000E18; suivant : 000E20

Adult-onset chorea and mitochondrial cytopathy

Auteurs : Morgane Caer [France] ; Karine Viala [France] ; Richard Levy [France] ; Thierry Maisonobe [France] ; Florence Chochon [France] ; Agnès Lombes [France] ; Yves Agid [France]

Source :

RBID : Pascal:05-0262072

Descripteurs français

English descriptors

Abstract

We report on 2 adult patients presenting with choreic movements as the main clinical feature of mitochondrial cytopathy. One patient exhibited a sensory neuronopathy and ophthalmoplegia. The other had ptosis, a proximal myopathy, and a sensory neuropathy. The diagnosis of mitochondrial cytopathy was established by the presence of ragged red fibers, cytochrome C oxydase-negative fibers, and a defect of the complex IV of the respiratory chain in muscle biopsy. No mutations in mitochondrial DNA were detected. The choreic movements observed in juvenile forms of mitochondrial cytopathy are rarely observed in adults. Although striatal vulnerability is commonly reported in patients with mitochondrial disorders, the mechanism by which the mitochondrial dysfunction leads to chorea is not known.
pA  
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A05       @2 20
A06       @2 4
A08 01  1  ENG  @1 Adult-onset chorea and mitochondrial cytopathy
A11 01  1    @1 CAER (Morgane)
A11 02  1    @1 VIALA (Karine)
A11 03  1    @1 LEVY (Richard)
A11 04  1    @1 MAISONOBE (Thierry)
A11 05  1    @1 CHOCHON (Florence)
A11 06  1    @1 LOMBES (Agnès)
A11 07  1    @1 AGID (Yves)
A14 01      @1 Fédération de Neurologie, Groupe hospitalier de la Pitié- Salpétrière @2 Paris @3 FRA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 5 aut. @Z 7 aut.
A14 02      @1 Laboratoire de Neurophysiologie, Groupe hospitalier de la Pitié-Salpétrière @2 Paris @3 FRA @Z 4 aut.
A14 03      @1 INSERM U523, Groupe hospitalier de la Pitié-Salpétrière @2 Paris @3 FRA @Z 6 aut.
A20       @1 490-492
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000124582390150
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 13 ref.
A47 01  1    @0 05-0262072
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C01 01    ENG  @0 We report on 2 adult patients presenting with choreic movements as the main clinical feature of mitochondrial cytopathy. One patient exhibited a sensory neuronopathy and ophthalmoplegia. The other had ptosis, a proximal myopathy, and a sensory neuropathy. The diagnosis of mitochondrial cytopathy was established by the presence of ragged red fibers, cytochrome C oxydase-negative fibers, and a defect of the complex IV of the respiratory chain in muscle biopsy. No mutations in mitochondrial DNA were detected. The choreic movements observed in juvenile forms of mitochondrial cytopathy are rarely observed in adults. Although striatal vulnerability is commonly reported in patients with mitochondrial disorders, the mechanism by which the mitochondrial dysfunction leads to chorea is not known.
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C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Mitochondrie @5 02
C03 02  X  ENG  @0 Mitochondria @5 02
C03 02  X  SPA  @0 Mitocondria @5 02
C03 03  X  FRE  @0 DNA mitochondrial @5 03
C03 03  X  ENG  @0 Mitochondrial DNA @5 03
C03 03  X  SPA  @0 DNA mitocondrial @5 03
C03 04  X  FRE  @0 Chorée syndrome @5 04
C03 04  X  ENG  @0 Chorea @5 04
C03 04  X  SPA  @0 Corea síndrome @5 04
C07 01  X  FRE  @0 Encéphale pathologie @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Extrapyramidal syndrome @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Mouvement involontaire @5 39
C07 03  X  ENG  @0 Involuntary movement @5 39
C07 03  X  SPA  @0 Movimiento involuntario @5 39
C07 04  X  FRE  @0 Système nerveux central pathologie @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
C07 05  X  FRE  @0 Trouble neurologique @5 41
C07 05  X  ENG  @0 Neurological disorder @5 41
C07 05  X  SPA  @0 Trastorno neurológico @5 41
N21       @1 185
N44 01      @1 OTO
N82       @1 OTO

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Pascal:05-0262072

Le document en format XML

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<div type="abstract" xml:lang="en">We report on 2 adult patients presenting with choreic movements as the main clinical feature of mitochondrial cytopathy. One patient exhibited a sensory neuronopathy and ophthalmoplegia. The other had ptosis, a proximal myopathy, and a sensory neuropathy. The diagnosis of mitochondrial cytopathy was established by the presence of ragged red fibers, cytochrome C oxydase-negative fibers, and a defect of the complex IV of the respiratory chain in muscle biopsy. No mutations in mitochondrial DNA were detected. The choreic movements observed in juvenile forms of mitochondrial cytopathy are rarely observed in adults. Although striatal vulnerability is commonly reported in patients with mitochondrial disorders, the mechanism by which the mitochondrial dysfunction leads to chorea is not known.</div>
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<s5>40</s5>
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<fC07 i1="04" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
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<fC07 i1="05" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>41</s5>
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<fC07 i1="05" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>41</s5>
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<fC07 i1="05" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>41</s5>
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<fN21>
<s1>185</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
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