Movement Disorders (revue)

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Clinical Phenotype and Neuroimaging Findings in a French Family with Hereditary Ferritinopathy (FTL498-499InsTC)

Identifieur interne : 001F42 ( PascalFrancis/Curation ); précédent : 001F41; suivant : 001F43

Clinical Phenotype and Neuroimaging Findings in a French Family with Hereditary Ferritinopathy (FTL498-499InsTC)

Auteurs : Fabienne Ory-Magne [France] ; Christine Brefel-Courbon [France] ; Pierre Payoux [France] ; Sabrina Debruxelles [France] ; Igor Sibon [France] ; Cyril Goizet [France] ; Pierre Labauge [France] ; Patrice Menegon [France] ; Emmanuelle Uro-Coste [France] ; Bernardino Ghetti [États-Unis] ; Marie Bernadetle Delisle [France] ; Ruben Vidal [États-Unis] ; Olivier Rascol [France]

Source :

RBID : Pascal:09-0386531

Descripteurs français

English descriptors

Abstract

To describe a family with a hereditary ferritinopathy (HF) due to a mutation in the ferritin light chain gene (FTL498-499InsTC mutation). Case reports of the clinical features, MRI, 18FDG PET, and pathological findings observed in this family with two patients described in more details. Postural tremor (phenotype-1 ) or cerebellar signs (phenotype-2) were the first neurological symptoms detected. Parkinsonian, cerebellar and pyramidal syndromes, abnormal involuntary movements, dementia were observed in both phenotypes at more advanced stages. Beside characteristics T2* hypointense signals suggestive of iron accumulation in the striatum, mesencephalon, and cerebellum, we detected more diffuse changes including cerebellar, cortical and subcortical atrophy, cortical iron deposition, and severe leukoencephalopathy. 18FDG PET showed frontal and cerebellum hypometabolism with more severe frontal defect in patients with cognitive decline. Pathological examination showed ferritin and iron deposition in the liver, kidney, muscle, skin, and in the central nervous system. Members of this family affected by HF due to the FTL498-499InsTC mutation have a specific clinical presentation with initial postural tremor or cerebellar ataxia, followed by pyramidal and extrapyramidal motor syndromes and late severe subcortical dementia.
pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 24
A06       @2 11
A08 01  1  ENG  @1 Clinical Phenotype and Neuroimaging Findings in a French Family with Hereditary Ferritinopathy (FTL498-499InsTC)
A11 01  1    @1 ORY-MAGNE (Fabienne)
A11 02  1    @1 BREFEL-COURBON (Christine)
A11 03  1    @1 PAYOUX (Pierre)
A11 04  1    @1 DEBRUXELLES (Sabrina)
A11 05  1    @1 SIBON (Igor)
A11 06  1    @1 GOIZET (Cyril)
A11 07  1    @1 LABAUGE (Pierre)
A11 08  1    @1 MENEGON (Patrice)
A11 09  1    @1 URO-COSTE (Emmanuelle)
A11 10  1    @1 GHETTI (Bernardino)
A11 11  1    @1 BERNADETLE DELISLE (Marie)
A11 12  1    @1 VIDAL (Ruben)
A11 13  1    @1 RASCOL (Olivier)
A14 01      @1 Department of Neurosciences, University Hospital of Toulouse @2 Toulouse @3 FRA @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 13 aut.
A14 02      @1 Department of Nuclear Medicine, University Hospital of Toulouse @2 Toulouse @3 FRA @Z 3 aut.
A14 03      @1 Department of Neurology, University Hospital of Bordeaux @2 Bordeaux @3 FRA @Z 5 aut. @Z 6 aut.
A14 04      @1 Department of Neurology, University Hospital of Montpellier @2 Montpellier @3 FRA @Z 7 aut.
A14 05      @1 Department of Neuroradiology, University Hospital of Bordeaux @2 Bordeaux @3 FRA @Z 8 aut.
A14 06      @1 Department of Pathology, University Hospital of Toulouse @2 Toulouse @3 FRA @Z 9 aut. @Z 11 aut.
A14 07      @1 Department of Pathology and Laboratory Medicine, Indiana Alzheimer Disease Center, Indiana University School of Medicine @2 Indianapolis, Indiana @3 USA @Z 10 aut. @Z 12 aut.
A14 08      @1 Department of Clinical Pharmacology, Clinical Investigation Center, University Hospital of Toulouse @2 Toulouse @3 FRA @Z 13 aut.
A20       @1 1676-1683
A21       @1 2009
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000171892190170
A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
A45       @0 14 ref.
A47 01  1    @0 09-0386531
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 To describe a family with a hereditary ferritinopathy (HF) due to a mutation in the ferritin light chain gene (FTL498-499InsTC mutation). Case reports of the clinical features, MRI, 18FDG PET, and pathological findings observed in this family with two patients described in more details. Postural tremor (phenotype-1 ) or cerebellar signs (phenotype-2) were the first neurological symptoms detected. Parkinsonian, cerebellar and pyramidal syndromes, abnormal involuntary movements, dementia were observed in both phenotypes at more advanced stages. Beside characteristics T2* hypointense signals suggestive of iron accumulation in the striatum, mesencephalon, and cerebellum, we detected more diffuse changes including cerebellar, cortical and subcortical atrophy, cortical iron deposition, and severe leukoencephalopathy. 18FDG PET showed frontal and cerebellum hypometabolism with more severe frontal defect in patients with cognitive decline. Pathological examination showed ferritin and iron deposition in the liver, kidney, muscle, skin, and in the central nervous system. Members of this family affected by HF due to the FTL498-499InsTC mutation have a specific clinical presentation with initial postural tremor or cerebellar ataxia, followed by pyramidal and extrapyramidal motor syndromes and late severe subcortical dementia.
C02 01  X    @0 002B17
C02 02  X    @0 002B17H
C03 01  X  FRE  @0 Pathologie du système nerveux @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Phénotype @5 09
C03 02  X  ENG  @0 Phenotype @5 09
C03 02  X  SPA  @0 Fenotipo @5 09
C03 03  X  FRE  @0 Français @5 10
C03 03  X  ENG  @0 French @5 10
C03 03  X  SPA  @0 Francés @5 10
C03 04  X  FRE  @0 Fer @2 NC @5 11
C03 04  X  ENG  @0 Iron @2 NC @5 11
C03 04  X  SPA  @0 Hierro @2 NC @5 11
C03 05  X  FRE  @0 Ferritine @5 12
C03 05  X  ENG  @0 Ferritin @5 12
C03 05  X  SPA  @0 Ferritina @5 12
C03 06  X  FRE  @0 Noyau gris central @5 13
C03 06  X  ENG  @0 Basal ganglion @5 13
C03 06  X  SPA  @0 Núcleo basal @5 13
C07 01  X  FRE  @0 Encéphale @5 37
C07 01  X  ENG  @0 Encephalon @5 37
C07 01  X  SPA  @0 Encéfalo @5 37
C07 02  X  FRE  @0 Système nerveux central @5 38
C07 02  X  ENG  @0 Central nervous system @5 38
C07 02  X  SPA  @0 Sistema nervioso central @5 38
N21       @1 278
N44 01      @1 OTO
N82       @1 OTO

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Pascal:09-0386531

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<title xml:lang="en" level="a">Clinical Phenotype and Neuroimaging Findings in a French Family with Hereditary Ferritinopathy (FTL498-499InsTC)</title>
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<div type="abstract" xml:lang="en">To describe a family with a hereditary ferritinopathy (HF) due to a mutation in the ferritin light chain gene (FTL498-499InsTC mutation). Case reports of the clinical features, MRI,
<sup>18</sup>
FDG PET, and pathological findings observed in this family with two patients described in more details. Postural tremor (phenotype-1 ) or cerebellar signs (phenotype-2) were the first neurological symptoms detected. Parkinsonian, cerebellar and pyramidal syndromes, abnormal involuntary movements, dementia were observed in both phenotypes at more advanced stages. Beside characteristics T2
<sup>*</sup>
hypointense signals suggestive of iron accumulation in the striatum, mesencephalon, and cerebellum, we detected more diffuse changes including cerebellar, cortical and subcortical atrophy, cortical iron deposition, and severe leukoencephalopathy.
<sup>18</sup>
FDG PET showed frontal and cerebellum hypometabolism with more severe frontal defect in patients with cognitive decline. Pathological examination showed ferritin and iron deposition in the liver, kidney, muscle, skin, and in the central nervous system. Members of this family affected by HF due to the FTL498-499InsTC mutation have a specific clinical presentation with initial postural tremor or cerebellar ataxia, followed by pyramidal and extrapyramidal motor syndromes and late severe subcortical dementia.</div>
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<s0>To describe a family with a hereditary ferritinopathy (HF) due to a mutation in the ferritin light chain gene (FTL498-499InsTC mutation). Case reports of the clinical features, MRI,
<sup>18</sup>
FDG PET, and pathological findings observed in this family with two patients described in more details. Postural tremor (phenotype-1 ) or cerebellar signs (phenotype-2) were the first neurological symptoms detected. Parkinsonian, cerebellar and pyramidal syndromes, abnormal involuntary movements, dementia were observed in both phenotypes at more advanced stages. Beside characteristics T2
<sup>*</sup>
hypointense signals suggestive of iron accumulation in the striatum, mesencephalon, and cerebellum, we detected more diffuse changes including cerebellar, cortical and subcortical atrophy, cortical iron deposition, and severe leukoencephalopathy.
<sup>18</sup>
FDG PET showed frontal and cerebellum hypometabolism with more severe frontal defect in patients with cognitive decline. Pathological examination showed ferritin and iron deposition in the liver, kidney, muscle, skin, and in the central nervous system. Members of this family affected by HF due to the FTL498-499InsTC mutation have a specific clinical presentation with initial postural tremor or cerebellar ataxia, followed by pyramidal and extrapyramidal motor syndromes and late severe subcortical dementia.</s0>
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