Movement Disorders (revue)

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Genetically confirmed Huntington's disease masquerading as motor neuron disease.

Identifieur interne : 002273 ( PubMed/Checkpoint ); précédent : 002272; suivant : 002274

Genetically confirmed Huntington's disease masquerading as motor neuron disease.

Auteurs : Kazuaki Kanai [Japon] ; Satoshi Kuwabara ; Setsu Sawai ; Miho Nakata ; Sonoko Misawa ; Sagiri Isose ; Shigeki Hirano ; Naoki Kawaguchi ; Kaoru Katayama ; Takamichi Hattori

Source :

RBID : pubmed:18186118

English descriptors

Abstract

We describe a patient with Huntington's disease (HD) who showed asymmetrical upper limb amyotrophy as a main manifestation. Chorea and psychiatric symptoms were not prominent. Electromyography revealed generalized active and chronic denervation and fasciculations. A genetic test showed 46 CAG repeats in the huntingtin gene. Asymmetrical amyotrophy restricted to the upper limb has been reported in some patients with progressive chorea and amyotrophy without acanthocytosis, but genetically proven cases of HD have rarely been reported. It is not known why only a few HD patients show the motor neuronal loss; however, certain as-yet-unidentified genetic factors combined with some environment factors and the underlying cellular dysfunctions by polyglutamine aggregation could be responsible for the motor neuronal loss similar to that in amyotrophic lateral sclerosis.

DOI: 10.1002/mds.21937
PubMed: 18186118


Affiliations:


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pubmed:18186118

Le document en format XML

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<name sortKey="Hirano, Shigeki" sort="Hirano, Shigeki" uniqKey="Hirano S" first="Shigeki" last="Hirano">Shigeki Hirano</name>
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<div type="abstract" xml:lang="en">We describe a patient with Huntington's disease (HD) who showed asymmetrical upper limb amyotrophy as a main manifestation. Chorea and psychiatric symptoms were not prominent. Electromyography revealed generalized active and chronic denervation and fasciculations. A genetic test showed 46 CAG repeats in the huntingtin gene. Asymmetrical amyotrophy restricted to the upper limb has been reported in some patients with progressive chorea and amyotrophy without acanthocytosis, but genetically proven cases of HD have rarely been reported. It is not known why only a few HD patients show the motor neuronal loss; however, certain as-yet-unidentified genetic factors combined with some environment factors and the underlying cellular dysfunctions by polyglutamine aggregation could be responsible for the motor neuronal loss similar to that in amyotrophic lateral sclerosis.</div>
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