Movement Disorders (revue)

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Adult-onset chorea and mitochondrial cytopathy.

Identifieur interne : 003174 ( PubMed/Curation ); précédent : 003173; suivant : 003175

Adult-onset chorea and mitochondrial cytopathy.

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

Source :

RBID : pubmed:15597339

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.

DOI: 10.1002/mds.20363
PubMed: 15597339

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Le document en format XML

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<term>Chorea (metabolism)</term>
<term>Chorea (pathology)</term>
<term>Cognition Disorders (diagnosis)</term>
<term>DNA Mutational Analysis</term>
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<term>Humans</term>
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<term>Mitochondrial Diseases (metabolism)</term>
<term>Mitochondrial Diseases (pathology)</term>
<term>Muscle Fibers, Fast-Twitch (metabolism)</term>
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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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