Mitochondrial complex I NUBPL mutations cause combined dystonia with bilateral striatal necrosis and cerebellar atrophy

Background and purpose The recent advances in genetics have helped to unravel the cause of many dystonia syndromes. With the broadening spectrum of genetically defined dystonia syndromes, distinct clinico-radiological phenotypes are a welcome handle to guide the diagnostic work-up. Methods Exome seq...

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Hauptverfasser: Balint, Bettina (VerfasserIn) , Charlesworth, G. (VerfasserIn) , Stamelou, M. (VerfasserIn) , Carr, L. (VerfasserIn) , Mencacci, N. E. (VerfasserIn) , Wood, N. W. (VerfasserIn) , Bhatia, K. P. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 21 March 2019
In: European journal of neurology
Year: 2019, Jahrgang: 26, Heft: 9, Pages: 1240-1243
ISSN:1468-1331
DOI:10.1111/ene.13956
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/ene.13956
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/ene.13956
Volltext
Verfasserangaben:B. Balint, G. Charlesworth, M. Stamelou, L. Carr, N.E. Mencacci, N.W. Wood and K.P. Bhatia

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520 |a Background and purpose The recent advances in genetics have helped to unravel the cause of many dystonia syndromes. With the broadening spectrum of genetically defined dystonia syndromes, distinct clinico-radiological phenotypes are a welcome handle to guide the diagnostic work-up. Methods Exome sequencing was used to elucidate the genetic cause of a syndrome characterized by generalized dystonia, pyramidal and cerebellar involvement, with bilateral striatal necrosis (BSN) and cerebellar atrophy on magnetic resonance imaging. Homozygosity mapping and linkage analysis were used in a supportive role. Known genetic causes of BSN were excluded by use of exome data or Sanger sequencing. Results Compound heterozygous mutations were identified in the NUBPL gene in a small UK kindred. The gene lay in a region of positive linkage and segregated with disease in a family of six individuals. Conclusion NUBPL mutations cause early onset, autosomal recessive generalized dystonia with cerebellar ataxia, pyramidal signs, preserved cognition and a distinct magnetic resonance imaging appearance with BSN and cerebellar atrophy. 
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700 1 |a Bhatia, K. P.  |e VerfasserIn  |4 aut 
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