Secondary dystonia and the DYTI gene

Early-onset (

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Veröffentlicht in:Neurology 1997-06, Vol.48 (6), p.1571-1577
Hauptverfasser: Bressman, S B, de Leon, D, Raymond, D, Greene, P E, Brin, M F, Fahn, S, Ozelius, L J, Breakefield, X O, Kramer, P L, Risch, N J
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container_end_page 1577
container_issue 6
container_start_page 1571
container_title Neurology
container_volume 48
creator Bressman, S B
de Leon, D
Raymond, D
Greene, P E
Brin, M F
Fahn, S
Ozelius, L J
Breakefield, X O
Kramer, P L
Risch, N J
description Early-onset (
doi_str_mv 10.1212/WNL.48.6.1571
format Article
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The role of this mutation in individuals with secondary causes for dystonia has never been tested, although environmental insults, such as neuroleptic exposure or perinatal asphyxia, are proposed to precipitate dystonia in genetically predisposed individuals. We assessed 9q34 haplotypes in 40 Ashkenazi patients with secondary dystonia; 25 had early onset of symptoms, including 15 with exposure to neuroleptic medication or perinatal asphyxia. Of the 25 patients with early onset, 9 were considered phenocopies of DYT1 having normal examinations except for dystonia, normal radiographic and other laboratory studies, and onset in a limb or the neck. Only one individual whose dystonia developed in the setting of a measles infection carried the associated haplotype. Our findings indicate that clinical diagnostic criteria that include historical information to detect tardive dystonia and perinatal asphyxia discriminate primary dystonia due to the DYT1 founder mutation. 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The role of this mutation in individuals with secondary causes for dystonia has never been tested, although environmental insults, such as neuroleptic exposure or perinatal asphyxia, are proposed to precipitate dystonia in genetically predisposed individuals. We assessed 9q34 haplotypes in 40 Ashkenazi patients with secondary dystonia; 25 had early onset of symptoms, including 15 with exposure to neuroleptic medication or perinatal asphyxia. Of the 25 patients with early onset, 9 were considered phenocopies of DYT1 having normal examinations except for dystonia, normal radiographic and other laboratory studies, and onset in a limb or the neck. Only one individual whose dystonia developed in the setting of a measles infection carried the associated haplotype. Our findings indicate that clinical diagnostic criteria that include historical information to detect tardive dystonia and perinatal asphyxia discriminate primary dystonia due to the DYT1 founder mutation. 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source MEDLINE; Journals@Ovid Ovid Autoload
subjects Adolescent
Adult
Age of Onset
Aged
Alleles
Biological and medical sciences
Child
Chromosomes, Human, Pair 9
Dystonia - etiology
Dystonia - genetics
Female
Genetic Linkage
Genetic Markers
Haplotypes
Humans
Jews - genetics
Male
Medical sciences
Middle Aged
Mutation - genetics
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Phenotype
title Secondary dystonia and the DYTI gene
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