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Carecchio, M.* ; Picillo, M.* ; Valletta, L.* ; Elia, A.E.* ; Haack, T.B. ; Cozzolino, A.* ; Vitale, A.* ; Garavaglia, B.* ; Iuso, A. ; Bagella, C.F.* ; Pappatà, S.* ; Barone, P.* ; Prokisch, H. ; Romito, L.* ; Tiranti, V.*

Rare causes of early-onset dystonia-parkinsonism with cognitive impairment: A de novo PSEN-1 mutation.

Neurogenetics 18, 175-178 (2017)
DOI PMC
Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
Mutations in PSEN1 are responsible for familial Alzheimer’s disease (FAD) inherited as autosomal dominant trait, but also de novo mutations have been rarely reported in sporadic early-onset dementia cases. Parkinsonism in FAD has been mainly described in advanced disease stages. We characterized a patient presenting with early-onset dystonia-parkinsonism later complicated by dementia and myoclonus. Brain MRI showed signs of iron accumulation in the basal ganglia mimicking neurodegeneration with brain iron accumulation (NBIA) as well as fronto-temporal atrophy. Whole exome sequencing revealed a novel PSEN1 mutation and segregation within the family demonstrated the mutation arose de novo. We suggest considering PSEN1 mutations in cases of dystonia-parkinsonism with positive DAT-Scan, later complicated by progressive cognitive decline and cortical myoclonus even without a dominant family history.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Dystonia ; Nbia ; Ngs ; Parkinsonism ; Psen1; Alzheimer-disease; Presenilin-1 Mutations; Dementia; Phenotype; Family; Gene
ISSN (print) / ISBN 1364-6745
e-ISSN 1364-6753
Zeitschrift Neurogenetics
Quellenangaben Band: 18, Heft: 3, Seiten: 175-178 Artikelnummer: , Supplement: ,
Verlag Springer
Verlagsort New York
Begutachtungsstatus Peer reviewed
Institut(e) Institute of Human Genetics (IHG)