Monfrini, E.* ; Avanzino, L.* ; Palermo, G.* ; Bonato, G.* ; Brescia, G.* ; Ceravolo, R.* ; Cantarella, G.* ; Mandich, P.* ; Prokisch, H. ; Storm van's Gravesande, K.* ; Straccia, G.* ; Elia, A.E.* ; Reale, C.* ; Panteghini, C.* ; Zorzi, G.* ; Eleopra, R.* ; Erro, R.* ; Carecchio, M.* ; Garavaglia, B.* ; Zech, M. ; Romito, L.* ; Di Fonzo, A.*
Dominant VPS16 pathogenic variants: Not only isolated dystonia.
Mov. Disord. Clin. Pract. 11, 87-93 (2023)
Background: VPS16 pathogenic variants have been recently associated with inherited dystonia. Most patients affected by dominant VPS16-related disease display early-onset isolated dystonia with prominent oromandibular, bulbar, cervical, and upper limb involvement, followed by slowly progressive generalization. Cases: We describe six newly reported dystonic patients carrying VPS16 mutations displaying unusual phenotypic features in addition to dystonia, such as myoclonus, choreoathetosis, pharyngospasm and freezing of gait. Response to bilateral Globus Pallidus Internus Deep Brain Stimulation (GPi-DBS) is reported in three of them, associated with significant improvement of dystonia but only minor effect on other hyperkinetic movements. Moreover, five novel pathogenic/likely pathogenic variants are described. Conclusions: This case collection expands the genetic and clinical spectrum of VPS16-related disease, prompting movement disorder specialists to suspect mutations of this gene not only in patients with isolated dystonia.
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Publication type
Article: Journal article
Document type
Scientific Article
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Editors
Keywords
Choreoathetosis ; Freezing ; Gpi-dbs ; Hopsands ; Myoclonus ; Pharyngeal Spasm
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Language
english
Publication Year
2023
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0
HGF-reported in Year
2023
ISSN (print) / ISBN
2330-1619
e-ISSN
2330-1619
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Volume: 11,
Issue: 1,
Pages: 87-93
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Wiley
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New York, NY
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Peer reviewed
POF-Topic(s)
30205 - Bioengineering and Digital Health
Research field(s)
Genetics and Epidemiology
PSP Element(s)
G-503292-001
G-503200-001
Grants
German Federal Ministry of Education and Research
Copyright
Erfassungsdatum
2023-12-18