Alzheimer's disease with spastic paraparesis and 'cotton wool' plaques: two pedigrees with PS-1 exon 9 deletions

Autor: John B.J. Kwok, Peter R. Schofield, A. E. G. Tannenberg, G. Anthony Broe, William S. Brooks, Peter C. Blumbergs, Jillian J. Kril, Phillipa J. Lamont, Philippa Hedges
Rok vydání: 2003
Předmět:
Zdroj: Brain : a journal of neurology. 126(Pt 4)
ISSN: 0006-8950
Popis: Several pedigrees have recently been reported in which dominantly inherited familial Alzheimer's disease is associated in some family members with spastic paraparesis and non-neuritic 'cotton wool' plaques. Here we report clinical, genetic and neuropathological findings in two further large pedigrees in which this combination of phenotypes is associated with a deletion of exon 9 of the presenilin-1 (PS-1) gene caused by mutations at the splice acceptor site. In both pedigrees, individuals with paraparesis at presentation had a later than average age at onset of symptoms. In addition, one subject with paraparesis had a much less prominent dementia syndrome than his dementia-affected siblings. As PS-1 mutations are almost always associated with a particularly aggressive form of presenile dementia, these findings suggest the existence of a protective or delaying factor in individuals with spastic paraparesis.
Databáze: OpenAIRE