Dopa-Responsive Dystonia Presenting as Delayed and Awkward Gait

Autor: Kristina Cusmano-Ozog, Gregory M. Enns, Benjamin N.R. Cheyette, Sarah R. Cheyette
Rok vydání: 2008
Předmět:
Zdroj: Pediatric Neurology. 38:273-275
ISSN: 0887-8994
DOI: 10.1016/j.pediatrneurol.2007.12.005
Popis: Dopa-responsive dystonia is a hereditary disease characterized by inadequate dopamine production. Autosomal-dominant cases result from mutations in the GCH1 gene, encoding guanosine triphosphate (GTP)-cyclohydrolase 1. The most common presenting manifestation is dystonia of a lower extremity, often worsening late in the day. The onset and clinical severity are variable, sometimes even within a single family. Gender effects on allele penetrance have been reported. We present a male toddler with dopa-responsive dystonia caused by an autosomal-dominant GCH1 mutation. Three other family members were also found to carry the mutation, with widely different functional consequences.
Databáze: OpenAIRE