2005
DOI: 10.1002/mds.20593
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Dystonia and parkinsonism in GM1 type 3 gangliosidosis

Abstract: GM1 gangliosidosis is due to beta-galactosidase deficiency. Only patients with type 3 disease survive into adulthood and develop movement disorders. Clinical descriptions of this form are rare, particularly in non-Japanese patients. We describe four new patients and systematically analyze all previous reports found by a literature search and contacts with the authors for additional information. Generalized dystonia remained the predominant feature throughout the disease course and was often associated with aki… Show more

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Cited by 91 publications
(66 citation statements)
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“…Patient 20 was homozygous for the c.1313G>A (p.G438E) mutation, previously described at a homozygous level both in Morquio B and in GM1 gangliosidosis type III patients [25, 26]. Our patient shows some features of skeletal dysplasia typical of Morquio syndrome i.e, thoracic deformity and short stature but no ligamentous laxity.…”
Section: Discussionmentioning
confidence: 53%
See 1 more Smart Citation
“…Patient 20 was homozygous for the c.1313G>A (p.G438E) mutation, previously described at a homozygous level both in Morquio B and in GM1 gangliosidosis type III patients [25, 26]. Our patient shows some features of skeletal dysplasia typical of Morquio syndrome i.e, thoracic deformity and short stature but no ligamentous laxity.…”
Section: Discussionmentioning
confidence: 53%
“…The p.K578R mutation, identified in Patient 15, was previously associated with the infantile phenotype [24]. In Patient 20, the p.G438E mutation, previously described in Morquio B patients and type III GM1 gangliosidosis, both at a homozygous level [25, 26], was found. In Patient 1, the new complex allele pR68W/p.R109W, in combination with the known c.442C>T (p.R148C) [27] was found (see Table 3).…”
Section: Resultsmentioning
confidence: 78%
“…An extensive body of literature can be found on the potential involvement of GM1 gangliosides in the pathogenesis of PD [43], through either accelerated αS aggregation in mice having decreased GM1 levels [44], [45] or a decrease in PD-type symptoms upon administration of GM1 [46], [47]. There is also evidence for a connection between Parkinson’s disease and disorders with defective glucocerebroside metabolism like Gaucher’s disease that indirectly affect GM1 levels [48].…”
Section: Discussionmentioning
confidence: 99%
“…Dystonia of the extremities growing worse during the course of the day with normal intellect and a dramatic response to treatment with L -dopa is characteristic of Segawa syndrome,[15] Lysosomal storage disorders that can present with dystonia include Niemann-Pick disease type C,[1617] Gaucher disease type 3, GM2 gangliosidosis[1819] and GM1 gangliosidosis. [2021]…”
Section: Ataxia and Extrapyramidal Movement Disordersmentioning
confidence: 99%