2021
DOI: 10.14802/jmd.20159
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Dystonia Responsive to Dopamine: POLG Mutations Should Be Considered If Sensory Neuropathy Is Present

Abstract: The POLG gene encodes mitochondrial DNA polymerase, and mutations in this gene cause a spectrum of disorders related to mitochondrial DNA depletion or deletion. Dystonia has only rarely been reported as an early and prominent manifestation of POLG mutations. We report a case of a 30-year-old male presenting with lower limb dystonia with peripheral neuropathy and demonstrate that the dystonia was levodopa responsive (with video findings). Whole-genome sequencing rev… Show more

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Cited by 8 publications
(3 citation statements)
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“…Pain–pressure thresholds are halved in idiopathic cervical dystonia, with a diurnal increase in pain intensity that reaches a plateau in the evening [ 10 ]. Furthermore, alterations in descending modulation [ 11 ] and axonal sensory polyneuropathies [ 12 , 13 ] can occur. Botulinum toxin (BoNT)—used in the preventative treatment of chronic migraines as a novel monoclonal antibody directed towards the calcitonin gene-related peptide (CGRP) or its receptor [ 14 ]—can offer relief [ 15 ] from dystonia-related pain.…”
Section: Dystonia and Painmentioning
confidence: 99%
“…Pain–pressure thresholds are halved in idiopathic cervical dystonia, with a diurnal increase in pain intensity that reaches a plateau in the evening [ 10 ]. Furthermore, alterations in descending modulation [ 11 ] and axonal sensory polyneuropathies [ 12 , 13 ] can occur. Botulinum toxin (BoNT)—used in the preventative treatment of chronic migraines as a novel monoclonal antibody directed towards the calcitonin gene-related peptide (CGRP) or its receptor [ 14 ]—can offer relief [ 15 ] from dystonia-related pain.…”
Section: Dystonia and Painmentioning
confidence: 99%
“…Se ha propuesto que variantes en el gen POLG (15q26.1) estarían relacionadas con DRD (37). Este gen comprende 23 exones y 18.5 Kb, codifica la enzima ADN polimerasa subunidad gamma-1, implicada en la replicación mitocondrial(34).…”
Section: Rev Neuropsiquiatr 2022; 85(1): 38-54unclassified
“…Pain in dystonic patients is not only musculoskeletal, but an alteration of the descending modulation is involved [ 25 ]. Moreover, cases of axonal sensory polyneuropathies concurrent with dystonia have been described [ 26 , 27 ]. Botulinum toxin (BoNT) finds application to confer clinical improvement in dystonia due to reduced connectivity with [ 28 ] and also to relieve pain [ 29 ], as in migraine.…”
Section: Introductionmentioning
confidence: 99%