2015
DOI: 10.1016/j.ejmg.2015.06.007
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From splitting GLUT1 deficiency syndromes to overlapping phenotypes

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Cited by 55 publications
(81 citation statements)
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“…The movement disorder is known to appear in teenage years or in early adulthood (Figure 1) but nothing has yet been reported on the various types of paroxysmal movement disorders. 2,19,20 A possible explanation for the limited effects of the ketogenic diet in these kinds of movement disorders is the fundamental difference between glucose and ketones as metabolic fuels. Glucose passes through the glycolytic pathway whereas ketones are converted in the mitochondria directly to acetylCoA, so glycolytic intermediates are affected only by glucose, not ketones.…”
Section: Uncommon Manifestationsmentioning
confidence: 99%
See 1 more Smart Citation
“…The movement disorder is known to appear in teenage years or in early adulthood (Figure 1) but nothing has yet been reported on the various types of paroxysmal movement disorders. 2,19,20 A possible explanation for the limited effects of the ketogenic diet in these kinds of movement disorders is the fundamental difference between glucose and ketones as metabolic fuels. Glucose passes through the glycolytic pathway whereas ketones are converted in the mitochondria directly to acetylCoA, so glycolytic intermediates are affected only by glucose, not ketones.…”
Section: Uncommon Manifestationsmentioning
confidence: 99%
“…Fatigue, weakness, lethargy, somnolence, and sleep disturbance are a common feature described in the medical history of these patients, especially in those with carbohydrate responsive GLUT1 deficiency syndrome, 8,19,29 where symptoms are accentuated in the case of fasting or hours after meals. Often the description of the event is not immediately reported by the patient but it must always be investigated in a suspected GLUT1 deficiency syndrome considering its discrete frequency of appearance.…”
Section: Uncommon Manifestationsmentioning
confidence: 99%
“…In a French cohort of 58 patients with GLUT1 DS, 52 mutations occurred de novo and 6 were inherited (2). This clinical condition that results from a deficit in glucose transport to the brain, is associated with diverse symptoms including early-onset seizures, psychomotor retardation, and movement disorders.…”
mentioning
confidence: 99%
“…Although some features (eg, seizures, cognitive impairment, and degree of symptom fluctuation) are more common or severe in AHC, and others are unique to AHC (including onset occurring before 18 months of age), AHC and rapid‐onset dystonia parkinsonism share the key clinical signs of abrupt onset, triggers, and persistent neurological deficits. From dopa‐responsive dystonia caused by GCH1 and other mutations to paroxysmal exertional dystonia caused by GLUT1 deficiency syndromes and mutations in SLC2A1 , ataxia‐telangiectasia caused by mutations in ATM , our perspective on phenotypes has broadened, and this trend will no doubt continue as undiagnosed patients increasingly undergo exomic and genomic sequencing.…”
Section: Etiopathogenesis Of Dystoniamentioning
confidence: 99%