2010
DOI: 10.3346/jkms.2010.25.1.180
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Pediatric-Onset Dystonia Associated with Bilateral Striatal Necrosis and G14459A Mutation in a Korean Family: A Case Report

Abstract: We describe a Korean family presenting with pediatric-onset, progressive, generalized dystonia with bilateral striatal necrosis and the homoplasmic G14459A mutation in the mitochondrial ND6 gene. The G14459A mutation has been reported in families presenting with Leber hereditary optic neuropathy (LHON) alone, LHON plus dystonia, or pediatric-onset dystonia. The proband had shown dysarthria, progressive generalized dystonia, and spasticity at 5 yr. Brain MRI demonstrated bilateral striatal necrosis. Additional … Show more

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Cited by 26 publications
(17 citation statements)
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“…Additional clinical features: juvenile‐onset subacute vision loss (Leber hereditary optic neuropathy), encephalopathy, spasticity, bulbar dysfunction, cognitive impairment…”
Section: Applying the Recommendationsmentioning
confidence: 99%
“…Additional clinical features: juvenile‐onset subacute vision loss (Leber hereditary optic neuropathy), encephalopathy, spasticity, bulbar dysfunction, cognitive impairment…”
Section: Applying the Recommendationsmentioning
confidence: 99%
“…b,e,h). Most patients with m.14459G>A mutation develop pediatric‐onset dystonia and/or Leber's hereditary optic neuropathy . The present family members showed one of the typical features, and their disease severity seems to be related to the degree of the striatal lesion.…”
mentioning
confidence: 51%
“…Among those variants, the phenotype of m.14459G>A mutation showed a great similarity with that of m.3697G>A. The patients with m.14459G>A mutation also presented with LHON, dystonia, and LS/Leigh‐like syndrome (LLS) (Kim, Ki, & Park, ; Ronchi et al, ). Indeed, optic atrophy, childhood‐onset dystonia, BSN, LLS, and LS can be considered as a phenotypic spectrum of severity likely determined by the mutational heteroplasmy (Gropman et al, ).…”
Section: Discussionmentioning
confidence: 99%