2010
DOI: 10.1136/jnnp.2009.197558
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Respiratory onset in an ALS family with L144F SOD1 mutation

Abstract: Familial amyotrophic lateral sclerosis (FALS) cases linked to SOD1 mutations may sometimes present with unusual clinical features such as pure lower motor neuron involvement or sensory signs. The authors describe a FALS pedigree with the L144F SOD1 mutation in which all cases had respiratory involvement as a first symptom. Although atypical clinical features are not rare in ALS families, this is the first pedigree with respiratory-onset in three affected members. This unusual presentation led to delayed diagno… Show more

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Cited by 6 publications
(3 citation statements)
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“…A similar pattern of variable gene distribution has been found among ALS patients with mutations in causative genes for familial ALS: the D90A SOD1 mutation predominates in northern Sweden and Finland, and the L144F in eastern Mediterranean countries (Italy and Istro-Rumania). 18,19 SOD1 gene mutations are rare in The Netherlands and Denmark. 20,21 Mutations in the Angiogenin gene are rare in Sweden, England and Germany, but relatively common in Scotland and Ireland.…”
Section: Discussionmentioning
confidence: 99%
“…A similar pattern of variable gene distribution has been found among ALS patients with mutations in causative genes for familial ALS: the D90A SOD1 mutation predominates in northern Sweden and Finland, and the L144F in eastern Mediterranean countries (Italy and Istro-Rumania). 18,19 SOD1 gene mutations are rare in The Netherlands and Denmark. 20,21 Mutations in the Angiogenin gene are rare in Sweden, England and Germany, but relatively common in Scotland and Ireland.…”
Section: Discussionmentioning
confidence: 99%
“…To note, the patient with a positive family history developed ALS symptoms at a relatively early age, whereas onset for the other patient was late. Although a significant number of patients with this mutation have lower limb onset (Corcia et al, 2011), both of our patients developed upper and lower motor neuron signs. The rare p.Val14Met mutation was detected in an apparently sporadic case in a female patient with upper and lower motor neuron signs.…”
Section: Discussionmentioning
confidence: 60%
“…So the possibility that the patient suffered from SOD1 mutation-ALS could be excluded. Certainly, ALS cases linked to SOD1 mutations may sometimes present with unusual clinical features such as pure lower motor neuron involvement or sensory signs [13]. If there are other symptoms one needs to think about a number of syndromes, such as mitochondrial encephalomyopathy, multiple sclerosis, acute demyelinating encephalopathy, etc.…”
Section: Discussionmentioning
confidence: 99%