Generalized Dystonia and Paroxysmal Dystonic Attacks due to a Novel ATP1A3 Variant

Paroxysmal movement disorders are a heterogeneous group of neurological diseases, better understood in recent years thanks to widely available genetic testing. A pair of monozygotic twins with dystonia and paroxysmal attacks, resembling paroxysmal non-kinesigenic dyskinesias, due to a novel variant...

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Published inTremor and other hyperkinetic movements (New York, N.Y.) Vol. 9
Main Authors Zúñiga-Ramírez, Carlos, Kramis-Hollands, Mirelle, Mercado-Pimentel, Rodrigo, González-Usigli, Héctor Alberto, Sáenz-Farret, Michel, Soto-Escageda, Alberto, Fasano, Alfonso
Format Journal Article
LanguageEnglish
Published United States Ubiquity Press 2019
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Abstract Paroxysmal movement disorders are a heterogeneous group of neurological diseases, better understood in recent years thanks to widely available genetic testing. A pair of monozygotic twins with dystonia and paroxysmal attacks, resembling paroxysmal non-kinesigenic dyskinesias, due to a novel variant are reported. The complete resolution of their paroxysms was achieved using levodopa and deep brain stimulation of the internal globus pallidus. Improvement of interictal dystonia was also achieved with this therapy. Paroxysmal worsening of movement disorders should be suspected as part of the spectrum. Treatment outcome might be predicted based on the phenotype.
AbstractList Paroxysmal movement disorders are a heterogeneous group of neurological diseases, better understood in recent years thanks to widely available genetic testing. A pair of monozygotic twins with dystonia and paroxysmal attacks, resembling paroxysmal non-kinesigenic dyskinesias, due to a novel variant are reported. The complete resolution of their paroxysms was achieved using levodopa and deep brain stimulation of the internal globus pallidus. Improvement of interictal dystonia was also achieved with this therapy. Paroxysmal worsening of movement disorders should be suspected as part of the spectrum. Treatment outcome might be predicted based on the phenotype.
Background: Paroxysmal movement disorders are a heterogeneous group of neurological diseases, better understood in recent years thanks to widely available genetic testing.Case report: A pair of monozygotic twins with dystonia and paroxysmal attacks, resembling paroxysmal non-kinesigenic dyskinesias, due to a novel ATP1A3 variant are reported. The complete resolution of their paroxysms was achieved using levodopa and deep brain stimulation of the internal globus pallidus. Improvement of interictal dystonia was also achieved with this therapy.Discussion: Paroxysmal worsening of movement disorders should be suspected as part of the ATP1A3 spectrum. Treatment outcome might be predicted based on the phenotype.
Author Zúñiga-Ramírez, Carlos
Fasano, Alfonso
Kramis-Hollands, Mirelle
Sáenz-Farret, Michel
González-Usigli, Héctor Alberto
Mercado-Pimentel, Rodrigo
Soto-Escageda, Alberto
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  givenname: Carlos
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  givenname: Rodrigo
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  givenname: Alfonso
  surname: Fasano
  fullname: Fasano, Alfonso
  organization: Krembil Brain Institute, Toronto, Ontario, CA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31871823$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_3389_fneur_2020_630391
crossref_primary_10_3389_fneur_2021_637890
crossref_primary_10_1007_s13311_020_00944_0
crossref_primary_10_3390_genes12010074
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Keywords status dystonicus
ATP1A3
AHC-2
rapid-onset parkinsonism-dystonia
dystonia
paroxysmal dyskinesia
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PublicationTitle Tremor and other hyperkinetic movements (New York, N.Y.)
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SubjectTerms Ataxia
Dystonia
Epilepsy
Executive function
Families & family life
Genetic testing
Genotype & phenotype
Intellectual disabilities
Mutation
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Title Generalized Dystonia and Paroxysmal Dystonic Attacks due to a Novel ATP1A3 Variant
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