Pelizaeus-Merzbacher disease presenting as spinal muscular atrophy: clinical and molecular studies.

Abstract:

:Two brothers with profound neonatal hypotonia and hyporeflexia and electrodiagnostic testing consistent with lower motor neuron pathology were found to have a leukodystrophy. Using single-strand conformational polymorphism analysis and direct sequencing, a mutation within exon 3 of the gene encoding proteolipid protein (Gly73Arg substitution) was previously detected in both brothers and their mother, establishing the diagnosis of Pelizaeus-Merzbacher disease. Despite reported sparing of the peripheral nervous system in Pelizaeus-Merzbacher disease, we suggest that proteolipid protein gene products may influence the development of anterior horn cells or peripheral nervous system myelin and that some individuals affected with this disease may present with clinical and electromyographic features suggestive of neonatal spinal muscular atrophy.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Kaye EM,Doll RF,Natowicz MR,Smith FI

doi

10.1002/ana.410360618

subject

Has Abstract

pub_date

1994-12-01 00:00:00

pages

916-9

issue

6

eissn

0364-5134

issn

1531-8249

journal_volume

36

pub_type

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