Abstract:
INTRODUCTION:Chorea-acanthocytosis (ChAc) is a rare autosomal recessive disease characterized by involuntary movements, seizures, cognitive changes, myopathy, and axonal neuropathy. METHODS:We report a patient who presented with gait impairment and dysarthria. Clinical and neurophysiological assessment disclosed upper and lower motor neuron signs suggestive of motor neuron disease (MND). RESULTS:Later observation of involuntary movements prompted further investigation. Acanthocytes were identified, and the patient's chorein level was low. Genetic studies identified a novel double heterozygous mutation of the chorein gene involving an exon-stop mutation associated with another mutation that can affect the normal splicing of the RNA. CONCLUSIONS:We speculate that this genetic mutation could cause the atypical presentation. ChAc should be included in the differential diagnosis of atypical MND.
journal_name
Muscle Nervejournal_title
Muscle & nerveauthors
Neutel D,Miltenberger-Miltenyi G,Silva I,de Carvalho Mdoi
10.1002/mus.22269subject
Has Abstractpub_date
2012-02-01 00:00:00pages
293-5issue
2eissn
0148-639Xissn
1097-4598journal_volume
45pub_type
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