Fig. 1. The patient at 8 years of age showing typical facial features of Kabuki make-up syndrome (A); a brain MRI study revealed cerebellar and brainstem atrophy (B-D).
A patient with early onset Huntington disease and severe cerebellar atrophy
β Scribed by Satoru Sakazume; Satoshi Yoshinari; Eiji Oguma; Emi Utsuno; Takuma Ishii; Yoko Narumi; Takashi Shiihara; Hirofumi Ohashi
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 123 KB
- Volume
- 149A
- Category
- Article
- ISSN
- 1552-4825
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
We report on a girl with early onset Huntington disease (HD). Her initial symptoms at 2 years of age included oral motor dysfunction and gait disturbance. Magnetic resonance imaging of the head revealed severe atrophy of both the vermis and the cerebellar cortex in addition to the common findings of basal ganglia including the caudate nuclei, putamen, and globus pallidus. Molecular analysis showed 160 CAG repeats in the HD gene. This mutation was inherited from her mother who was also affected, with a HD CAG expansion of 60 repeats. Cerebellar symptoms should be considered as a manifestation of early onset HD. Β© 2009 WileyβLiss, Inc.
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