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SPG11——挪威最常见的隐性遗传性痉挛性截瘫类型?

SPG11--the most common type of recessive spastic paraplegia in Norway?

作者信息

Erichsen A K, Stevanin G, Denora P, Brice A, Tallaksen C M E

机构信息

Department of Neurology, Ullevål University Hospital, Oslo, Norway.

出版信息

Acta Neurol Scand Suppl. 2008;188:46-50. doi: 10.1111/j.1600-0404.2008.01031.x.

Abstract

BACKGROUND

Hereditary spastic paraplegias (HSP) are neurodegenerative diseases mainly characterized by lower limb spasticity with additional neurological symptoms and signs in complicated forms. Among the many autosomal recessive forms, SPG11 appears to be one of the most frequent.

OBJECTIVE

Our objective was to select potential SPG11 patients based on phenotypes in our material, identify eventual disease-causing variants with the collaboration of laboratories abroad, estimate the frequency and spectrum of SPG11-mutations and describe their associated phenotypes.

MATERIAL AND METHODS

Two isolated cases and two affected members of one family with cognitive impairment and confirmed thin corpus callosum on magnetic resonance imaging were selected from our database for inclusion into a multicenter study. Results - Mutations were found in the two isolated cases but not in the proband of the family.

CONCLUSION

We present the first SPG11-HSP in the Norwegian population. SPG11 should be suspected in patients with isolated or recessive HSP, thin corpus callosum and mental retardation.

摘要

背景

遗传性痉挛性截瘫(HSP)是一类神经退行性疾病,主要特征为下肢痉挛,复杂型还伴有其他神经症状和体征。在众多常染色体隐性遗传形式中,SPG11似乎是最常见的类型之一。

目的

我们的目的是基于我们研究材料中的表型选择潜在的SPG11患者,与国外实验室合作鉴定可能的致病变异,评估SPG11突变的频率和谱系,并描述其相关表型。

材料与方法

从我们的数据库中选取了两例散发病例以及一个家族中的两名患病成员,这些患者均有认知障碍且磁共振成像证实胼胝体变薄,纳入一项多中心研究。结果 - 在两例散发病例中发现了突变,但在该家族的先证者中未发现。

结论

我们报告了挪威人群中的首例SPG11-HSP。对于孤立性或隐性HSP、胼胝体变薄和智力发育迟缓的患者,应怀疑患有SPG11。

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