Vedartham Veena, Sundaram Soumya, Nair Sruthi S, Ganapathy Aparna, Mannan Ashraf, Menon Ramshekhar
Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology , Trivandrum , India.
Department of Clinical Genomics, Strand Center for Genomics and Personalized Medicine , Bangalore , India.
Ophthalmic Genet. 2019 Aug;40(4):376-379. doi: 10.1080/13816810.2019.1666414. Epub 2019 Sep 16.
Mutations in sequestosome 1 () gene are associated with neurodegenerative diseases, such as frontotemporal dementia and amyotrophic lateral sclerosis. Recently, mutation in was also found to cause a progressive childhood-onset cerebellar ataxia. We describe here a case of progressive childhood-onset cerebellar ataxia with vertical supra nuclear gaze palsy with no family history and a normal magnetic resonance imaging (MRI) of brain. The clinical exome sequencing in this patient showed a homozygous mutation in . This case highlights the importance of next-generation sequencing in the diagnosis of inherited ataxia syndromes. mutation should be considered in the differential diagnosis in a patient with both cerebellar ataxia and ophthalmological manifestations.
泛素结合蛋白1(SQSTM1)基因的突变与神经退行性疾病相关,如额颞叶痴呆和肌萎缩侧索硬化症。最近,还发现SQSTM1基因的突变会导致儿童期起病的进行性小脑共济失调。我们在此描述一例无家族史且脑部磁共振成像(MRI)正常的儿童期起病的进行性小脑共济失调伴垂直性核上性凝视麻痹病例。该患者的临床外显子组测序显示SQSTM1基因存在纯合突变。该病例突出了下一代测序在遗传性共济失调综合征诊断中的重要性。对于同时患有小脑共济失调和眼科表现的患者,鉴别诊断时应考虑SQSTM1基因突变。