Fang Jiajia, Wang Shige, Zhao Guohua, Cao Li
Department of Neurology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang 322000, P.R. China.
Department of Neurology and Institute of Neurology, Ruijin Hospital Affiliated to Shanghai JiaoTong University School of Medicine, Shanghai 200025, P.R. China.
Biomed Rep. 2020 Jun;12(6):309-312. doi: 10.3892/br.2020.1293. Epub 2020 Mar 17.
Paroxysmal kinesigenic dyskinesia (PKD) is a rare condition characterized by recurrent brief episodes of dystonia, chorea, athetosis or any combination of these, without alterations of consciousness. The () gene has been widely investigated as a causative gene of PKD. To date, a cluster of pathogenic variants associated with PKD have been identified in the gene. In the present case report, two Chinese patients with sporadic PKD are discussed. Genetic analysis revealed a heterozygous missense mutation, c.955G>T (p.Val319Leu) in exon 3 of the gene. Compared with the commonly reported clinical manifestation of PRRT2-associated PKD, the patients in this report showed several primary distinctive features. The mutations identified in the present analysis expand upon the mutation spectrum of the gene, and this newly found variant further reinforces the importance of the gene in PKD.
发作性运动诱发性运动障碍(PKD)是一种罕见疾病,其特征为反复发作的短暂肌张力障碍、舞蹈症、手足徐动症或这些症状的任意组合,且意识无改变。()基因作为PKD的致病基因已得到广泛研究。迄今为止,已在该基因中鉴定出一组与PKD相关的致病变异。在本病例报告中,讨论了两名散发型PKD的中国患者。基因分析显示该基因外显子3存在一个杂合错义突变,c.955G>T(p.Val319Leu)。与PRRT2相关PKD的常见临床表现相比,本报告中的患者表现出几个主要的独特特征。本分析中鉴定出的突变扩展了该基因的突变谱,并且这个新发现的变异进一步强化了该基因在PKD中的重要性。