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脆性X相关震颤/共济失调综合征还是酒精性小脑变性?一例报告。

Fragile-X-Associated Tremor/Ataxia Syndrome or Alcohol-Induced Cerebellar Degeneration? A Case Report.

作者信息

Grigioni Giulia, Saleh Christian, Jaszczuk Phillip, Wand Dorothea, Wilmes Stefanie, Hund-Georgiadis Margret

机构信息

REHAB Basel, Clinic for Neurorehabilitation and Paraplegiology, Basel, Switzerland.

Department of Neurophysiology and Neurology, University Hospital Basel, Basel, Switzerland.

出版信息

Case Rep Neurol. 2020 Dec 11;12(3):466-471. doi: 10.1159/000511954. eCollection 2020 Sep-Dec.

DOI:10.1159/000511954
PMID:33442376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7772861/
Abstract

Fragile-X-associated tremor/ataxia syndrome (FXTAS) is a neurodegenerative disorder that manifests with intention tremor, progressive gait ataxia, and cognitive impairment. The disease is genetically characterized by a premutation of the gene on the X-chromosome manifesting with a CGG triplet expansion between 55 and 200. Given the phenotypical variety of this disease, diagnosis is frequently delayed. We present and discuss a male patient whose diagnosis of FXTAS was delayed due to his concomitant alcohol abuse.

摘要

脆性X染色体相关震颤/共济失调综合征(FXTAS)是一种神经退行性疾病,表现为意向性震颤、进行性步态共济失调和认知障碍。该疾病的遗传学特征是X染色体上的一个基因发生前突变,表现为CGG三联体重复序列在55至200之间扩增。鉴于这种疾病的表型多样性,诊断常常延迟。我们介绍并讨论了一名男性患者,其FXTAS的诊断因同时存在酒精滥用而延迟。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1720/7772861/165bfc956ab9/crn-0012-0466-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1720/7772861/e2ffa236fe53/crn-0012-0466-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1720/7772861/560cc94ca020/crn-0012-0466-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1720/7772861/165bfc956ab9/crn-0012-0466-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1720/7772861/e2ffa236fe53/crn-0012-0466-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1720/7772861/560cc94ca020/crn-0012-0466-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1720/7772861/165bfc956ab9/crn-0012-0466-g03.jpg

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Fragile-X-Associated Tremor/Ataxia Syndrome or Alcohol-Induced Cerebellar Degeneration? A Case Report.脆性X相关震颤/共济失调综合征还是酒精性小脑变性?一例报告。
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本文引用的文献

1
Fragile X-associated tremor/ataxia syndrome: phenotypic comparisons with other movement disorders.脆性X相关震颤/共济失调综合征:与其他运动障碍的表型比较。
Clin Neuropsychol. 2016 Aug;30(6):849-900. doi: 10.1080/13854046.2016.1202239.
2
PSYCHIATRIC DISORDERS ASSOCIATED WITH FXTAS.与脆性X震颤共济失调综合征(FXTAS)相关的精神障碍
Curr Psychiatry Rev. 2013;9(1):59-64. doi: 10.2174/157340013805289699.
3
Addictive substances may induce a rapid neurological deterioration in fragile X-associated tremor ataxia syndrome: A report of two cases.
成瘾性物质可能会导致脆性X染色体相关震颤共济失调综合征患者神经功能迅速恶化:两例报告
Intractable Rare Dis Res. 2014 Nov;3(4):162-5. doi: 10.5582/irdr.2014.01023.
4
Fragile X-associated tremor/ataxia syndrome: clinical phenotype, diagnosis, and treatment.脆性 X 相关震颤/共济失调综合征:临床表型、诊断和治疗。
J Investig Med. 2009 Dec;57(8):830-6. doi: 10.2310/JIM.0b013e3181af59c4.
5
Fragile-X-associated tremor/ataxia syndrome (FXTAS) in females with the FMR1 premutation.携带FMR1前突变的女性中的脆性X相关震颤/共济失调综合征(FXTAS)。
Am J Hum Genet. 2004 May;74(5):1051-6. doi: 10.1086/420700. Epub 2004 Apr 2.
6
Penetrance of the fragile X-associated tremor/ataxia syndrome in a premutation carrier population.脆性X相关震颤/共济失调综合征在前突变携带者群体中的外显率。
JAMA. 2004 Jan 28;291(4):460-9. doi: 10.1001/jama.291.4.460.