葡萄糖转运蛋白 1 缺乏症主要表现为构音障碍。
GLUT1DS focus on dysarthria.
机构信息
Department of Child Neurology and Psychiatry, IRCCS Mondino Foundation, Pavia, Italy.
Department of Child Neurology and Psychiatry, IRCCS Mondino Foundation, Pavia, Italy; Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
出版信息
Eur J Paediatr Neurol. 2024 Jul;51:62-70. doi: 10.1016/j.ejpn.2024.05.010. Epub 2024 May 29.
RESEARCH PURPOSE
GLUT1 deficiency syndrome (GLUT1DS) is a rare genetic disorder caused by a mutation in the SLC2A1 gene that limits the transport of glucose across the blood-brain barrier. Speech disorders and dysarthria are typical findings in patients with GLUT1DS, but have never been deeply phenotyped. The aim of the present study was to characterize speech abilities in a sample of patients with GLUT1DS.
RESULTS
30 patients with GLUT1DS were recruited. We reported impairments in different speech and oromotor domains: the speech was characterized by dysarthria, inaccurate articulation of consonants, abnormal nasal resonance, errors in intonation and prosody and low intelligibility. We observed difficulties in motor planning and programming. Moreover, we observed a significant difference between the dysarthric level of impairment with genotype groups.
CONCLUSIONS
The presence of a speech disorder in patients with GLUT1DS represents a core feature of the syndrome. Our findings suggest that patients with GLUT1DS would benefit from a comprehensive neurocognitive assessment to detect strengths and weaknesses of the speech profile. Understanding the speech and language phenotype in GLUT1DS is critical for planning early intervention to positively influence the global development of patients with GLUT1DS.
研究目的
GLUT1 缺乏综合征(GLUT1DS)是一种由 SLC2A1 基因突变引起的罕见遗传疾病,该基因突变限制了葡萄糖在血脑屏障中的转运。言语障碍和构音障碍是 GLUT1DS 患者的典型表现,但从未进行过深入的表型分析。本研究旨在对 GLUT1DS 患者样本的言语能力进行特征描述。
结果
共招募了 30 名 GLUT1DS 患者。我们报告了不同言语和口颌运动领域的障碍:言语特征为构音障碍、辅音发音不准确、鼻音异常、语调及韵律错误和言语清晰度降低。我们观察到运动规划和编程存在困难。此外,我们还观察到不同基因型组之间的构音障碍严重程度存在显著差异。
结论
GLUT1DS 患者存在言语障碍是该综合征的核心特征。我们的研究结果表明,GLUT1DS 患者将受益于全面的神经认知评估,以发现言语特征的优势和劣势。了解 GLUT1DS 的言语和语言表型对于规划早期干预以积极影响 GLUT1DS 患者的整体发展至关重要。