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Adult Sandhoff Disease Presenting as Motor Neuron Disease Phenotype

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초록

We report a 23-year-old woman with adult Sandhoff disease, who presented with motor neuron disease phenotype. The patient had experienced progressive motor weakness in four extremities since 1 year prior to admission. Electrophysiological study revealed wide-spread denervation potentials, and the assay of total hexosaminidase involving A and B activities showed decreased levels of these activities, which was consistent with Sandoff disease. This is the first Korean case of adult Sanhoff disease presented as a motor neuron disease phenotype.

Abstract

We report a 23-year-old woman with adult Sandhoff disease, who presented with motor neuron disease phenotype. The patient had experienced progressive motor weakness in four extremities since 1 year prior to admission. Electrophysiological study revealed wide-spread denervation potentials, and the assay of total hexosaminidase involving A and B activities showed decreased levels of these activities, which was consistent with Sandoff disease. This is the first Korean case of adult Sanhoff disease presented as a motor neuron disease phenotype.

참고문헌 (10)

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  3. Gomez-Lira M, "A common beta hexosaminidase gene mutation in adult Sandhoff disease patients", Hum Genet, 96, pp.417~422 (1995)
  4. Yoshizawa T, "Compound heterozygosity with two novel mutations in the HEXB gene produces adult Sandhoff disease presenting as a motor neuron disease phenotype", J Neurol Sci, 195, pp.129~138 (2002)
  5. Tay SK, "Sandhoff disease--a case report of 3 siblings and a review of potential therapies", Ann Acad Med Singapore, 29, pp.514~517 (2000)
  6. Hendriksz CJ, "Juvenile Sandhoff disease--nine new cases and a review of the literature", J Inherit Metab Dis, 27, pp.241~249 (2004)
  7. Ozkara HA, "Sandhoff disease in the Turkish population", Brain Dev, 19, pp.469~472 (1997)
  8. Jeyakumar M, "Enhanced survival in Sandhoff disease mice receiving a combination of substrate deprivation therapy and bone marrow transplantation", Blood, 97, pp.327~329 (2001)
  9. Pelled D, "Inhibition of calcium uptake via the sarco", endoplasmic reticulum Ca2+-ATPase in a mouse model of Sandhoff disease and prevention by treatment with N-butyldeoxynojirimycin, 2003, pp.278, 2496~2501
  10. Andersson U, "Improved outcome of N-butyl-deoxygalactonojirimycin- mediated substrate reduction therapy in a mouse model of Sandhoff disease", Neurobiol Dis, 16, pp.506~515 (2004)

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