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만성염증탈수초다발신경병과 유사한 전기진단검사 결과를 보인 새로운 p.Arg98Leu MPZ 유전자돌연변이를 가진 CMT1B 환자

CMT1B Patient with a Novel p.Arg98Leu MPZ Variant Mimicking Chronic Inflammatory Demyelinating Polyneuropathy on Electrodiagnostic Testing

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주제분류신경과학

초록

Conduction block or temporal dispersion on motor nerve conduction studies (NCSs) are known as key features of chronic inflammatory demyelinating polyneuropathy. Some types of CharcotMarieTooth disease (CMT) have been also reported to show conduction block or temporal dispersion on NCS. We experienced a case who presented with slowly progressive motor weakness, sensory loss, foot deformity, and segmental demyelination on NCS. We confirmed her and her mother harboring CMT1B with a novel p.Arg98Leu MPZ variant.

Abstract

Conduction block or temporal dispersion on motor nerve conduction studies (NCSs) are known as key features of chronic inflammatory demyelinating polyneuropathy. Some types of CharcotMarieTooth disease (CMT) have been also reported to show conduction block or temporal dispersion on NCS. We experienced a case who presented with slowly progressive motor weakness, sensory loss, foot deformity, and segmental demyelination on NCS. We confirmed her and her mother harboring CMT1B with a novel p.Arg98Leu MPZ variant.

참고문헌 (8)

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  2. Hoyle JC, "The genetics of Charcot-Marie-Tooth disease : current trends and future implications for diagnosis and management", Appl Clin Genet, 8, pp.235~243 (2015)
  3. Kitani-Morii F, "Rate of changes in CMT neuropathy and examination scores in Japanese adult CMT1A patients", Front Neurol, 11, pp.626~ (2020)
  4. Markowitz JA, "Child neurology : chronic in-flammatory demyelinating polyradiculoneuropathy in children", Neurolog y, 71, pp.e74~e78 (2008)
  5. Hauw F, "Charcot-Marie-Tooth disease misdiagnosed as chronic inflammatory demyelinating polyradiculoneuropathy : an international multicentric retrospective study", Eur J Neurol, 28, pp.2846~2854 (2021)
  6. Pisciotta C, "Pregnancy in Charcot-Marie-Tooth disease : data from the Italian CMT national registry", Neurology, 95, pp.e3180~e3189 (2020)
  7. Richards S, "Standards and guidelines for the interpretation of sequence variants : a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology", Genet Med, 17, pp.405~424 (2015)
  8. Otani Y, "Upregulation of large myelin protein zero leads to Charcot-Marie-Tooth disease-like neuro-pathy in mice", Commun Biol, 3, pp.121~ (2020)

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