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Charlevoix-Saguenay의 상염색체열성강직실조

Autosomal Recessive Spastic Ataxia of Charlevoix-Saguenay

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초록

Autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS), which is caused by mutations in SACS gene, is a very rare neurodegenerative disorder characterized by the clinical triad of early onset cerebellar ataxia, pyramidal tract features, and sensorimotor polyneuropathy. Herein, we report a 35-year-old Korean male who presented with gait disturbance and lower extremity weakness. Neuroimaging and ophthalmologic evaluation revealed features consistent with ARSACS. Mutation in SACS gene was demonstrated in clinical exome sequence analysis and the patient was finally diagnosed as ARSACS.

Abstract

Autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS), which is caused by mutations in SACS gene, is a very rare neurodegenerative disorder characterized by the clinical triad of early onset cerebellar ataxia, pyramidal tract features, and sensorimotor polyneuropathy. Herein, we report a 35-year-old Korean male who presented with gait disturbance and lower extremity weakness. Neuroimaging and ophthalmologic evaluation revealed features consistent with ARSACS. Mutation in SACS gene was demonstrated in clinical exome sequence analysis and the patient was finally diagnosed as ARSACS.

참고문헌 (10)

  1. Gazulla J, "Ataxia of Charlevoix-Saguenay: MR and clinical results in lower-limb musculature", Can J Neurol Sci, pp.4137~4141 (2014)
  2. Shimazaki H, "Spinocerebellar Ataxia", pp.155~172 (2012), In Tech
  3. Kwon KY, "A Probable Korean case of autosomal recessive spastic ataxia of Charlevoix-Saguenay", Can J Neurol Sci, 42, pp.271~273 (2015)
  4. Palau F, "Autosomal recessive cerebellar ataxias", Orphanet J Rare Dis, 1, pp.47~ (2006)
  5. "Genetics Home Reference. Autosomal recessive spastic ataxia of Charlevoix-Saguenay" (2013)[URL]
  6. Pilliod J, "New practical definitions for the diagnosis of autosomal recessive spastic ataxia of Charlevoix-Saguenay", Ann Neurol, 78, pp.871~886 (2015)
  7. Girard M, "Mitochondrial dysfunction and Purkinje cell loss in autosomal recessive spastic ataxia of Charlevoix-Saguenay(ARSACS)", Proc Natl Acad Sci U S A, 109, pp.1661~1666 (2012)
  8. Martin MH, "Autosomal recessive spastic ataxia of Charlevoix-Saguenay : a report of MR imaging in 5 patients", AJNR Am J Neuroradiol, 28, pp.1606~1608 (2007)
  9. Garcia-Martin E, "Retinal nerve fiber layer thickness in ARSACS : myelination of hypertrophy", Br J Ophthalmol, 97, pp.238~241 (2013)
  10. Kersten HM, "Ophthalmic manifestations of inherited neurodegenerative disorders", Nat Rev Neurol, 10, pp.349~362 (2014)

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