Co-occurrence of amyotrophic lateral sclerosis and Charcot-Marie-Tooth disease type 2A in a patient with a novel mutation in the mitofusin-2 gene

被引:19
作者
Marchesi, Chiara
Ciano, Claudia
Salsano, Ettore
Nanetti, Lorenzo
Milani, Micaela [2 ]
Gellera, Cinzia [2 ]
Taroni, Franco [2 ]
Fabrizi, Gian Maria [3 ]
Uncini, Antonino [4 ,5 ]
Pareyson, Davide [1 ]
机构
[1] IRCCS Fdn, Dept Clin Neurosci, Unit Clin Cent & Peripheral Degenerat Neuropathie, Besta Neurol Inst C, I-20133 Milan, Italy
[2] IRCCS Fdn, Unit Genet Neurodegenerat & Metab Dis, Besta Neurol Inst C, I-20133 Milan, Italy
[3] Univ Verona, Sect Clin Neurol, Dept Neurol & Visual Sci, I-37100 Verona, Italy
[4] Univ G DAnnunzio Fdn, Inst Aging CeSI, Dept Human Motor Sci, Chieti, Italy
[5] Univ G DAnnunzio Fdn, Inst Aging CeSI, Neurodegenerat Dis Unit, Chieti, Italy
关键词
Charcot-Marie-Tooth neuropathy; Amyotrophic Lateral Sclerosis; CMT2A; Mitofusin-2; Motor neuron disease; MFN2; MUTATIONS; NEUROPATHY;
D O I
10.1016/j.nmd.2010.09.009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Mitofusin-2 gene (MFN2) mutations cause Charcot-Marie-Tooth type 2A (CMT2A), sometimes complicated by additional features such as optic atrophy, hearing loss, upper motor neuron signs and cerebral white-matter abnormalities. Here we report, for the first time, the occurrence of motor neuron disease, consistent with amyotrophic lateral sclerosis (ALS), in a 62-year-old woman affected by early-onset slowly progressive CMT2A, due to a novel MFN2 mutation. After age 60, rate of disease progression changed and she rapidly developed generalised muscle wasting, weakness, and fasciculations, together with dysarthria and dysphagia. Clinical features, EMG findings, and fast progression were consistent with ALS superimposed on CMT. (C) 2010 Elsevier By. All rights reserved.
引用
收藏
页码:129 / 131
页数:3
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