Addictive substances may induce a rapid neurological deterioration in fragile X-associated tremor ataxia syndrome: A report of two cases

被引:25
作者
Muzar, Zukhrofi [1 ]
Adams, Patrick E. [1 ,2 ]
Schneider, Andrea [1 ,2 ]
Hagerman, Randi J. [1 ,2 ]
Lozano, Reymundo [1 ,2 ]
机构
[1] Med Invest Neurodev Disorders MIND Inst, Sacramento, CA USA
[2] Univ Calif Davis, Med Ctr, Dept Pediat, Sacramento, CA 95817 USA
基金
美国国家卫生研究院;
关键词
Substance abuse; neurological deterioration; FXTAS; premutation; opiates;
D O I
10.5582/irdr.2014.01023
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A debilitating late-onset disorder of the premutation in the FMR1 gene is the neurodegenerative disorder fragile X-associated tremor ataxia syndrome (FXTAS). We report two patients with FXTAS who have a history of substance abuse (opiates, alcohol, and cocaine) which may have exacerbated their rapid neurological deterioration with FXTAS. There has been no case report regarding the role of substance abuse in onset, progression, and severity of FXTAS symptoms. However, research has shown that substance abuse can have a negative impact on several neurodegenerative diseases, and we propose that in these cases, substance abuse contributed to a faster progression of FXTAS as well as exacerbated white matter disease.
引用
收藏
页码:162 / 165
页数:4
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