Clinical and genetic features of paroxysmal kinesigenic dyskinesia in Italian patients

Costanza Lamperti, Federica Invernizzi, Roberta Solazzi, Elena Freri, Francesco Carella, Massimo Zeviani, Federica Zibordi, Carlo Fusco, Giovanna Zorzi, Tiziana Granata, Barbara Garavaglia, Nardo Nardocci

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background Paroxysmal Kinesigenic Dyskinesia (PKD, OMIM 128200) is the most common type of autosomal dominant Paroxysmal Dyskinesias characterized by attacks of dystonia and choreoathetosis triggered by sudden movements. Recently PRRT2, encoding proline-rich transmembrane protein 2, has been described as the most frequent causative gene for PKD. Methods We studied the incidence of PRRT2 mutations in a cohort of 16 PKD patients and their relatives for a total of 39 individuals. Results We identify mutations in 10/16 patients and 23 relatives. In 27/33 the mutation was the c.insC649 p.Arg217Profs∗8. In 6 individuals from 3 families we found three new mutations: c.insT27 p.Ser9∗, c.G967A p.Gly323Arg and c.delCA215-216 p.Thr72Argfs∗62. Family history was positive in 9 patients. The mean age of onset was 10 years. Attacks lasted from a few seconds to 1 min and ranged from several per day to some per week, and were generalised in all patients. The main distinctive features of mutation-negative patients were the sporadic occurrence, the absence of association with epilepsy or EEG abnormalities and the poor response to Carbamazepine or other antiepileptic agents. Conclusions We report the first cohort of Italian patients mutated in PRRT2 and we confirm that this is the most frequent gene involved in PKD.

Original languageEnglish
Pages (from-to)152-157
Number of pages6
JournalEuropean Journal of Paediatric Neurology
Volume20
Issue number1
DOIs
Publication statusPublished - Jan 1 2016

Fingerprint

Mutation
Genetic Databases
Chorea
Dystonia
Carbamazepine
Age of Onset
Anticonvulsants
Genes
Familial paroxysmal dystonia
Electroencephalography
Epilepsy
Incidence

Keywords

  • Autosomal dominant
  • Dystonia
  • Epilepsy
  • Paroxysmal kinesigenic dyskinesia
  • PRRT2

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health

Cite this

Clinical and genetic features of paroxysmal kinesigenic dyskinesia in Italian patients. / Lamperti, Costanza; Invernizzi, Federica; Solazzi, Roberta; Freri, Elena; Carella, Francesco; Zeviani, Massimo; Zibordi, Federica; Fusco, Carlo; Zorzi, Giovanna; Granata, Tiziana; Garavaglia, Barbara; Nardocci, Nardo.

In: European Journal of Paediatric Neurology, Vol. 20, No. 1, 01.01.2016, p. 152-157.

Research output: Contribution to journalArticle

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AU - Carella, Francesco

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AU - Zibordi, Federica

AU - Fusco, Carlo

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AU - Granata, Tiziana

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AU - Nardocci, Nardo

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