Diagnosis and treatment of pediatric onset isolated dystonia

Research output: Contribution to journalReview article

Abstract

Isolated dystonia refers to a genetic heterogeneous group of progressive conditions with onset of symptoms during childhood or adolescence, progressive course with frequent generalization and marked functional impairment. There are well-known monogenic forms of isolated dystonia with pediatric onset such as DYT1 and DYT6 transmitted with autosomal dominant inheritance and low penetrance. Genetic findings of the past years have widened the etiological spectrum and the phenotype. The recently discovered genes (GNAL, ANO-3, KTM2B) or variant of already known diseases, such as Ataxia-Teleangectasia, are emerging as another causes of pediatric onset dystonia, sometimes with a more complex phenotype, but their incidence is unknown and still a considerable number of cases remains genetically undetermined. Due to the severe disability of pediatric onset dystonia treatment remains unsatisfactory and still mainly based upon oral pharmacological agents. However, deep brain stimulation is now extensively applied with good to excellent results especially when patients are treated early during the course of the disease.

Original languageEnglish
Pages (from-to)238-244
Number of pages7
JournalEuropean Journal of Paediatric Neurology
Volume22
Issue number2
DOIs
Publication statusPublished - Mar 1 2018

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Dystonia
Pediatrics
Phenotype
Deep Brain Stimulation
Penetrance
Ataxia
Therapeutics
Pharmacology
Incidence
Genes

Keywords

  • Genetic
  • Pediatric
  • ​Dystonia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Diagnosis and treatment of pediatric onset isolated dystonia. / Zorzi, Giovanna; Carecchio, Miryam; Zibordi, Federica; Garavaglia, Barbara; Nardocci, Nardo.

In: European Journal of Paediatric Neurology, Vol. 22, No. 2, 01.03.2018, p. 238-244.

Research output: Contribution to journalReview article

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