Tubulin-related cerebellar dysplasia

definition of a distinct pattern of cerebellar malformation

Romina Romaniello, Filippo Arrigoni, Elena Panzeri, Andrea Poretti, Alessia Micalizzi, Andrea Citterio, Maria Francesca Bedeschi, Angela Berardinelli, Raffaella Cusmai, Stefano D'Arrigo, Alessandro Ferraris, Annette Hackenberg, Alma Kuechler, Maria Margherita Mancardi, Sara Nuovo, Barbara Oehl-Jaschkowitz, Andrea Rossi, Sabrina Signorini, Frank Tüttelmann, Dagmar Wahl & 5 others Ute Hehr, Eugen Boltshauser, Maria Teresa Bassi, Enza Maria Valente, Renato Borgatti

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

OBJECTIVE: To determine the neuroimaging pattern of cerebellar dysplasia (CD) and other posterior fossa morphological anomalies associated with mutations in tubulin genes and to perform clinical and genetic correlations.

METHODS: Twenty-eight patients harbouring 23 heterozygous pathogenic variants (ten novel) in tubulin genes TUBA1A (n = 10), TUBB2B (n = 8) or TUBB3 (n = 5) were studied by a brain MRI scan performed either on a 1.5 T (n = 10) or 3 T (n = 18) MR scanner with focus on the posterior fossa.

RESULTS: Cerebellar anomalies were detected in 24/28 patients (86%). CD was recognised in 19/28 (68%) including cortical cerebellar dysplasia (CCD) in 18/28, either involving only the cerebellar hemispheres (12/28) or associated with vermis dysplasia (6/28). CCD was located only in the right hemisphere in 13/18 (72%), including four TUBB2B-, four TUBB3- and five TUBA1A-mutated patients, while in the other five TUBA1A cases it was located only in the left hemisphere or in both hemispheres. The postero-superior region of the cerebellar hemispheres was most frequently affected.

CONCLUSIONS: The cerebellar involvement in tubulinopathies shows specific features that may be labelled as 'tubulin-related CD'. This pattern is unique and differs from other genetic causes of cerebellar dysplasia.

KEY POINTS: • Cortical cerebellar dysplasia without cysts is suggestive of tubulin-related disorder. • Cerebellar dysplasia in tubulinopathies shows specific features labelled as 'tubulin-related CD'. • Focal and unilateral involvement of cerebellar hemispheres has important implications for counselling.

Original languageEnglish
Pages (from-to)5080-5092
Number of pages13
JournalEuropean Radiology
Volume27
Issue number12
DOIs
Publication statusPublished - Dec 2017

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Tubulin
Malformations of Cortical Development
Neuroimaging
Genes
Cysts
Counseling
Magnetic Resonance Imaging
Mutation
Brain

Keywords

  • Journal Article

Cite this

Romaniello, R., Arrigoni, F., Panzeri, E., Poretti, A., Micalizzi, A., Citterio, A., ... Borgatti, R. (2017). Tubulin-related cerebellar dysplasia: definition of a distinct pattern of cerebellar malformation. European Radiology, 27(12), 5080-5092. https://doi.org/10.1007/s00330-017-4945-2

Tubulin-related cerebellar dysplasia : definition of a distinct pattern of cerebellar malformation. / Romaniello, Romina; Arrigoni, Filippo; Panzeri, Elena; Poretti, Andrea; Micalizzi, Alessia; Citterio, Andrea; Bedeschi, Maria Francesca; Berardinelli, Angela; Cusmai, Raffaella; D'Arrigo, Stefano; Ferraris, Alessandro; Hackenberg, Annette; Kuechler, Alma; Mancardi, Maria Margherita; Nuovo, Sara; Oehl-Jaschkowitz, Barbara; Rossi, Andrea; Signorini, Sabrina; Tüttelmann, Frank; Wahl, Dagmar; Hehr, Ute; Boltshauser, Eugen; Bassi, Maria Teresa; Valente, Enza Maria; Borgatti, Renato.

In: European Radiology, Vol. 27, No. 12, 12.2017, p. 5080-5092.

Research output: Contribution to journalArticle

Romaniello, R, Arrigoni, F, Panzeri, E, Poretti, A, Micalizzi, A, Citterio, A, Bedeschi, MF, Berardinelli, A, Cusmai, R, D'Arrigo, S, Ferraris, A, Hackenberg, A, Kuechler, A, Mancardi, MM, Nuovo, S, Oehl-Jaschkowitz, B, Rossi, A, Signorini, S, Tüttelmann, F, Wahl, D, Hehr, U, Boltshauser, E, Bassi, MT, Valente, EM & Borgatti, R 2017, 'Tubulin-related cerebellar dysplasia: definition of a distinct pattern of cerebellar malformation', European Radiology, vol. 27, no. 12, pp. 5080-5092. https://doi.org/10.1007/s00330-017-4945-2
Romaniello R, Arrigoni F, Panzeri E, Poretti A, Micalizzi A, Citterio A et al. Tubulin-related cerebellar dysplasia: definition of a distinct pattern of cerebellar malformation. European Radiology. 2017 Dec;27(12):5080-5092. https://doi.org/10.1007/s00330-017-4945-2
Romaniello, Romina ; Arrigoni, Filippo ; Panzeri, Elena ; Poretti, Andrea ; Micalizzi, Alessia ; Citterio, Andrea ; Bedeschi, Maria Francesca ; Berardinelli, Angela ; Cusmai, Raffaella ; D'Arrigo, Stefano ; Ferraris, Alessandro ; Hackenberg, Annette ; Kuechler, Alma ; Mancardi, Maria Margherita ; Nuovo, Sara ; Oehl-Jaschkowitz, Barbara ; Rossi, Andrea ; Signorini, Sabrina ; Tüttelmann, Frank ; Wahl, Dagmar ; Hehr, Ute ; Boltshauser, Eugen ; Bassi, Maria Teresa ; Valente, Enza Maria ; Borgatti, Renato. / Tubulin-related cerebellar dysplasia : definition of a distinct pattern of cerebellar malformation. In: European Radiology. 2017 ; Vol. 27, No. 12. pp. 5080-5092.
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TY - JOUR

T1 - Tubulin-related cerebellar dysplasia

T2 - definition of a distinct pattern of cerebellar malformation

AU - Romaniello, Romina

AU - Arrigoni, Filippo

AU - Panzeri, Elena

AU - Poretti, Andrea

AU - Micalizzi, Alessia

AU - Citterio, Andrea

AU - Bedeschi, Maria Francesca

AU - Berardinelli, Angela

AU - Cusmai, Raffaella

AU - D'Arrigo, Stefano

AU - Ferraris, Alessandro

AU - Hackenberg, Annette

AU - Kuechler, Alma

AU - Mancardi, Maria Margherita

AU - Nuovo, Sara

AU - Oehl-Jaschkowitz, Barbara

AU - Rossi, Andrea

AU - Signorini, Sabrina

AU - Tüttelmann, Frank

AU - Wahl, Dagmar

AU - Hehr, Ute

AU - Boltshauser, Eugen

AU - Bassi, Maria Teresa

AU - Valente, Enza Maria

AU - Borgatti, Renato

PY - 2017/12

Y1 - 2017/12

N2 - OBJECTIVE: To determine the neuroimaging pattern of cerebellar dysplasia (CD) and other posterior fossa morphological anomalies associated with mutations in tubulin genes and to perform clinical and genetic correlations.METHODS: Twenty-eight patients harbouring 23 heterozygous pathogenic variants (ten novel) in tubulin genes TUBA1A (n = 10), TUBB2B (n = 8) or TUBB3 (n = 5) were studied by a brain MRI scan performed either on a 1.5 T (n = 10) or 3 T (n = 18) MR scanner with focus on the posterior fossa.RESULTS: Cerebellar anomalies were detected in 24/28 patients (86%). CD was recognised in 19/28 (68%) including cortical cerebellar dysplasia (CCD) in 18/28, either involving only the cerebellar hemispheres (12/28) or associated with vermis dysplasia (6/28). CCD was located only in the right hemisphere in 13/18 (72%), including four TUBB2B-, four TUBB3- and five TUBA1A-mutated patients, while in the other five TUBA1A cases it was located only in the left hemisphere or in both hemispheres. The postero-superior region of the cerebellar hemispheres was most frequently affected.CONCLUSIONS: The cerebellar involvement in tubulinopathies shows specific features that may be labelled as 'tubulin-related CD'. This pattern is unique and differs from other genetic causes of cerebellar dysplasia.KEY POINTS: • Cortical cerebellar dysplasia without cysts is suggestive of tubulin-related disorder. • Cerebellar dysplasia in tubulinopathies shows specific features labelled as 'tubulin-related CD'. • Focal and unilateral involvement of cerebellar hemispheres has important implications for counselling.

AB - OBJECTIVE: To determine the neuroimaging pattern of cerebellar dysplasia (CD) and other posterior fossa morphological anomalies associated with mutations in tubulin genes and to perform clinical and genetic correlations.METHODS: Twenty-eight patients harbouring 23 heterozygous pathogenic variants (ten novel) in tubulin genes TUBA1A (n = 10), TUBB2B (n = 8) or TUBB3 (n = 5) were studied by a brain MRI scan performed either on a 1.5 T (n = 10) or 3 T (n = 18) MR scanner with focus on the posterior fossa.RESULTS: Cerebellar anomalies were detected in 24/28 patients (86%). CD was recognised in 19/28 (68%) including cortical cerebellar dysplasia (CCD) in 18/28, either involving only the cerebellar hemispheres (12/28) or associated with vermis dysplasia (6/28). CCD was located only in the right hemisphere in 13/18 (72%), including four TUBB2B-, four TUBB3- and five TUBA1A-mutated patients, while in the other five TUBA1A cases it was located only in the left hemisphere or in both hemispheres. The postero-superior region of the cerebellar hemispheres was most frequently affected.CONCLUSIONS: The cerebellar involvement in tubulinopathies shows specific features that may be labelled as 'tubulin-related CD'. This pattern is unique and differs from other genetic causes of cerebellar dysplasia.KEY POINTS: • Cortical cerebellar dysplasia without cysts is suggestive of tubulin-related disorder. • Cerebellar dysplasia in tubulinopathies shows specific features labelled as 'tubulin-related CD'. • Focal and unilateral involvement of cerebellar hemispheres has important implications for counselling.

KW - Journal Article

U2 - 10.1007/s00330-017-4945-2

DO - 10.1007/s00330-017-4945-2

M3 - Article

VL - 27

SP - 5080

EP - 5092

JO - European Radiology

JF - European Radiology

SN - 0938-7994

IS - 12

ER -