Article
Autosomal dominant GCH1 mutations causing spastic paraplegia at disease onset.
Parkinsonism & related disorders - 1 May 2020
Wassenberg Tessa, Schouten Meyke I, Helmich Rick C, Willemsen Michèl A A P, Kamsteeg Erik-Jan, van de Warrenburg Bart P C
Abstract excerpt
BACKGROUND: Autosomal dominant GCH1 mutations are known to cause dopa-responsive dystonia (DRD). In this case series, we confirm a variant phenotype, characterized by predominant spastic paraplegia at disease onset with development of dystonia and/or parkinsonism only decades later. METHODS: Clinical trajectories of four patients from three families with pathogenic variants in GCH1 are described, illustrated by...
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