Karaoglu, Pakize, Quizon, Nicolas, Pergande, Matthias, Wang, Haicui, Polat, Ayse Ipek, Ersen, Ayca, Ozer, Erdener, Willkomm, Lena, Kurul, Semra Hiz, Heredia, Raul, Yis, Uluc, Selcen, Duygu and Cirak, Sebahattin (2017). Dropped head congenital muscular dystrophy caused by de novo mutations in LMNA. Brain Dev., 39 (4). S. 361 - 365. AMSTERDAM: ELSEVIER SCIENCE BV. ISSN 1872-7131

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Abstract

Background: Dropped head syndrome is an easily recognizable clinical presentation of Laurin A/C-related congenital muscular dystrophy. Patients usually present in the first year of life with profound neck muscle weakness, dropped head, and elevated serum creative kinase. Case description: Two patients exhibited head drop during infancy although they were able to sit independently. Later they developed progressive axial and limb-girdle weakness. Creatine kinase levels were elevated and muscle biopsies of both patients showed severe dystrophic changes. The distinctive clinical hallmark of the dropped head led us to the diagnosis of Lamin A/C-related congenital muscular dystrophy, with a pathogenic de novo mutation p.Glu3ldel in the head domain of the Lamin A/C gene in both patients. Remarkably, one patient also had a central involvement with white matter changes on brain magnetic resonance imaging. Conclusion: Lamin A/C-related dropped-head syndrome is a rapidly progressive congenital muscular dystrophy and may lead to loss of ambulation, respiratory insufficiency, and cardiac complications. Thus, the genetic diagnosis of dropped-head syndrome as L-CMD and the implicated clinical care protocols are of vital importance for these patients. This disease may be underdiagnosed, as only a few genetically confirmed cases have been reported. (C) 2016 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Karaoglu, PakizeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Quizon, NicolasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pergande, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wang, HaicuiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Polat, Ayse IpekUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ersen, AycaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ozer, ErdenerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Willkomm, LenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kurul, Semra HizUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heredia, RaulUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Yis, UlucUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Selcen, DuyguUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cirak, SebahattinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-234768
DOI: 10.1016/j.braindev.2016.11.002
Journal or Publication Title: Brain Dev.
Volume: 39
Number: 4
Page Range: S. 361 - 365
Date: 2017
Publisher: ELSEVIER SCIENCE BV
Place of Publication: AMSTERDAM
ISSN: 1872-7131
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
GENEMultiple languages
Clinical Neurology; PediatricsMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/23476

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