2014
DOI: 10.1093/brain/awu341
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Parkinsonism in GTP cyclohydrolase 1 mutation carriers

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citations
Cited by 24 publications
(24 citation statements)
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References 16 publications
(18 reference statements)
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“…My phenotype differs from the three proposed in the recent literature [2][3][4][5][6] , which roughly correspond to those proposed by Wijemanne and Jankovic 1 : a classic nondegenerative, benign form of dystonia that responds to low, sustained doses of levodopa; a degenerative form (late-onset and without dystonia) with levodopa-induced dyskinesia, parkinsonism and abnormal dopaminergic imaging; and an intermediate form. I believe that the adoption of the term 'atypical' , as suggested by Wijemanne and Jankovic, would be valuable in clinical practice.…”
supporting
confidence: 62%
“…My phenotype differs from the three proposed in the recent literature [2][3][4][5][6] , which roughly correspond to those proposed by Wijemanne and Jankovic 1 : a classic nondegenerative, benign form of dystonia that responds to low, sustained doses of levodopa; a degenerative form (late-onset and without dystonia) with levodopa-induced dyskinesia, parkinsonism and abnormal dopaminergic imaging; and an intermediate form. I believe that the adoption of the term 'atypical' , as suggested by Wijemanne and Jankovic, would be valuable in clinical practice.…”
supporting
confidence: 62%
“… Guella et al (2014) report the screening of GCH1 in 528 Canadian cases with Parkinson’s disease and atypical parkinsonism and 290 matched controls. They identified two variants, the known pathogenic p.K224R (×2) and the novel variant p.A99D (likely pathogenic according to in silico prediction tools and interspecies conservation) in three unrelated cases with Parkinsons’s disease and the two benign variants p.P23L and p.P69L in one single control individual.…”
mentioning
confidence: 99%
“…To date, the only available brain pathology analysis of a GCH1 -associated neurodegenerative parkinsonism case showed severe nigral neurodegeneration and Lewy bodies in surviving nigral cells and in the locus coeruleus ( Gibb et al , 1991 ; Segawa et al , 2004 ). Further studies are needed to establish if the tauopathy described by Guella et al (2014) in their case represents simply an incidental finding.…”
mentioning
confidence: 99%
“…In VPS35, a single missense variant, D620N, has been described to segregate with PD in different populations [ 28 ]. Although the GCH1 gene is mainly related to dopa-responsive dystonia, some missense variants in GCH1 have been also related to familial PD cases with an early onset of between 40 and 45 years [ 29 ]. Moreover, ATXN2 is not only involved in PD development.…”
Section: Genetics Of Lewy Body Disordersmentioning
confidence: 99%