An atypical case of FA2H-related HSP35 with subtle neuroimaging findings and a novel variant in a young adult with spastic paraparesis.

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY
Subhajit Roy, Pooja Mailankody, Gautham Arunachal, Rohan R Mahale, Hansashree Padmanabha
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引用次数: 0

Abstract

We report a young Indian woman with a homozygous deletion in FA2H manifesting with a progressive spastic paraparesis, skeletal deformities, and subtle oculomotor signs, thereby broadening the phenotypic spectrum of HSP35. Except for diffuse spinal cord atrophy in MRI, other investigations were non-contributory. Whole exome sequencing with mitochondrial analysis revealed a homozygous variant c.32_34delTCT (p.Phe11del) in FA2H gene in Exon 1 of chromosome 16-a likely pathogenic, autosomal recessive mutation (ACMG: PM2,PM4,PP4-Moderate). This report underscores the importance of considering FA2H-related HSP even in late-onset or atypical presentations of adult-onset spastic paraparesis, especially in consanguineous populations, even when classical imaging findings are absent. Genetic testing remains crucial for diagnosis, prognostication, and counselling.

fa2h相关HSP35的非典型病例与微妙的神经影像学发现和一种新的变异在一个年轻的成人痉挛性截瘫。
我们报告了一名年轻的印度女性,其FA2H纯合缺失表现为进行性痉挛性麻痹、骨骼畸形和轻微的动眼症状,从而拓宽了HSP35的表型谱。除了MRI显示弥漫性脊髓萎缩外,其他检查均无帮助。全外显子组测序和线粒体分析显示,16号染色体1外显子FA2H基因存在纯合子变异c.32_34delTCT (p.p hi11del),可能是致病的常染色体隐性突变(ACMG: PM2,PM4,PP4-Moderate)。本报告强调了考虑fa2h相关HSP的重要性,即使在迟发性或非典型表现的成人痉挛性截瘫中,特别是在近亲人群中,即使没有经典的影像学发现。基因检测对于诊断、预测和咨询仍然至关重要。
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来源期刊
Acta neurologica Belgica
Acta neurologica Belgica 医学-临床神经学
CiteScore
4.20
自引率
3.70%
发文量
300
审稿时长
6-12 weeks
期刊介绍: Peer-reviewed and published quarterly, Acta Neurologica Belgicapresents original articles in the clinical and basic neurosciences, and also reports the proceedings and the abstracts of the scientific meetings of the different partner societies. The contents include commentaries, editorials, review articles, case reports, neuro-images of interest, book reviews and letters to the editor. Acta Neurologica Belgica is the official journal of the following national societies: Belgian Neurological Society Belgian Society for Neuroscience Belgian Society of Clinical Neurophysiology Belgian Pediatric Neurology Society Belgian Study Group of Multiple Sclerosis Belgian Stroke Council Belgian Headache Society Belgian Study Group of Neuropathology
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