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Clinical Presentation and Natural History of Infantile-Onset Ascending Spastic Paralysis From Three Families With an Als2 Founder Variant Publisher Pubmed



Helal M1 ; Mazaheri N2, 3 ; Shalbafan B4 ; Malamiri RA5 ; Dilaver N6 ; Buchert R7 ; Mohammadiasl J8, 9 ; Golchin N9 ; Sedaghat A3, 10 ; Mehrjardi MYV11, 12 ; Haack TB7 ; Riess O7 ; Chung WK1, 13 ; Galehdari H2 Show All Authors
Authors
  1. Helal M1
  2. Mazaheri N2, 3
  3. Shalbafan B4
  4. Malamiri RA5
  5. Dilaver N6
  6. Buchert R7
  7. Mohammadiasl J8, 9
  8. Golchin N9
  9. Sedaghat A3, 10
  10. Mehrjardi MYV11, 12
  11. Haack TB7
  12. Riess O7
  13. Chung WK1, 13
  14. Galehdari H2
  15. Shariati G3, 8
  16. Maroofian R14

Source: Neurological Sciences Published:2018


Abstract

Biallelic mutations of the alsin Rho guanine nucleotide exchange factor (ALS2) gene cause a group of overlapping autosomal recessive neurodegenerative disorders including infantile-onset ascending hereditary spastic paralysis (IAHSP), juvenile primary lateral sclerosis (JPLS), and juvenile amyotrophic lateral sclerosis (JALS/ALS2), caused by retrograde degeneration of the upper motor neurons of the pyramidal tracts. Here, we describe 11 individuals with IAHSP, aged 2–48 years, with IAHSP from three unrelated consanguineous Iranian families carrying the homozygous c.1640+1G>A founder mutation in ALS2. Three affected siblings from one family exhibit generalized dystonia which has not been previously described in families with IAHSP and has only been reported in three unrelated consanguineous families with JALS/ALS2. We report the oldest individuals with IAHSP to date and provide evidence that these patients survive well into their late 40s with preserved cognition and normal eye movements. Our study delineates the phenotypic spectrum of IAHSP and ALS2-related disorders and provides valuable insights into the natural disease course. © 2018, The Author(s).
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