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Neurotransmitter abnormalities and response to supplementation in SPG11

  • Adeline Vanderver
  • , Davide Tonduti
  • , Sarah Auerbach
  • , Johanna L. Schmidt
  • , Sumit Parikh
  • , Gordon C. Gowans
  • , Kelly E. Jackson
  • , Pamela L. Brock
  • , Marc Patterson
  • , Michelle Nehrebecky
  • , Rena Godfrey
  • , Wadih M. Zein
  • , William Gahl
  • , Camilo Toro

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To report the detection of secondary neurotransmitter abnormalities in a group of SPG11 patients and describe treatment with l-dopa/carbidopa and sapropterin. Design: Case reports. Setting: National Institutes of Health in the Undiagnosed Disease Program; Children's National Medical Center in the Myelin Disorders Bioregistry Program. Patients: Four SPG11 patients with a clinical picture of progressive spastic paraparesis complicated by extrapyramidal symptoms and maculopathy. Interventions: l-Dopa/carbidopa and sapropterin. Results: 3/4 patients presented secondary neurotransmitter abnormalities; 4/4 partially responded to l-dopa as well as sapropterin. Conclusions: In the SPG11 patient with extrapyramidal symptoms, a trial of l-dopa/carbidopa and sapropterin and/or evaluation of cerebrospinal fluid neurotransmitters should be considered.

Original languageEnglish
Pages (from-to)229-233
Number of pages5
JournalMolecular Genetics and Metabolism
Volume107
Issue number1-2
DOIs
StatePublished - Sep 2012

Keywords

  • Dopa responsive dystonia
  • Neurotransmitter disorder
  • SPG11
  • Spastic paraparesis

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