Document Detail


Fragile X-associated tremor/ataxia syndrome--an older face of the fragile X gene.
MedLine Citation:
PMID:  17279084     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A 76-year-old man presented with an 8-year history of balance problems and a 2-year history of short-term memory loss. He had also been experiencing long-term problems with impotence and episodes of urinary incontinence, and had been managed for hypertension for 25 years. His medical history was otherwise unremarkable. Three of his grandchildren had been diagnosed with fragile X syndrome. INVESTIGATIONS: Neurological examination, cognitive and neuropsychological testing, nerve conduction studies, MRI, and genetic testing. DIAGNOSIS: Fragile X-associated tremor/ataxia syndrome (FXTAS) resulting from a premutation (CGG repeat) expansion of the FMR1 gene. MANAGEMENT: Explanation of the genetic ramifications of premutation carrier status for the FMR1 gene, and symptomatic treatment for the clinical difficulties experienced by the patient.
Authors:
Paul J Hagerman; Randi J Hagerman
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Nature clinical practice. Neurology     Volume:  3     ISSN:  1745-8358     ISO Abbreviation:  -     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-06     Completed Date:  2007-03-14     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  101261799     Medline TA:  Nat Clin Pract Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  107-12     Citation Subset:  IM    
Affiliation:
Department of Biochemistry and Molecular Medicine, University of California Davis School of Medicine, Davis, CA 95616, USA. pjhagerman@ucdavis.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Ataxia / etiology
Brain / pathology
Female
Fragile X Mental Retardation Protein / genetics,  metabolism*
Fragile X Syndrome / genetics,  pathology,  physiopathology
Heredodegenerative Disorders, Nervous System / genetics*,  pathology,  physiopathology*
Heterozygote
Humans
Hypertension / complications
Magnetic Resonance Imaging
Male
Memory Disorders / etiology
Pedigree
Tremor / etiology
Trinucleotide Repeat Expansion / genetics*
Grant Support
ID/Acronym/Agency:
AG024488/AG/NIA NIH HHS; HD02274/HD/NICHD NIH HHS; HD36071/HD/NICHD NIH HHS; NS43532/NS/NINDS NIH HHS; U10/CCU 92513//PHS HHS
Chemical
Reg. No./Substance:
0/FMR1 protein, human; 139135-51-6/Fragile X Mental Retardation Protein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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