Document Detail


GRAND ROUNDS: an atypical progressive dementia in a male carrier of the fragile X premutation: an example of fragile X-associated tremor/ataxia syndrome.
MedLine Citation:
PMID:  16131344     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This case study describes a 65-year-old man initially diagnosed with an atypical rapidly progressive dementia who subsequently participated in a research project at the MIND Institute at the University of California-Davis, where he was diagnosed with a recently identified neurodegenerative syndrome, fragile X-associated tremor/ataxia syndrome (FXTAS). He was a carrier of the fragile X premutation and in later life developed tremor, gait ataxia, parkinsonism, and cognitive deficits that progressed very rapidly. This case study provides a detailed description of the individual's history, presenting symptoms, neuropsychological test results, and postmortem neuropathological analysis. Pathological findings showed diagnostic features of both FXTAS and Alzheimer's disease, which might help to explain the rapid progression of his dementia.
Authors:
Philip K Mothersead; Kimberly Conrad; Randi J Hagerman; Claudia M Greco; David Hessl; Flora Tassone
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Applied neuropsychology     Volume:  12     ISSN:  1532-4826     ISO Abbreviation:  Appl Neuropsychol     Publication Date:  2005  
Date Detail:
Created Date:  2005-08-31     Completed Date:  2008-07-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9507620     Medline TA:  Appl Neuropsychol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  169-78     Citation Subset:  IM    
Affiliation:
Neuropsychology & Rehabilitation, St. John's Health Center, Springfield, Missouri 65804-2263, USA. pmothersead@sprg.mercy.net
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MeSH Terms
Descriptor/Qualifier:
Aged
Ataxia / etiology,  genetics
Dementia / etiology*,  genetics
Disease Progression
Fragile X Mental Retardation Protein / genetics
Fragile X Syndrome / complications*,  genetics
Humans
Male
Mutation / genetics*
Neuropsychological Tests
Tremor / etiology,  genetics
Grant Support
ID/Acronym/Agency:
HD36071/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
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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