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Letter to the Editor| Volume 378, P52-54, July 15, 2017

Expanding the phenotype of phosphomannomutase-2 gene congenital disorder of glycosylation: Cervical dystonia

  • Malco Rossi
    Affiliations
    Movement Disorders Section, Neuroscience Department, Raul Carrea Institute for Neurological Research (FLENI), Buenos Aires, Argentina
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  • Alex Medina Escobar
    Affiliations
    Movement Disorders Section, Neuroscience Department, Raul Carrea Institute for Neurological Research (FLENI), Buenos Aires, Argentina
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  • Lucia Ameghino
    Affiliations
    Movement Disorders Section, Neuroscience Department, Raul Carrea Institute for Neurological Research (FLENI), Buenos Aires, Argentina
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  • Marcelo Merello
    Correspondence
    Corresponding author at: Movement Disorders Section and Neuroscience Department, Raul Carrea Institute for Neurological Research (FLENI), Montañeses 2325, Ciudad Autónoma de Buenos Aires 1428, Argentina.
    Affiliations
    Movement Disorders Section, Neuroscience Department, Raul Carrea Institute for Neurological Research (FLENI), Buenos Aires, Argentina

    Argentine National Scientific and Technological Research Council (CONICET), Argentina
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Published:April 23, 2017DOI:https://doi.org/10.1016/j.jns.2017.04.037
      Phosphomannomutase-2 deficiency-congenital disorder of glycosylation (PMM2-CDG), congenital disorder of glycosylation type-Ia or Jaeken syndrome (MIM #601785) is an autosomal recessive inherited condition of abnormal glycosylation of N-linked oligosaccharides [
      • Freeze H.H.
      • Eklund E.A.
      • Ng B.G.
      • Patterson M.C.
      Neurology of inherited glycosylation disorders.
      ]. Disease course is variable, ranging from infantile forms with multisystem involvement and a childhood-adult ataxia-intellectual disability type with neurologic stable form [
      • Freeze H.H.
      • Eklund E.A.
      • Ng B.G.
      • Patterson M.C.
      Neurology of inherited glycosylation disorders.
      ,
      • Barone R.
      • Carrozzi M.
      • Parini R.
      • et al.
      A nationwide survey of PMM2-CDG in Italy: high frequency of a mild neurological variant associated with the L32R mutation.
      ]. The phenotypic spectrum includes morphological abnormalities, ataxia, developmental delay, strabismus, retinopathy, seizures, stroke-like episodes, peripheral neuropathy, hypergonadotropic hypogonadism and thrombotic events [
      • Barone R.
      • Carrozzi M.
      • Parini R.
      • et al.
      A nationwide survey of PMM2-CDG in Italy: high frequency of a mild neurological variant associated with the L32R mutation.
      ,
      • Monin M.L.
      • Mignot C.
      • De Lonlay P.
      • et al.
      29 French adult patients with PMM2-congenital disorder of glycosylation: outcome of the classical pediatric phenotype and depiction of a late-onset phenotype.
      ]. Brain imaging displays cerebellar and brainstem atrophy. We describe two sisters with PMM2-CDG that present with cervical dystonia that to our knowledge has not been previously reported.

      Keywords

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      References

        • Freeze H.H.
        • Eklund E.A.
        • Ng B.G.
        • Patterson M.C.
        Neurology of inherited glycosylation disorders.
        Lancet Neurol. 2012; 11: 453-466
        • Barone R.
        • Carrozzi M.
        • Parini R.
        • et al.
        A nationwide survey of PMM2-CDG in Italy: high frequency of a mild neurological variant associated with the L32R mutation.
        J. Neurol. 2015; 262: 154-164
        • Monin M.L.
        • Mignot C.
        • De Lonlay P.
        • et al.
        29 French adult patients with PMM2-congenital disorder of glycosylation: outcome of the classical pediatric phenotype and depiction of a late-onset phenotype.
        Orphanet J. Rare Dis. 2014; 9: 207
        • Neumann L.M.
        • von Moers A.
        • Kunze J.
        • Blankenstein O.
        • Marquardt T.
        Congenital disorder of glycosylation type 1a in a macrosomic 16-month-old boy with an atypical phenotype and homozygosity of the N216I mutation.
        Eur. J. Pediatr. 2003; 162: 710-713
        • Sparks S.E.
        • Krasnewich D.M.
        PMM2-CDG (CDG-Ia) in: genereviews at genetests medical genetics information resource.
        (Available at) (Accessed 20 January 2017)