The use of muscle biopsy in the diagnosis of undefined ataxia with cerebellar atrophy in children

Childhood cerebellar ataxias, and particularly congenital ataxias, are heterogeneous disorders and several remain undefined. We performed a muscle biopsy in patients with congenital ataxia and children with later onset undefined ataxia having neuroimaging evidence of cerebellar atrophy. Significant...

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Main Authors: Terracciano, Alessandra, Renaldo, Florence, Zanni, Ginevra, D’Amico, Adele, Pastore, Anna, Barresi, Sabina, Valente, Enza Maria, Piemonte, Fiorella, Tozzi, Giulia, Carrozzo, Rosalba, Valeriani, Massimiliano, Boldrini, Renata, Mercuri, Eugenio, Santorelli, Filippo Maria, Bertini, Enrico
Format: Online
Language:English
Published: Saunders 2012
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3341568/
id pubmed-3341568
recordtype oai_dc
spelling pubmed-33415682012-05-08 The use of muscle biopsy in the diagnosis of undefined ataxia with cerebellar atrophy in children Terracciano, Alessandra Renaldo, Florence Zanni, Ginevra D’Amico, Adele Pastore, Anna Barresi, Sabina Valente, Enza Maria Piemonte, Fiorella Tozzi, Giulia Carrozzo, Rosalba Valeriani, Massimiliano Boldrini, Renata Mercuri, Eugenio Santorelli, Filippo Maria Bertini, Enrico Original Article Childhood cerebellar ataxias, and particularly congenital ataxias, are heterogeneous disorders and several remain undefined. We performed a muscle biopsy in patients with congenital ataxia and children with later onset undefined ataxia having neuroimaging evidence of cerebellar atrophy. Significant reduced levels of Coenzyme Q10 (COQ10) were found in the skeletal muscle of 9 out of 34 patients that were consecutively screened. A mutation in the ADCK3/Coq8 gene (R347X) was identified in a female patient with ataxia, seizures and markedly reduced COQ10 levels. In a 2.5-years-old male patient with non syndromic congenital ataxia and autophagic vacuoles in the muscle biopsy we identified a homozygous nonsense mutation R111X mutation in SIL1 gene, leading to early diagnosis of Marinesco-Sjogren syndrome. We think that muscle biopsy is a valuable procedure to improve diagnostic assesement in children with congenital ataxia or other undefined forms of later onset childhood ataxia associated to cerebellar atrophy at MRI. Saunders 2012-05 /pmc/articles/PMC3341568/ /pubmed/21873089 http://dx.doi.org/10.1016/j.ejpn.2011.07.016 Text en © 2012 Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/3.0/ Open Access under CC BY-NC-ND 3.0 (https://creativecommons.org/licenses/by-nc-nd/3.0/) license
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Terracciano, Alessandra
Renaldo, Florence
Zanni, Ginevra
D’Amico, Adele
Pastore, Anna
Barresi, Sabina
Valente, Enza Maria
Piemonte, Fiorella
Tozzi, Giulia
Carrozzo, Rosalba
Valeriani, Massimiliano
Boldrini, Renata
Mercuri, Eugenio
Santorelli, Filippo Maria
Bertini, Enrico
spellingShingle Terracciano, Alessandra
Renaldo, Florence
Zanni, Ginevra
D’Amico, Adele
Pastore, Anna
Barresi, Sabina
Valente, Enza Maria
Piemonte, Fiorella
Tozzi, Giulia
Carrozzo, Rosalba
Valeriani, Massimiliano
Boldrini, Renata
Mercuri, Eugenio
Santorelli, Filippo Maria
Bertini, Enrico
The use of muscle biopsy in the diagnosis of undefined ataxia with cerebellar atrophy in children
author_facet Terracciano, Alessandra
Renaldo, Florence
Zanni, Ginevra
D’Amico, Adele
Pastore, Anna
Barresi, Sabina
Valente, Enza Maria
Piemonte, Fiorella
Tozzi, Giulia
Carrozzo, Rosalba
Valeriani, Massimiliano
Boldrini, Renata
Mercuri, Eugenio
Santorelli, Filippo Maria
Bertini, Enrico
author_sort Terracciano, Alessandra
title The use of muscle biopsy in the diagnosis of undefined ataxia with cerebellar atrophy in children
title_short The use of muscle biopsy in the diagnosis of undefined ataxia with cerebellar atrophy in children
title_full The use of muscle biopsy in the diagnosis of undefined ataxia with cerebellar atrophy in children
title_fullStr The use of muscle biopsy in the diagnosis of undefined ataxia with cerebellar atrophy in children
title_full_unstemmed The use of muscle biopsy in the diagnosis of undefined ataxia with cerebellar atrophy in children
title_sort use of muscle biopsy in the diagnosis of undefined ataxia with cerebellar atrophy in children
description Childhood cerebellar ataxias, and particularly congenital ataxias, are heterogeneous disorders and several remain undefined. We performed a muscle biopsy in patients with congenital ataxia and children with later onset undefined ataxia having neuroimaging evidence of cerebellar atrophy. Significant reduced levels of Coenzyme Q10 (COQ10) were found in the skeletal muscle of 9 out of 34 patients that were consecutively screened. A mutation in the ADCK3/Coq8 gene (R347X) was identified in a female patient with ataxia, seizures and markedly reduced COQ10 levels. In a 2.5-years-old male patient with non syndromic congenital ataxia and autophagic vacuoles in the muscle biopsy we identified a homozygous nonsense mutation R111X mutation in SIL1 gene, leading to early diagnosis of Marinesco-Sjogren syndrome. We think that muscle biopsy is a valuable procedure to improve diagnostic assesement in children with congenital ataxia or other undefined forms of later onset childhood ataxia associated to cerebellar atrophy at MRI.
publisher Saunders
publishDate 2012
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3341568/
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