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J Neurol Neurosurg Psychiatry 64:469-473 doi:10.1136/jnnp.64.4.469
  • Paper

Clinical similarities of hereditary progressive/dopa responsive dystonia caused by different types of mutations in the GTP cyclohydrolase I gene

Summary of the clinical information on the patients with HPD/DRD

Patient No
1 2 3 4 5 6 7 8
Age (y)/Sex 36/F 26/F 23/M 18/F 23/M 45/F 58/F 16/M
Age at onset (y) 8 7 10 2 2 8 8 8
Initial site of dystonia Feet (L>R) Feet (L>R), neck R foot, neck Feet, neck All limbs L arm R foot R foot
Diurnal fluctuation + + + + + + + +
Dopa responsiveness (mg/day) +200 +50 +200 +60 +45 +6001-151 +6001-151 +8001-151
Neurological signs:
 Legs affected more than arms + + + + +
GTP cyclohydrolase 1 gene mutations ATG→ATC A→C (His144Pro) Intron2, GT→CT
Others Dysarthria Dysarthria, MR1-150 Spontaneous remission
  • 1-150 MR = mental retardation.

  • 1-151 Without decarboxylase inhibitor.

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