Individual #00390053

ID_report IV-33
Reference PubMed: Sundal 2019
Remarks large 4-generation family including 25 individuals from generation IV (23 unaffected); 10 affected (5F, 5M), 2 affacted individuals analysed
Gender M
Consanguinity no
Country Sweden
Population -
Age at death 57y (57 years)
VIP -
Data_av yes
Treatment -
Panel size 10
Diseases HDLS
Owner name Rita Guerreiro
Database submission license No license selected
Created by Rita Guerreiro
Date created 2021-11-09 15:59:04 +01:00 (CET)
Date last edited 2021-11-10 09:04:28 +01:00 (CET)


Phenotypes

leukoencephalopathy, diffuse hereditary, with spheroid (HDLS) (HDLS)   Add phenotype for this disease

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0000283592 Briefly, at age 46 this previously healthy manual worker suffered a progressive personality change (HP:0000751) with striking passivity and loss of responsibility at work and at home. At his first examination half a year after onset we observed a debilitating frontal syndrome with total loss of insight, along with discrete pyramidal (HP:0007256) and deep sensory signs. During the subsequent 2 years he was in a permanent hyperactive state (HP:0000752), incessantly walking, opening cupboards or clapping his hands, still with only moderate motor, sensory and extrapyramidal signs (HP:0002071). In the fourth year of his disease he had developed complete hemianopia (HP:0012377), and showed gradually increasing rigidity (HP:0002063) in all extremities, as well as primitive brain stem and grasp reflexes (HP:0002476). For 6 years he remained in a vegetative state (HP:0031358) with a general decortical type of rigidity, a weak doll’s eye reaction and spontaneous respiration of Cheyne-Stokes type (HP:0012196) until he succumbed from respiratory infections at 57 years of age. Five consecutive MRI examinations up to 26 months disease duration with DTI showed a symmetric leukoencephalopathy (HP:0002352) with an unusual feature, a progressive rim of decreased diffusion expanding centrifugally through the white matter from the periventricular area of the frontal and occipital horns, leaving apparently disorganized tissue behind the rim. - HDLS Familial, autosomal dominant 46y-57y - 46y - - Rita Guerreiro



Screenings


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0000391294 DNA;RNA RT-PCR;SEQ - - AARS 1 Rita Guerreiro



Variants

1 entry on 1 page. Showing entry 1.
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16 Parent #1 +?/. - likely pathogenic (dominant) g.70310413C>A - - - AARS_000074 variant located in the aminoacylation domain, could have a functional impact protein aminoacylation activity; not shown to affect splicing or expression in brain PubMed: Sundal 2019 VCV001299470.1 - Germline yes - - - - Rita Guerreiro AARS - - - - - NM_001605.2:c.455G>T - r.455g>u p.Cys152Phe - - - - - - - - - - - - - -
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