" /> Segawa syndrome, autosomal recessive - CISMeF





Preferred Label : Segawa syndrome, autosomal recessive;

Type : Phenotype, molecular basis known;

Alternative titles and symbols : Dystonia, dopa-responsive, autosomal recessive; Dopa-responsive dystonia, autosomal recessive; Tyrosine hydroxylase deficiency; Parkinsonism, infantile, autosomal recessive;

Description : Segawa syndrome is an autosomal recessive neurologic disorder characterized by onset in infancy of dopa-responsive dystonia. There are 2 main phenotypes: one is a severe complex encephalopathy apparent in the perinatal period, with diurnal fluctuations and autonomic disturbances, and the other shows a less severe course with onset in the first year of life of a progressive hypokinetic-rigid syndrome and generalized dystonia. The less severe type shows a better response to levodopa compared to the more severe type (summary by Stamelou et al., 2012). See also infantile parkinsonism-dystonia syndrome (613135), caused by mutation in the SLC6A3 gene (126455).;

Inheritance : Autosomal recessive;

Molecular basis : Caused by mutation in the tyrosine hydroxylase gene (TH, 191290.0001).;

Laboratory abnormalities : Decreased CSF 3-methoxy-4-hydroxyphenylethyleneglycol (MHPG); Normal CSF 5-HIAA; Decreased CSF homovanillic acid (HVA); Decreased activity of tyrosine hydroxylase;

Prefixed ID : #605407;

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03/05/2025


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