" /> Neurodegeneration with brain iron accumulation 4 - CISMeF





Preferred Label : Neurodegeneration with brain iron accumulation 4;

Symbol : NBIA4;

CISMeF acronym : MPAN; NBIA4;

Type : Phenotype, molecular basis known;

Alternative titles and symbols : MPAN; Mitochondrial protein-associated neurodegeneration;

Description : Neurodegeneration with brain iron accumulation-4 (NBIA4) is an autosomal recessive neurodegenerative disorder characterized by progressive spastic paraplegia, parkinsonism unresponsive to L-DOPA treatment, and psychiatric or behavioral symptoms. Other neurologic features, including optic atrophy, eye movement abnormalities, dystonia, dysphagia, dysarthria, and motor axonal neuropathy, may occur. Brain MRI shows T2-weighted hypointensities in the globus pallidus and substantia nigra. Onset is usually in the first 2 decades, but later onset has been reported (summary by Dogu et al., 2013). There is phenotypic variation: some patients may not have extrapyramidal signs and may have muscle weakness and atrophy as well as cognitive impairment or developmental delay (Deschauer et al., 2012) For a general phenotypic description and a discussion of genetic heterogeneity of NBIA, see NBIA1 (234200).;

Inheritance : Autosomal recessive; Autosomal dominant;

Molecular basis : Caused by mutation in the chromosome 19 open reading frame 12 gene (C19ORF12, 614297.0001);

Laboratory abnormalities : Increased serum creatine kinase, mild;

Prefixed ID : #614298;

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04/06/2025


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