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https://doi.org/10.1111/ene.12142
Title: | Clinico-genetic comparisons of paroxysmal kinesigenic dyskinesia patients with and without PRRT2 mutations | Authors: | Tan L.C.S. Methawasin K. Teng E.W.L. Ng A.R.J. Seah S.H. Au W.L. Liu J.J. Foo J.N. Zhao Y. Tan E.K. |
Keywords: | Paroxysmal kinesigenic dyskinesia PRRT2 Seizures |
Issue Date: | 2014 | Citation: | Tan L.C.S., Methawasin K., Teng E.W.L., Ng A.R.J., Seah S.H., Au W.L., Liu J.J., Foo J.N., Zhao Y., Tan E.K. (2014). Clinico-genetic comparisons of paroxysmal kinesigenic dyskinesia patients with and without PRRT2 mutations. European Journal of Neurology 21 (4) : 674-678. ScholarBank@NUS Repository. https://doi.org/10.1111/ene.12142 | Abstract: | Background and purpose: Mutations in the PRRT2 gene have been identified in patients with paroxysmal kinesigenic dyskinesias (PKD); however, not many detailed clinico-genetic correlations have been performed. Methods: To investigate PRRT2 mutations in a mixed Asian PKD population and perform clinico-genetic correlations, we recruited patients between 2002 and 2011 and administered a standardized questionnaire. Results: Amongst 29 unrelated patients with PKD recruited, five PRRT2 mutations were present in 15 patients. Three mutations (c.649dupC, c.649delC, c.649C>T) were previous reported, while three were novel mutations (c.604delT; c.609_611delACC/p.Ser202Hisfs; c.697_698delAG/p.Ser233Trp fsX5). Clinico-genetic correlations revealed that a history of seizures was more common in patients with PRRT2 mutations, although this did not reach statistical significance (P= 0.08). A younger age of onset, non-Chinese, and the presence of premonitory sensations were significantly associated with PRRT2 mutations in the univariate analysis. Multivariate logistic regression analysis demonstrated that age of onset [odds ratio (OR)=0.59, P=0.025] and premonitory sensation (OR=10.67, P=0.028) were independently associated with positive PRRT2 mutation. Conclusions: PRRT2 mutations are common in patients with PKD, and a double PRRT2 mutation is reported for the first time. PRRT2 mutations are significantly associated with a younger age of onset and the presence of premonitory sensation in our population. � 2013 The Author. | Source Title: | European Journal of Neurology | URI: | http://scholarbank.nus.edu.sg/handle/10635/150117 | ISSN: | 13515101 | DOI: | 10.1111/ene.12142 |
Appears in Collections: | Staff Publications |
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