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Leukodystrophy and acquired microcephaly with or without dystonia;(LDAMD)

MedGen UID:
908888
Concept ID:
C4225213
Disease or Syndrome
Synonym: Leukodystrophy and acquired microcephaly with or without dystonia
 
Gene (location): PLEKHG2 (19q13.2)
 
Monarch Initiative: MONDO:0014766
OMIM®: 616763

Clinical features

From HPO
Dystonic disorder
MedGen UID:
3940
Concept ID:
C0013421
Sign or Symptom
An abnormally increased muscular tone that causes fixed abnormal postures. There is a slow, intermittent twisting motion that leads to exaggerated turning and posture of the extremities and trunk.
Leukodystrophy
MedGen UID:
6070
Concept ID:
C0023520
Disease or Syndrome
Leukodystrophy refers to deterioration of white matter of the brain resulting from degeneration of myelin sheaths in the CNS. Their basic defect is directly related to the synthesis and maintenance of myelin membranes. Symmetric white matter involvement at MRI is a typical finding in patients with leukodystrophies.
Seizure
MedGen UID:
20693
Concept ID:
C0036572
Sign or Symptom
A seizure is an intermittent abnormality of nervous system physiology characterised by a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain.
Intellectual disability, severe
MedGen UID:
48638
Concept ID:
C0036857
Mental or Behavioral Dysfunction
Severe mental retardation is defined as an intelligence quotient (IQ) in the range of 20-34.
Global developmental delay
MedGen UID:
107838
Concept ID:
C0557874
Finding
A delay in the achievement of motor or mental milestones in the domains of development of a child, including motor skills, speech and language, cognitive skills, and social and emotional skills. This term should only be used to describe children younger than five years of age.
Profound global developmental delay
MedGen UID:
766364
Concept ID:
C3553450
Disease or Syndrome
A profound delay in the achievement of motor or mental milestones in the domains of development of a child.
Diffuse white matter abnormalities
MedGen UID:
870477
Concept ID:
C4024923
Anatomical Abnormality
Secondary microcephaly
MedGen UID:
608952
Concept ID:
C0431352
Finding
Head circumference which falls below 2 standard deviations below the mean for age and gender because of insufficient head growth after birth.
Generalized hypotonia
MedGen UID:
346841
Concept ID:
C1858120
Finding
Generalized muscular hypotonia (abnormally low muscle tone).
Microcephaly
MedGen UID:
1644158
Concept ID:
C4551563
Finding
Head circumference below 2 standard deviations below the mean for age and gender.
Nystagmus
MedGen UID:
45166
Concept ID:
C0028738
Disease or Syndrome
Rhythmic, involuntary oscillations of one or both eyes related to abnormality in fixation, conjugate gaze, or vestibular mechanisms.

Professional guidelines

PubMed

Tater P, Pandey S
Neurol India 2021 Mar-Apr;69(2):272-283. doi: 10.4103/0028-3886.314574. PMID: 33904435
Abboud H, Probasco JC, Irani S, Ances B, Benavides DR, Bradshaw M, Christo PP, Dale RC, Fernandez-Fournier M, Flanagan EP, Gadoth A, George P, Grebenciucova E, Jammoul A, Lee ST, Li Y, Matiello M, Morse AM, Rae-Grant A, Rojas G, Rossman I, Schmitt S, Venkatesan A, Vernino S, Pittock SJ, Titulaer MJ; Autoimmune Encephalitis Alliance Clinicians Network
J Neurol Neurosurg Psychiatry 2021 Jul;92(7):757-768. Epub 2021 Mar 1 doi: 10.1136/jnnp-2020-325300. PMID: 33649022Free PMC Article
O'Shea TM
Clin Obstet Gynecol 2008 Dec;51(4):816-28. doi: 10.1097/GRF.0b013e3181870ba7. PMID: 18981805Free PMC Article

Recent clinical studies

Etiology

Lenka A, Jankovic J
Tremor Other Hyperkinet Mov (N Y) 2021;11:54. Epub 2021 Dec 21 doi: 10.5334/tohm.670. PMID: 35036047Free PMC Article
Grütz K, Klein C
J Neural Transm (Vienna) 2021 Apr;128(4):395-404. Epub 2021 Feb 19 doi: 10.1007/s00702-021-02314-2. PMID: 33604773Free PMC Article
Balint B, Mencacci NE, Valente EM, Pisani A, Rothwell J, Jankovic J, Vidailhet M, Bhatia KP
Nat Rev Dis Primers 2018 Sep 20;4(1):25. doi: 10.1038/s41572-018-0023-6. PMID: 30237473
Roze E, Lang AE, Vidailhet M
Curr Opin Neurol 2018 Aug;31(4):484-490. doi: 10.1097/WCO.0000000000000577. PMID: 29952836
Allen NM, Lin JP, Lynch T, King MD
Dev Med Child Neurol 2014 Feb;56(2):105-12. Epub 2013 Dec 4 doi: 10.1111/dmcn.12339. PMID: 24304390

Diagnosis

Stephen CD
Continuum (Minneap Minn) 2022 Oct 1;28(5):1435-1475. doi: 10.1212/CON.0000000000001159. PMID: 36222773Free PMC Article
Grütz K, Klein C
J Neural Transm (Vienna) 2021 Apr;128(4):395-404. Epub 2021 Feb 19 doi: 10.1007/s00702-021-02314-2. PMID: 33604773Free PMC Article
Balint B, Mencacci NE, Valente EM, Pisani A, Rothwell J, Jankovic J, Vidailhet M, Bhatia KP
Nat Rev Dis Primers 2018 Sep 20;4(1):25. doi: 10.1038/s41572-018-0023-6. PMID: 30237473
Batla A
Neurol India 2018 Mar-Apr;66(Supplement):S48-S58. doi: 10.4103/0028-3886.226439. PMID: 29503327
Allen NM, Lin JP, Lynch T, King MD
Dev Med Child Neurol 2014 Feb;56(2):105-12. Epub 2013 Dec 4 doi: 10.1111/dmcn.12339. PMID: 24304390

Therapy

Stephen CD
Continuum (Minneap Minn) 2022 Oct 1;28(5):1435-1475. doi: 10.1212/CON.0000000000001159. PMID: 36222773Free PMC Article
Dressler D, Adib Saberi F, Rosales RL
J Neural Transm (Vienna) 2021 Apr;128(4):531-537. Epub 2020 Oct 30 doi: 10.1007/s00702-020-02266-z. PMID: 33125571Free PMC Article
Hassell TJW, Charles D
Toxins (Basel) 2020 Apr 22;12(4) doi: 10.3390/toxins12040269. PMID: 32331272Free PMC Article
Balint B, Mencacci NE, Valente EM, Pisani A, Rothwell J, Jankovic J, Vidailhet M, Bhatia KP
Nat Rev Dis Primers 2018 Sep 20;4(1):25. doi: 10.1038/s41572-018-0023-6. PMID: 30237473
Allen NM, Lin JP, Lynch T, King MD
Dev Med Child Neurol 2014 Feb;56(2):105-12. Epub 2013 Dec 4 doi: 10.1111/dmcn.12339. PMID: 24304390

Prognosis

Jain R, Pandey S, Raghav S
Indian Pediatr 2021 Sep 15;58(9):861-870. Epub 2021 May 20 PMID: 34016797
Krauss JK, Lipsman N, Aziz T, Boutet A, Brown P, Chang JW, Davidson B, Grill WM, Hariz MI, Horn A, Schulder M, Mammis A, Tass PA, Volkmann J, Lozano AM
Nat Rev Neurol 2021 Feb;17(2):75-87. Epub 2020 Nov 26 doi: 10.1038/s41582-020-00426-z. PMID: 33244188Free PMC Article
Dressler D, Adib Saberi F, Rosales RL
J Neural Transm (Vienna) 2021 Apr;128(4):531-537. Epub 2020 Oct 30 doi: 10.1007/s00702-020-02266-z. PMID: 33125571Free PMC Article
Zech M, Jech R, Boesch S, Škorvánek M, Weber S, Wagner M, Zhao C, Jochim A, Necpál J, Dincer Y, Vill K, Distelmaier F, Stoklosa M, Krenn M, Grunwald S, Bock-Bierbaum T, Fečíková A, Havránková P, Roth J, Příhodová I, Adamovičová M, Ulmanová O, Bechyně K, Danhofer P, Veselý B, Haň V, Pavelekova P, Gdovinová Z, Mantel T, Meindl T, Sitzberger A, Schröder S, Blaschek A, Roser T, Bonfert MV, Haberlandt E, Plecko B, Leineweber B, Berweck S, Herberhold T, Langguth B, Švantnerová J, Minár M, Ramos-Rivera GA, Wojcik MH, Pajusalu S, Õunap K, Schatz UA, Pölsler L, Milenkovic I, Laccone F, Pilshofer V, Colombo R, Patzer S, Iuso A, Vera J, Troncoso M, Fang F, Prokisch H, Wilbert F, Eckenweiler M, Graf E, Westphal DS, Riedhammer KM, Brunet T, Alhaddad B, Berutti R, Strom TM, Hecht M, Baumann M, Wolf M, Telegrafi A, Person RE, Zamora FM, Henderson LB, Weise D, Musacchio T, Volkmann J, Szuto A, Becker J, Cremer K, Sycha T, Zimprich F, Kraus V, Makowski C, Gonzalez-Alegre P, Bardakjian TM, Ozelius LJ, Vetro A, Guerrini R, Maier E, Borggraefe I, Kuster A, Wortmann SB, Hackenberg A, Steinfeld R, Assmann B, Staufner C, Opladen T, Růžička E, Cohn RD, Dyment D, Chung WK, Engels H, Ceballos-Baumann A, Ploski R, Daumke O, Haslinger B, Mall V, Oexle K, Winkelmann J
Lancet Neurol 2020 Nov;19(11):908-918. doi: 10.1016/S1474-4422(20)30312-4. PMID: 33098801Free PMC Article
Schmerler DA, Espay AJ
Handb Clin Neurol 2016;139:235-245. doi: 10.1016/B978-0-12-801772-2.00020-5. PMID: 27719842

Clinical prediction guides

Bologna M, Valls-Solè J, Kamble N, Pal PK, Conte A, Guerra A, Belvisi D, Berardelli A
Clin Neurophysiol 2022 Aug;140:110-125. Epub 2022 Jun 8 doi: 10.1016/j.clinph.2022.05.014. PMID: 35785630
Wirth T, Garone G, Kurian MA, Piton A, Millan F, Telegrafi A, Drouot N, Rudolf G, Chelly J, Marks W, Burglen L, Demailly D, Coubes P, Castro-Jimenez M, Joriot S, Ghoumid J, Belin J, Faucheux JM, Blumkin L, Hull M, Parnes M, Ravelli C, Poulen G, Calmels N, Nemeth AH, Smith M, Barnicoat A, Ewenczyk C, Méneret A, Roze E, Keren B, Mignot C, Beroud C, Acosta F Jr, Nowak C, Wilson WG, Steel D, Capuano A, Vidailhet M, Lin JP, Tranchant C, Cif L, Doummar D, Anheim M
Mov Disord 2022 Jul;37(7):1547-1554. Epub 2022 Jun 20 doi: 10.1002/mds.29074. PMID: 35722775Free PMC Article
Scarduzio M, Hess EJ, Standaert DG, Eskow Jaunarajs KL
Neurobiol Dis 2022 May;166:105650. Epub 2022 Feb 6 doi: 10.1016/j.nbd.2022.105650. PMID: 35139431
Lange LM, Junker J, Loens S, Baumann H, Olschewski L, Schaake S, Madoev H, Petkovic S, Kuhnke N, Kasten M, Westenberger A, Domingo A, Marras C, König IR, Camargos S, Ozelius LJ, Klein C, Lohmann K
Mov Disord 2021 May;36(5):1086-1103. Epub 2021 Jan 27 doi: 10.1002/mds.28485. PMID: 33502045
Dressler D, Adib Saberi F, Rosales RL
J Neural Transm (Vienna) 2021 Apr;128(4):531-537. Epub 2020 Oct 30 doi: 10.1007/s00702-020-02266-z. PMID: 33125571Free PMC Article

Recent systematic reviews

Loudovici-Krug D, Derlien S, Best N, Günther A
Toxins (Basel) 2022 Nov 11;14(11) doi: 10.3390/toxins14110784. PMID: 36422957Free PMC Article
Bilbao A, Spanagel R
BMC Med 2022 Aug 19;20(1):259. doi: 10.1186/s12916-022-02459-1. PMID: 35982439Free PMC Article
Ellwood J, Draper-Rodi J, Carnes D
Chiropr Man Therap 2020 Jun 11;28(1):31. doi: 10.1186/s12998-020-00321-w. PMID: 32522230Free PMC Article
Fehlings D, Brown L, Harvey A, Himmelmann K, Lin JP, Macintosh A, Mink JW, Monbaliu E, Rice J, Silver J, Switzer L, Walters I
Dev Med Child Neurol 2018 Apr;60(4):356-366. Epub 2018 Feb 6 doi: 10.1111/dmcn.13652. PMID: 29405267
Cohen EE, LaMonte SJ, Erb NL, Beckman KL, Sadeghi N, Hutcheson KA, Stubblefield MD, Abbott DM, Fisher PS, Stein KD, Lyman GH, Pratt-Chapman ML
CA Cancer J Clin 2016 May;66(3):203-39. Epub 2016 Mar 22 doi: 10.3322/caac.21343. PMID: 27002678

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