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- Extensive Leukoencephalopathy in Spastic Paraplegia Type 4: Possible Role of Cerebral Autosomal Arteriopathy With Subcortical Infarcts and Leukoencephelopathy
- Jin Ho Jung, Jung Hwa Seo, Sukyoon Lee, Young Jin Heo, Donghyun Kim, Eun Joo Chung, Seong-il Oh
- J Mov Disord. 2022;15(1):71-74. Published online December 24, 2021
- DOI: https://doi.org/10.14802/jmd.21091
- 4,338 View
- 134 Download
- 3 Web of Science
- 3 Crossref
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Abstract
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Supplementary Material - Despite recent advances in next-generation sequencing, the underlying etiology of adult-onset leukoencephalopathy has been difficult to elucidate. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a representative hereditary adult-onset leukoencephalopathy associated with vasculopathy. Leukoencephalopathy in spastic paraplegia type 4 (SPG4) is known to be rare, but it might be underestimated because most spastic paraplegia with leukoencephalopathy is rarely considered. We report a case of co-occurring SPG4 and CADASIL. A 61-year-old male presented with sudden visual impairment after a headache. He showed a spastic gait and had a family history with similar symptoms. An SPG4 gene mutation and a pathogenic variant in the NOTCH3 gene were found. This case shows that the diverse and complex clinical manifestations of patients with extensive leukoencephalopathy are related to more than one gene mutation. We also suggest the necessity for relevant genetic tests in the diagnosis of adult-onset leukoencephalopathy.
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Citations
Citations to this article as recorded by
- Clinical and genetic characteristics in a Chinese cohort of complex spastic paraplegia type 4
Li Yao, Yuwen Cao, Chao Zhang, Xiaojun Huang, Wotu Tian, Li Cao
Clinical Genetics.2024; 106(1): 56. CrossRef - Most common NOTCH3 mutations causing CADASIL or CADASIL-like cerebral small vessel disease: A systematic review
Georgina Boston, Dan Jobson, Toshiki Mizuno, Masafumi Ihara, Raj N Kalaria
Cerebral Circulation - Cognition and Behavior.2024; 6: 100227. CrossRef - Investigating the genetic basis of hereditary spastic paraplegia and cerebellar Ataxia in Pakistani families
Arfa Azeem, Asif Naveed Ahmed, Niamat Khan, Nikol Voutsina, Irfan Ullah, Nishanka Ubeyratna, Muhammad Yasin, Emma L. Baple, Andrew H. Crosby, Lettie E. Rawlins, Shamim Saleha
BMC Neurology.2024;[Epub] CrossRef
- Clinical and genetic characteristics in a Chinese cohort of complex spastic paraplegia type 4
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