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자료유형
학술저널
저자정보
Silke Appel-Cresswell (Division of Neurology Department of Medicine University of British Columbia) Ilaria Guella (Department of Medical Genetics University of British Columbia) Anna Lehman (Department of Medical Genetics University of British Columbia) Dean Foti (Division of Neurology Department of Medicine University of British Columbia) Matthew J. Farrer (Centre for Applied Neurogenetics University of British Columbia)
저널정보
대한파킨슨병및이상운동질환학회 Journal Of Movement Disorders Journal Of Movement Disorders Vol.11 No.1
발행연도
2018.1
수록면
45 - 48 (4page)

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Mutations in presenilin 1 (PSEN1) are the most common cause of autosomal dominant Alzheimer’s disease. Here, we report a Canadian-Vietnamese family carrying a PSEN1 p.Met233Val mutation with an exceptionally early and severe presentation that includes a wide range of atypical symptoms, including prominent ataxia, Parkinsonism, spasticity, dystonia, action tremor, myoclonus, bulbar symptoms, seizures, hallucinations and behavioral changes. Whole-exome sequencing (WES) was performed on the affected proband after many assessments over several years proved diagnostically inconclusive. The results were analyzed using the AnnEx “Annotated Exomes” browser (http://annex.can.ubc.ca), a web-based platform that facilitates WES variant annotation and interpretation. High-throughput sequencing can be especially informative for complex neurological disorders, and WES warrants consideration as a first-line clinical test. Data analyses facilitated by web-based bioinformatics tools have great potential for novel insight, although confirmatory, diagnostically accredited Sanger sequencing is recommended prior to reporting.

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