Publications by authors named "Ahmad Shahir Mawardi"

Article Synopsis
  • The study focuses on early onset Parkinson's disease (EOPD), which affects 5-10% of patients and is linked to genes like GBA1, PRKN, and PINK1, particularly in diverse populations such as Southeast Asians.
  • Researchers examined 161 Malaysian patients with PD diagnosed before age 50, using genetic testing methods to identify pathogenic variants.
  • Findings revealed that 21.7% of patients had significant genetic variants, with GBA1 being the most common, and highlighted the need for broader genetic research to include under-represented groups.
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GBA variants are associated with increased risk and earlier onset of Parkinson's disease (PD), and more rapid disease progression especially with "severe" variants typified by p.L483P. GBA mutation screening studies from South-East Asia, with > 650 million inhabitants of diverse ancestries, are very limited.

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A 33-year-old man with a history of chronic toluene abuse through glue sniffing, developed tremors, cerebellar signs and cognitive decline. MR scan of the brain showed global cerebral and cerebellar atrophy with symmetrical T2-weighted hypointensities in the basal ganglia, thalami and midbrain. After stopping glue sniffing, his tremors, ataxia of gait, speech and cognition partially improved.

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Background: An improved understanding of the genetic determinants of Parkinson's disease (PD) in underrepresented populations, and better characterization of genotype-phenotype correlations in monogenic PD, are needed. Scarce literature exists regarding the genetic aetiology of PD in Malays, who comprise 200 million individuals in South-East Asia. Phenotypic data regarding PARK-PINK1 are also limited.

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