Publications by authors named "Fumikazu Kojima"

Primary familial brain calcification (PFBC) is a genetic neurological disorder characterized by symmetric brain calcifications that manifest with variable neurological symptoms. This study aimed to explore the genetic basis of PFBC and elucidate the underlying pathophysiological mechanisms. Six patients from four pedigrees with brain calcification were enrolled.

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  • * Researchers screened 1555 Japanese IPN patients for CGG repeat expansions using advanced techniques, finding 44 cases with this genetic marker, making it a common cause of the condition.
  • * The findings underscore the importance of tailored screening strategies in clinical settings, particularly for identifying Charcot-Marie-Tooth disease (CMT) cases linked to CGG repeat expansions.
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Biallelic variants of 4-hydroxyphenylpyruvate dioxygenase-like (HPDL) gene have been linked to neurodegenerative disorders ranging from severe neonatal encephalopathy to early-onset spastic paraplegia. We identified a novel homozygous variant, c.340G > T (p.

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  • The study investigates the genetic causes of late-onset cerebellar ataxia in Japan, focusing on GAA repeat expansions in the FGF14 gene.
  • Analysis of 940 patients revealed pathogenic FGF14 GAA repeat expansions in 12 patients, with a median size of 309 repeats and an average age of onset of nearly 67 years.
  • The findings suggest that FGF14 GAA repeat analysis is crucial for diagnosing cerebellar ataxia, especially in cases with episodic symptoms or normal MRI results, enhancing the understanding of this genetic disorder.
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Background And Objective: Biallelic mutations in the COA7 gene have been associated with spinocerebellar ataxia with axonal neuropathy type 3 (SCAN3), and a notable clinical diversity has been observed. We aim to identify the genetic and phenotypic spectrum of COA7-related disorders.

Methods: We conducted comprehensive genetic analyses on the COA7 gene within a large group of Japanese patients clinically diagnosed with inherited peripheral neuropathy or cerebellar ataxia.

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  • - The study investigates GGC repeat expansions in relation to inherited peripheral neuropathies (IPNs), aiming to clarify the clinical and genetic features of these conditions, which have been understudied.
  • - Researchers analyzed 1783 Japanese patients diagnosed with IPN/Charcot-Marie-Tooth disease (CMT) and found repeat expansions in 26 cases, revealing a median age of onset of 32.7 years and a predominance of intermediate CMT.
  • - The findings highlight the clinical diversity of these diseases, including symptoms like dysautonomia, and underscore the importance of genetic screening for early diagnosis, especially in Asian patients with specific clinical characteristics.
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The recessive intronic pentanucleotide repeat AAGGG expansion of replication factor complex subunit 1 () is associated with cerebellar ataxia, sensory neuropathy, and vestibular areflexia syndrome. And the clinical spectrum has been continuously expanding. We conducted this study to demonstrate the clinical and genetic features of a large-scale case series of Japanese patients with cerebellar ataxia with repeat expansions.

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  • A study analyzed 2,695 cases of inherited peripheral neuropathies (IPNs) in Japan to uncover genetic factors linked to the condition, particularly focusing on large genomic variants.
  • Genetic testing techniques, including DNA microarrays and next-generation sequencing, were used to identify pathogenic variants in 909 cases, revealing specific genes responsible for different onset types and subtypes of IPN.
  • The findings aim to improve genetic testing strategies and early diagnosis for patients by detailing the genetic characteristics and clinical implications of IPNs.
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We report a patient with myelin oligodendrocyte glycoprotein (MOG) antibody positivity who manifested myelitis with right optic perineuritis (OPN) 6 years following left OPN. A 45-year-old man treated 6 years previously for left OPN developed ascending numbness in both legs, urinary dysfunctions, and constipation. Neurologic examination disclosed bilateral hypesthesia extending downward over the chest from the T8 level.

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This study aimed to evaluate genotype-phenotype correlations of Parkinson's disease (PD) patients with phospholipase A2 group V (PLA2G6) variants. We analyzed the DNA of 798 patients with PD, including 78 PD patients reported previously, and 336 in-house controls. We screened the exons and exon-intron boundaries of PLA2G6 using the Ion Torrent system and Sanger method.

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