Dopa-Responsive Dystonia: An Early Presentation of Ataxia-Telangiectasia.

Ann Indian Acad Neurol

MD Pediatrics MRCPCH (Lon), Consultant Pediatric Neurologist, NH SRCC Children Hospital, Mumbai, Maharashtra, India.

Published: November 2022

AI Article Synopsis

  • Ataxia-telangiectasia (AT) is a rare genetic disorder characterized by ataxia, skin changes, and immune deficiency that usually leads to movement issues later in life.
  • Diagnosing variant ataxia-telangiectasia (variant AT) is important when symptoms differ from the typical progression, as it can show various forms of the disease.
  • This report discusses a unique case of variant AT where the patient initially presented with dopamine-responsive dystonia, highlighting the importance of recognizing atypical symptoms for better management and family support.

Article Abstract

Ataxia-telangiectasia (AT) is a complex genetic neurodegenerative disease with autosomal recessive inheritance. The typical initial features of ataxia telangiectasia include ataxia, cutaneous telangiectasia, and immune deficiency with recurrent infections. Usually, movement disorder occurs late in the course of the disease. A diagnosis of variant or atypical ataxia-telangiectasia (variant AT) is considered in case of any deviation from the normal course of illness giving rise to variable presentations of the disease. Only a few cases of variant AT with predominant movement disorder have been reported worldwide. A knowledge of atypical presentations helps in early diagnosis and thus to initiate management and counselling of the family at the earliest. Here, we report a case of genetically confirmed ataxia-telangiectasia with an initial presentation of dopamine responsive dystonia.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9996480PMC
http://dx.doi.org/10.4103/aian.aian_690_22DOI Listing

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