title: Anticipation in hereditary dentatorubral-pallidoluysian atrophy.
abstract: Anticipation refers to the progressively earlier onset and increase in disease severity in successive generations. We studied four families with hereditary dentatorubral-pallidoluysian atrophy (DRPLA), a neurodegenerative disease, and anticipation was present in the mode of inheritance. In subsequent generations DRPLA shows an earlier onset and more severe as well as additional symptoms. Older onset patients suffer from cerebellar ataxia with or without dementia, whereas younger onset patients present as progressive myoclonus epilepsy syndrome, which consists of mental retardation, dementia, and cerebellar ataxia as well as epilepsy and myoclonus. Anticipation with paternal transmission was significantly greater than with maternal transmission.
authors.affiliation: Department of Neuropsychiatry, Ehime University School of Medicine, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Sano
authors.forename: N
authors.initials: N
authors.lastname: Yamauchi
authors.forename: Y
authors.initials: Y
authors.lastname: Kakimoto
authors.forename: O
authors.initials: O
authors.lastname: Komure
authors.forename: J
authors.initials: J
authors.lastname: Kawai
authors.forename: F
authors.initials: F
authors.lastname: Hazama
authors.forename: K
authors.initials: K
authors.lastname: Kuzume
authors.forename: N
authors.initials: N
authors.lastname: Sano
authors.forename: I
authors.initials: I
authors.lastname: Kondo
mesh_terms: D000328:Adult; D017668:Age of Onset; D002524:Cerebellar Ataxia / Q000235:genetics / Q000503:physiopathology; D002648:Child; D003704:Dementia / Q000235:genetics / Q000503:physiopathology; D004831:Epilepsies, Myoclonic / Q000235:genetics / Q000503:physiopathology; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000235:genetics / Q000503:physiopathology; D008297:Male; D009422:Nervous System Diseases / Q000235:genetics* / Q000503:physiopathology; D010375:Pedigree; D013577:Syndrome