Frameshift mutation in GJA12 leading to nystagmus, spastic ataxia and CNS dys-/demyelination.
Mutations in GJA12 have been shown to cause Pelizaeus-Merzbacher-like disease (PMLD). We present two additional patients from one family carrying a homozygous frameshift mutation in GJA12. Both presented initially with nystagmus. The older girl developed ataxia first, then progressive spastic ataxia. The younger boy suffered from severe sensory neuropathy. Magnetic resonance imaging (MRI) of both children showed progressive demyelination in addition to dysmyelination, and also characteristic brainstem abnormalities. In children with nystagmus, ataxia and dysmyelination, mutation analysis of GJA12 should be considered early, especially if inheritance is autosomal recessive.
Wolf
Nicole I
NI
Clinical and Molecular Genetics Unit, Institute of Child Health, London, UK. nicole.wolf@med.uni-heidelberg.de
Cundall
Maria
M
Rutland
Paul
P
Rosser
Elisabeth
E
Surtees
Robert
R
Benton
Sarah
S
Chong
Wui K
WK
Malcolm
Sue
S
Ebinger
Friedrich
F
Bitner-Glindzicz
Maria
M
Woodward
Karen J
KJ
D001259:Ataxia / Q000235:genetics*; D001483:Base Sequence; D001921:Brain / Q000473:pathology; D002493:Central Nervous System Diseases / Q000235:genetics* / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D017630:Connexins / Q000235:genetics*; D003711:Demyelinating Diseases / Q000235:genetics* / Q000473:pathology; D005260:Female; D016368:Frameshift Mutation; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D008969:Molecular Sequence Data; D009759:Nystagmus, Pathologic / Q000235:genetics*; D010375:Pedigree
D017630:Connexins; C427305:connexin 47