Leukoencephalopathy with brainstem and spinal cord involvement and normal lactate: a new mutation in the DARS2 gene.
Leukoencephalopathy with brainstem and spinal cord involvement and elevated brain lactate diagnosis is based on its highly characteristic pattern of abnormalities observed by magnetic resonance imaging and spectroscopy. Clinically, affected patients develop slowly progressive cerebellar ataxia, spasticity, and dorsal column dysfunction, sometimes with a mild cognitive deficit or decline. In 2007, the pathophysiology of this disorder was elucidated with the discovery of mutations in the DARS2 gene, which encodes mitochondrial aspartyl-tRNA synthetase, in affected individuals. Here, the authors present a case of leukoencephalopathy with brainstem and spinal cord involvement with normal brain lactate, in which genetic analysis revealed a new mutation in the DARS2 gene not previously described.
Lin
Jaime
J
Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil. linjaime@yahoo.com
Chiconelli Faria
Eliete
E
Da Rocha
Antônio José
AJ
Rodrigues Masruha
Marcelo
M
Pereira Vilanova
Luiz Celso
LC
Scheper
Gert C
GC
Van der Knaap
Marjo S
MS
D000293:Adolescent; D001226:Aspartate-tRNA Ligase / Q000235:genetics*; D001933:Brain Stem / Q000473:pathology*; D006801:Humans; D019344:Lactic Acid / Q000134:cerebrospinal fluid*; D056784:Leukoencephalopathies / Q000134:cerebrospinal fluid / Q000235:genetics* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D009154:Mutation; D013116:Spinal Cord / Q000473:pathology*
D019344:Lactic Acid; D001226:Aspartate-tRNA Ligase