PMID- 11784354 OWN - NLM STAT- MEDLINE DCOM- 20020301 LR - 20191105 IS - 1351-5101 (Print) IS - 1351-5101 (Linking) VI - 8 IP - 6 DP - 2001 Nov TI - Hereditary neuropathy with liability to pressure palsies associated with central nervous system myelin lesions. PG - 689-92 AB - Hereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal dominant disorder most commonly caused by a 1.5-Mb deletion in chromosome 17p11.2 which contains the peripheral myelin protein-22 (PMP22) gene. Mutations resulting in functional loss of one PMP22 gene copy are less frequent. We present a 51-year-old patient with a l.5-Mb deletion in chromosome 17p11.2 who exhibited signs of peripheral as well as central nervous system lesions. He gave a history of recurrent episodes of limb numbness and weakness with spontaneous but incomplete recovery since age 20. His father and two brothers had similar symptoms. Neurological examination revealed signs of multiple mononeuropathy associated with frontal lobe, corticospinal tract and cerebellar dysfunction, as well as signs of initial cognitive impairment. Electrophysiological investigations showed a demyelinating peripheral nerve disease with multiple conduction blocks and conduction disturbances in both optic nerves. Magnetic resonance imaging of the brain revealed multiple subcortical and periventricular foci of myelin lesions. The association of central and peripheral nervous system lesions in this patient indicates a possible role of PMP22 not only in peripheral but also in central nervous system myelin structure. FAU - Dackovic, J AU - Dackovic J AD - Institute of Neurology, Clinical Centre of Serbia, Belgrade, Serbia, PCR Center, Faculty of Biology, University of Belgrade, Serbia. FAU - Rakocevic-Stojanovic, V AU - Rakocevic-Stojanovic V FAU - Pavlovic, S AU - Pavlovic S FAU - Zamurovic, N AU - Zamurovic N FAU - Dragasevic, N AU - Dragasevic N FAU - Romac, S AU - Romac S FAU - Apostolski, S AU - Apostolski S LA - eng PT - Case Reports PT - Journal Article PL - England TA - Eur J Neurol JT - European journal of neurology JID - 9506311 RN - 0 (Myelin Proteins) RN - 0 (PMP22 protein, human) SB - IM MH - Brain/*pathology MH - Chromosomes, Human, Pair 17 MH - Gene Deletion MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Myelin Proteins/genetics MH - Myelin Sheath/*pathology EDAT- 2002/01/11 10:00 MHDA- 2002/03/02 10:01 CRDT- 2002/01/11 10:00 PHST- 2002/01/11 10:00 [pubmed] PHST- 2002/03/02 10:01 [medline] PHST- 2002/01/11 10:00 [entrez] AID - 306 [pii] AID - 10.1046/j.1468-1331.2001.00306.x [doi] PST - ppublish SO - Eur J Neurol. 2001 Nov;8(6):689-92. doi: 10.1046/j.1468-1331.2001.00306.x.