PMID- 11914409 OWN - NLM STAT- MEDLINE DCOM- 20020522 LR - 20190514 IS - 0028-3878 (Print) IS - 0028-3878 (Linking) VI - 58 IP - 6 DP - 2002 Mar 26 TI - Early onset autosomal dominant dementia with ataxia, extrapyramidal features, and epilepsy. PG - 922-8 AB - OBJECTIVE: To perform a clinical and molecular study of a large autosomal dominant family with a complex neurologic syndrome that comprises early-onset dementia, extrapyramidal and cerebellar features, and epilepsy. BACKGROUND: Early-onset forms of dementia often are caused by genetic factors. Mutations of three different genes-amyloid precursor protein (APP), presenilin 1 (PS-1), presenilin 2 (PS-2)-have been found in early-onset autosomal dominant forms of AD, of the human microtubule associated-protein tau gene (MAPT) in frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17), of the BRI gene in familial British dementia, of the PI12 gene in familial encephalopathy with neuroserpin inclusion bodies. Linkage to chromosome 3 has been found in familial nonspecific dementia (FND) and linkage to chromosome 20 has been found in Huntington disease (HD)-like neurodegenerative disease. Dementia may be a feature of other neurodegenerative diseases such as HD, dentatorubro-pallidoluysian atrophy (DRPLA), diseases caused by mutations of the prion protein gene (PRNP), spinocerebellar ataxias (SCA), and familial parkinsonism. METHODS: A southern Italian family with autosomal dominant dementia-plus was observed. The family includes 57 individuals in 5 generations (14 affected, 7 personally observed). The authors performed linkage analysis to APP, PS-1, PS-2, FTDP-17, BRI, PI12, FND, HD-like, SCA4, SCA5, SCA10, SCA11, SCA13, PARK1, PARK2, PARK3 loci; direct mutation analysis of HD, DRPLA, SCA1, SCA2, SCA3, SCA6, SCA7, SCA8, SCA12, and PRNP genes; and sequencing of the PRNP open reading frame. RESULTS: Linkage to the examined loci was excluded. All of the direct mutation analyses were negative excluding mutations in the examined genes. CONCLUSIONS: This family has a peculiar phenotype and molecular analyses excluded genes known to cause hereditary dementias. FAU - Filla, A AU - Filla A AD - Department of Neurological Sciences, Federico II University, Naples, Italy. afilla@unina.it FAU - De Michele, G AU - De Michele G FAU - Cocozza, S AU - Cocozza S FAU - Patrignani, A AU - Patrignani A FAU - Volpe, G AU - Volpe G FAU - Castaldo, I AU - Castaldo I FAU - Ruggiero, G AU - Ruggiero G FAU - Bonavita, V AU - Bonavita V FAU - Masters, C AU - Masters C FAU - Casari, G AU - Casari G FAU - Bruni, A AU - Bruni A LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Neurology JT - Neurology JID - 0401060 SB - IM MH - Adult MH - Aged MH - Ataxia/*genetics/pathology MH - Basal Ganglia Diseases/*genetics/pathology MH - Brain/pathology MH - Chromosome Mapping/methods/statistics & numerical data MH - Dementia/*genetics/pathology MH - Epilepsy/*genetics/pathology MH - Female MH - *Genes, Dominant MH - Humans MH - Lod Score MH - Male MH - Middle Aged MH - Pedigree EDAT- 2002/03/27 10:00 MHDA- 2002/05/25 10:01 CRDT- 2002/03/27 10:00 PHST- 2002/03/27 10:00 [pubmed] PHST- 2002/05/25 10:01 [medline] PHST- 2002/03/27 10:00 [entrez] AID - 10.1212/wnl.58.6.922 [doi] PST - ppublish SO - Neurology. 2002 Mar 26;58(6):922-8. doi: 10.1212/wnl.58.6.922.