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Niemann-Pick type C: contemporary diagnosis and treatment of a classical disorder
Niemann-Pick type C is an uncommon neurodegenerative lysosomal storage disorder that can cause a progressive neuropsychiatric syndrome associated with supranuclear vertical gaze palsy and a movement disorder. There have been recent developments in testing that make diagnosis easier and new therapies...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839726/ https://www.ncbi.nlm.nih.gov/pubmed/31243140 http://dx.doi.org/10.1136/practneurol-2019-002236 |
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author | Lad, Meher Thomas, Rhys H Anderson, Kirstie Griffiths, Timothy D |
author_facet | Lad, Meher Thomas, Rhys H Anderson, Kirstie Griffiths, Timothy D |
author_sort | Lad, Meher |
collection | PubMed |
description | Niemann-Pick type C is an uncommon neurodegenerative lysosomal storage disorder that can cause a progressive neuropsychiatric syndrome associated with supranuclear vertical gaze palsy and a movement disorder. There have been recent developments in testing that make diagnosis easier and new therapies that aim to stabilise the disease process. A new biochemical test to measure serum cholesterol metabolites supersedes the skin biopsy and is practical and robust. It is treatable with miglustat, a drug that inhibits glycosphingolipid synthesis. We describe a patient, aged 22 years, with juvenile-onset Niemann-Pick type C who presented with seizures and a label of ‘cerebral palsy’. We describe the approach to this syndrome in general, and highlight the classical features and red flags that should alert a neurologist to this treatable condition. |
format | Online Article Text |
id | pubmed-6839726 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-68397262019-11-12 Niemann-Pick type C: contemporary diagnosis and treatment of a classical disorder Lad, Meher Thomas, Rhys H Anderson, Kirstie Griffiths, Timothy D Pract Neurol Neurological Rarities Niemann-Pick type C is an uncommon neurodegenerative lysosomal storage disorder that can cause a progressive neuropsychiatric syndrome associated with supranuclear vertical gaze palsy and a movement disorder. There have been recent developments in testing that make diagnosis easier and new therapies that aim to stabilise the disease process. A new biochemical test to measure serum cholesterol metabolites supersedes the skin biopsy and is practical and robust. It is treatable with miglustat, a drug that inhibits glycosphingolipid synthesis. We describe a patient, aged 22 years, with juvenile-onset Niemann-Pick type C who presented with seizures and a label of ‘cerebral palsy’. We describe the approach to this syndrome in general, and highlight the classical features and red flags that should alert a neurologist to this treatable condition. BMJ Publishing Group 2019-10 2019-06-26 /pmc/articles/PMC6839726/ /pubmed/31243140 http://dx.doi.org/10.1136/practneurol-2019-002236 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Neurological Rarities Lad, Meher Thomas, Rhys H Anderson, Kirstie Griffiths, Timothy D Niemann-Pick type C: contemporary diagnosis and treatment of a classical disorder |
title | Niemann-Pick type C: contemporary diagnosis and treatment of a classical disorder |
title_full | Niemann-Pick type C: contemporary diagnosis and treatment of a classical disorder |
title_fullStr | Niemann-Pick type C: contemporary diagnosis and treatment of a classical disorder |
title_full_unstemmed | Niemann-Pick type C: contemporary diagnosis and treatment of a classical disorder |
title_short | Niemann-Pick type C: contemporary diagnosis and treatment of a classical disorder |
title_sort | niemann-pick type c: contemporary diagnosis and treatment of a classical disorder |
topic | Neurological Rarities |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839726/ https://www.ncbi.nlm.nih.gov/pubmed/31243140 http://dx.doi.org/10.1136/practneurol-2019-002236 |
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