Cargando…
Hypermanganesemia with Dystonia Type 2: A Potentially Treatable Neurodegenerative Disorder: A Case Series in a Tertiary University Hospital
Importance: Hypermanganesemia with dystonia type 2 is a rare autosomal recessive neurodegenerative disorder characterized by the loss of previously acquired milestones, dystonia, parkinsonian features, a high serum manganese level, and characteristic neuroimaging findings such as bilateral and symme...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9497897/ https://www.ncbi.nlm.nih.gov/pubmed/36138644 http://dx.doi.org/10.3390/children9091335 |
_version_ | 1784794621275013120 |
---|---|
author | Alhasan, Khalid A. Alshuaibi, Walaa Hamad, Muddathir H. Salim, Suha Jamjoom, Dima Z. Alhashim, Aqeela H. AlGhamdi, Malak Ali Kentab, Amal Y. Bashiri, Fahad A. |
author_facet | Alhasan, Khalid A. Alshuaibi, Walaa Hamad, Muddathir H. Salim, Suha Jamjoom, Dima Z. Alhashim, Aqeela H. AlGhamdi, Malak Ali Kentab, Amal Y. Bashiri, Fahad A. |
author_sort | Alhasan, Khalid A. |
collection | PubMed |
description | Importance: Hypermanganesemia with dystonia type 2 is a rare autosomal recessive neurodegenerative disorder characterized by the loss of previously acquired milestones, dystonia, parkinsonian features, a high serum manganese level, and characteristic neuroimaging findings such as bilateral and symmetrically increased T1 and decreased T2/fluid-attenuated inversion recovery signal intensity in the basal ganglia. This condition is secondary to a mutation in the SLC39A14 gene. Objective: To present a series of three cases of hypermanganesemia with dystonia type 2, which was genetically confirmed secondary to a mutation in the SLC39A14 gene, and to describe the treatment and clinical course in these cases. Design: A retrospective case series. Setting: University, Tertiary hospital. Participants: Three unrelated pediatric patients with hypermanganesemia with dystonia type 2, genetically confirmed to be secondary to a mutation in the SLC39A14 gene. Exposures: Chelation therapy using calcium disodium edetate. Main outcome(s) and measure(s): The response to chelation therapy based on clinical improvements in motor and cognition developments. Results: All three patients were started on chelation therapy using calcium disodium edetate, and two of them showed an improvement in their clinical course. The chelation therapy could alter the course of the disease and prevent deterioration in the clinical setting. Conclusions and Relevance: Early diagnosis and intervention with chelating agents, such as calcium disodium edetate, will help change the outcome in patients with hypermanganesemia with dystonia type 2. This finding highlights the importance of early diagnosis and treatment in improving the outcomes of patients with treatable neurodegenerative disorders. |
format | Online Article Text |
id | pubmed-9497897 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-94978972022-09-23 Hypermanganesemia with Dystonia Type 2: A Potentially Treatable Neurodegenerative Disorder: A Case Series in a Tertiary University Hospital Alhasan, Khalid A. Alshuaibi, Walaa Hamad, Muddathir H. Salim, Suha Jamjoom, Dima Z. Alhashim, Aqeela H. AlGhamdi, Malak Ali Kentab, Amal Y. Bashiri, Fahad A. Children (Basel) Article Importance: Hypermanganesemia with dystonia type 2 is a rare autosomal recessive neurodegenerative disorder characterized by the loss of previously acquired milestones, dystonia, parkinsonian features, a high serum manganese level, and characteristic neuroimaging findings such as bilateral and symmetrically increased T1 and decreased T2/fluid-attenuated inversion recovery signal intensity in the basal ganglia. This condition is secondary to a mutation in the SLC39A14 gene. Objective: To present a series of three cases of hypermanganesemia with dystonia type 2, which was genetically confirmed secondary to a mutation in the SLC39A14 gene, and to describe the treatment and clinical course in these cases. Design: A retrospective case series. Setting: University, Tertiary hospital. Participants: Three unrelated pediatric patients with hypermanganesemia with dystonia type 2, genetically confirmed to be secondary to a mutation in the SLC39A14 gene. Exposures: Chelation therapy using calcium disodium edetate. Main outcome(s) and measure(s): The response to chelation therapy based on clinical improvements in motor and cognition developments. Results: All three patients were started on chelation therapy using calcium disodium edetate, and two of them showed an improvement in their clinical course. The chelation therapy could alter the course of the disease and prevent deterioration in the clinical setting. Conclusions and Relevance: Early diagnosis and intervention with chelating agents, such as calcium disodium edetate, will help change the outcome in patients with hypermanganesemia with dystonia type 2. This finding highlights the importance of early diagnosis and treatment in improving the outcomes of patients with treatable neurodegenerative disorders. MDPI 2022-09-01 /pmc/articles/PMC9497897/ /pubmed/36138644 http://dx.doi.org/10.3390/children9091335 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Alhasan, Khalid A. Alshuaibi, Walaa Hamad, Muddathir H. Salim, Suha Jamjoom, Dima Z. Alhashim, Aqeela H. AlGhamdi, Malak Ali Kentab, Amal Y. Bashiri, Fahad A. Hypermanganesemia with Dystonia Type 2: A Potentially Treatable Neurodegenerative Disorder: A Case Series in a Tertiary University Hospital |
title | Hypermanganesemia with Dystonia Type 2: A Potentially Treatable Neurodegenerative Disorder: A Case Series in a Tertiary University Hospital |
title_full | Hypermanganesemia with Dystonia Type 2: A Potentially Treatable Neurodegenerative Disorder: A Case Series in a Tertiary University Hospital |
title_fullStr | Hypermanganesemia with Dystonia Type 2: A Potentially Treatable Neurodegenerative Disorder: A Case Series in a Tertiary University Hospital |
title_full_unstemmed | Hypermanganesemia with Dystonia Type 2: A Potentially Treatable Neurodegenerative Disorder: A Case Series in a Tertiary University Hospital |
title_short | Hypermanganesemia with Dystonia Type 2: A Potentially Treatable Neurodegenerative Disorder: A Case Series in a Tertiary University Hospital |
title_sort | hypermanganesemia with dystonia type 2: a potentially treatable neurodegenerative disorder: a case series in a tertiary university hospital |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9497897/ https://www.ncbi.nlm.nih.gov/pubmed/36138644 http://dx.doi.org/10.3390/children9091335 |
work_keys_str_mv | AT alhasankhalida hypermanganesemiawithdystoniatype2apotentiallytreatableneurodegenerativedisorderacaseseriesinatertiaryuniversityhospital AT alshuaibiwalaa hypermanganesemiawithdystoniatype2apotentiallytreatableneurodegenerativedisorderacaseseriesinatertiaryuniversityhospital AT hamadmuddathirh hypermanganesemiawithdystoniatype2apotentiallytreatableneurodegenerativedisorderacaseseriesinatertiaryuniversityhospital AT salimsuha hypermanganesemiawithdystoniatype2apotentiallytreatableneurodegenerativedisorderacaseseriesinatertiaryuniversityhospital AT jamjoomdimaz hypermanganesemiawithdystoniatype2apotentiallytreatableneurodegenerativedisorderacaseseriesinatertiaryuniversityhospital AT alhashimaqeelah hypermanganesemiawithdystoniatype2apotentiallytreatableneurodegenerativedisorderacaseseriesinatertiaryuniversityhospital AT alghamdimalakali hypermanganesemiawithdystoniatype2apotentiallytreatableneurodegenerativedisorderacaseseriesinatertiaryuniversityhospital AT kentabamaly hypermanganesemiawithdystoniatype2apotentiallytreatableneurodegenerativedisorderacaseseriesinatertiaryuniversityhospital AT bashirifahada hypermanganesemiawithdystoniatype2apotentiallytreatableneurodegenerativedisorderacaseseriesinatertiaryuniversityhospital |