201
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Aiba Y, Sakakibara R, Lee FC, Tateno F. Urodynamic Assessment of Neuronal Intranuclear Inclusion Disease. Eur Neurol 2020; 83:312-316. [PMID: 32645705 DOI: 10.1159/000508746] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Accepted: 05/11/2020] [Indexed: 11/19/2022]
Abstract
Neuronal intranuclear inclusion disease (NIID) is a disease that causes leukoencephalopathy (dementia) and peripheral neuropathy (variable manifestation including bladder dysfunction). This is the first urodynamic report to show that bladder dysfunction in NIID is a combination of detrusor overactivity, decreased bladder sensation, large post-void residual, and neurogenic changes in the sphincter electromyogram. This report will help managing bladder dysfunction in NIID.
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Affiliation(s)
- Yosuke Aiba
- Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan
| | - Ryuji Sakakibara
- Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan,
| | - Fang-Ching Lee
- Urology, Sakura Medical Center, Toho University, Sakura, Japan
| | - Fuyuki Tateno
- Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan
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202
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Doi H, Okubo M, Fukai R, Fujita A, Mitsuhashi S, Takahashi K, Kunii M, Tada M, Fukuda H, Mizuguchi T, Miyatake S, Miyake N, Sone J, Sobue G, Takeuchi H, Matsumoto N, Tanaka F. Reply to "GGC Repeat Expansion of NOTCH2NLC is Rare in European Leukoencephalopathy". Ann Neurol 2020; 88:642-643. [PMID: 32542787 DOI: 10.1002/ana.25819] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 06/12/2020] [Indexed: 11/09/2022]
Affiliation(s)
- Hiroshi Doi
- Department of Neurology and Stroke Medicine, Yokohama City University, Yokohama, Japan
| | - Masaki Okubo
- Department of Neurology and Stroke Medicine, Yokohama City University, Yokohama, Japan
| | - Ryoko Fukai
- Department of Neurology and Stroke Medicine, Yokohama City University, Yokohama, Japan
| | - Atsushi Fujita
- Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Satomi Mitsuhashi
- Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Keita Takahashi
- Department of Neurology and Stroke Medicine, Yokohama City University, Yokohama, Japan
| | - Misako Kunii
- Department of Neurology and Stroke Medicine, Yokohama City University, Yokohama, Japan
| | - Mikiko Tada
- Department of Neurology and Stroke Medicine, Yokohama City University, Yokohama, Japan
| | - Hiromi Fukuda
- Department of Neurology and Stroke Medicine, Yokohama City University, Yokohama, Japan.,Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Takeshi Mizuguchi
- Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Satoko Miyatake
- Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Noriko Miyake
- Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Jun Sone
- Department of Neurology, National Hospital Organization Suzuka National Hospital, Suzuka, Japan.,Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Gen Sobue
- Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan.,Brain and Mind Research Center, Nagoya University Graduate School of Medicine, Nagoya, Japan.,Aichi Medical University, Nagakute, Japan
| | - Hideyuki Takeuchi
- Department of Neurology and Stroke Medicine, Yokohama City University, Yokohama, Japan
| | | | - Fumiaki Tanaka
- Department of Neurology and Stroke Medicine, Yokohama City University, Yokohama, Japan
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203
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Cupidi C, Dijkstra AA, Melhem S, Vernooij MW, Severijnen LA, Hukema RK, Rozemuller AJM, Neumann M, van Swieten JC, Seelaar H. Refining the Spectrum of Neuronal Intranuclear Inclusion Disease: A Case Report. J Neuropathol Exp Neurol 2020; 78:665-670. [PMID: 31150092 DOI: 10.1093/jnen/nlz043] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Neuronal intranuclear inclusion disease (NIID) is a rare heterogeneous progressive neurodegenerative disease characterized by the presence of eosinophilic hyaline intranuclear inclusions in neuronal and glial cells of the CNS, peripheral cells of the autonomic nervous system, visceral organs and skin. The clinical presentation is broadly heterogeneous and includes limb weakness, dementia, seizures, ataxia, and parkinsonism. High-intensity signal in the corticomedullary junction on brain MRI is a characteristic finding in NIID. We describe a 65-year-old patient presenting with mild cognitive impairment, evolving in dementia with behavioral disturbances and parkinsonism. Brain MRI showed mild global cortical atrophy, more pronounced in the cingulate and temporal cortex and mild leukoaraiosis, but no high-intensity signal in corticomedullary junction on diffusion weighted imaging. Neuropathological examination showed p62- and optineurin-positive neuronal intranuclear inclusions in the hippocampus and in some subcortical structures. Glial cells did not present any intranuclear inclusions, and no spongiotic changes proximal to the U-fibers or diffuse myelin pallor were disclosed in the white matter. We report on a case with pathological features of NIID showing different neuroimaging and pathological findings. We noted an absence of typical MRI abnormalities, lack of intranuclear inclusions in glial cells, and prominent involvement of hippocampal neurons, refining the clinico-pathological spectrum of the disease.
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Affiliation(s)
- Chiara Cupidi
- Department of Neurology.,IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy
| | - Anke A Dijkstra
- Department of Pathology, Amsterdam University Medical Centre, Amsterdam Neuroscience, VUmc, Amsterdam, The Netherlands
| | | | - Meike W Vernooij
- Department of Radiology and Nuclear Medicine.,Department of Epidemiology
| | - Lies-Anne Severijnen
- Department of Clinical Genetics, Erasmus University Medical Center, Rotterdam, Netherlands
| | - Renate K Hukema
- Department of Clinical Genetics, Erasmus University Medical Center, Rotterdam, Netherlands
| | - Annemieke J M Rozemuller
- Department of Pathology, Amsterdam University Medical Centre, Amsterdam Neuroscience, VUmc, Amsterdam, The Netherlands
| | - Manuela Neumann
- Department of Neuropathology, DZNE, German Center for Neurodegenerative Diseases, University of Tübingen, Tübingen, Germany
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204
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Liang H, Wang B, Li Q, Deng J, Wang L, Wang H, Li X, Zhu M, Cai Y, Wang Z, Yuan Y, Fang P, Hong D. Clinical and pathological features in adult-onset NIID patients with cortical enhancement. J Neurol 2020; 267:3187-3198. [PMID: 32535679 DOI: 10.1007/s00415-020-09945-7] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 05/05/2020] [Accepted: 05/21/2020] [Indexed: 12/22/2022]
Abstract
BACKGROUND Neuronal intranuclear inclusion disease (NIID) is a neurodegenerative disease characterized by eosinophilic hyaline intranuclear inclusions in multiple organs. On conventional MRI, high signals on diffused weight image (DWI) along the corticomedullary junction have demonstrated great diagnostic values for adult-onset NIID. However, changes of contrast MRI in the acute period of the encephalopathy-like episode have rarely been investigated. METHODS Patients with enhanced lesions were retrieved in our database including 35 patients with adult-onset NIID between October 2017 and December 2019. Conventional and contrast MRI were conducted in all patients. Standard procedures of skin biopsy were performed in all patients. Repeat-primed PCR and amplicon length PCR were used to screen the GGC expansion in the 5'UTR of the NOTCH2NLC gene. RESULTS Four of 35 patients (11.4%) were identified to have a cortical enhancement in this study. The enhanced lesions were selectively spread along the surface of posterior cortex and were clinically associated with encephalopathy-like episodes. These patients had a younger age of onset, shorter duration of disease, and a higher incidence of a headache than those without enhancement. Typical p62-postive intranuclear inclusions were observed in all patients, while patient 1 simultaneously had many nuclei full of abnormal substance immunopositive to p62, as well as short-curly filament materials on electron microscopy. All patients were identified to have GGC repeat expansion in the NOTCH2NLC gene. CONCLUSION Post-contrast MRI should be routinely performed in the adult-onset NIID patients. Some patients with adult-onset NIID showed cortical enhancement and edema along the surface of posterior cortex, indicating that dehydrate and anti-inflammatory drugs might be potential therapies for these patients.
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Affiliation(s)
- Huiting Liang
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Yong Wai Zheng Street 17#, Nanchang, 330006, People's Republic of China
| | - Bo Wang
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Yong Wai Zheng Street 17#, Nanchang, 330006, People's Republic of China
| | - Qing Li
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Yong Wai Zheng Street 17#, Nanchang, 330006, People's Republic of China
| | - Jianwen Deng
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Lulu Wang
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Yong Wai Zheng Street 17#, Nanchang, 330006, People's Republic of China
| | - Huan Wang
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Yong Wai Zheng Street 17#, Nanchang, 330006, People's Republic of China
| | - Xiaobin Li
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Yong Wai Zheng Street 17#, Nanchang, 330006, People's Republic of China
| | - Min Zhu
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Yong Wai Zheng Street 17#, Nanchang, 330006, People's Republic of China
| | - Yu Cai
- Department of Diagnostic Center, Ascension Seton Medical Center Austin, 1201 W 38th Street, Austin, TX, 78705, USA
| | - Zhaoxia Wang
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Yun Yuan
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Pu Fang
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Yong Wai Zheng Street 17#, Nanchang, 330006, People's Republic of China.
| | - Daojun Hong
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Yong Wai Zheng Street 17#, Nanchang, 330006, People's Republic of China.
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205
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Lin P, Jin H, Yi KC, He XS, Lin SF, Wu G, Zhang ZQ. A Case Report of Sporadic Adult Neuronal Intranuclear Inclusion Disease (NIID) With Stroke-Like Onset. Front Neurol 2020; 11:530. [PMID: 32587570 PMCID: PMC7298109 DOI: 10.3389/fneur.2020.00530] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2019] [Accepted: 05/13/2020] [Indexed: 12/22/2022] Open
Abstract
Background: Neuronal intranuclear inclusion disease (NIID) is a rare neurodegenerative disease. The clinical manifestations of NIID are complex and easily misdiagnosed. Based on the current knowledge of this disease, it is usually chronic, with almost no acute cases. Stroke-like disease is an extremely rare type of NIID. Case Presentation: A 61-year-old woman was admitted to our hospital with sudden left limb weakness. Diffusion magnetic resonance imaging (MRI) demonstrated high signal intensity in the skin-medullary junction area. Tissue pathology showed eosinophilic inclusions in the nuclei of the sweat gland cells and fat cells of the skin. Subsequent genetic analysis of the fragile X chromosome mental retardation gene 1 (FMR1) gene showed that the CGG repeat number was in the normal range, excluding fragile X-related tremor/ataxia syndrome (FXTAS). After 3 weeks of hospitalization, the patient's condition improved, and the left limb muscle strength recovered. Her symptoms were almost completely diminished after 3 months. Conclusion: This case demonstrates the strong clinical heterogeneity of NIID. NIID can manifest as acute hemiplegia and a stroke-like attack. This case study provides new information for the diagnosis of NIID and the classification of the clinical characteristics.
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Affiliation(s)
- Pan Lin
- Department of Neurology, The Second Hospital of Longyan City, Longyan, China
| | - Hang Jin
- Neuroscience Centre, Department of Neurology, The First Hospital of Jilin University, Changchun, China
| | - Kun-Chang Yi
- Department of Neurology, The Second Hospital of Longyan City, Longyan, China
| | - Xiang-Sheng He
- Department of Neurology, The Second Hospital of Longyan City, Longyan, China
| | - Shi-Fang Lin
- Department of Neurology, First Affliated Hospital of Fujian Medical University, Fuzhou, China
| | - Gang Wu
- Department of Neurology, Fujian Sanbo Funeng Brain Hospital, Fuzhou, China
| | - Zai-Qiang Zhang
- Department of Neurology, Beijing Tiantan Hospital, China National Clinical Research Center for Neurological Diseases, Capital Medical University, Beijing, China
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206
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Saito R, Shimizu H, Miura T, Hara N, Mezaki N, Higuchi Y, Miyashita A, Kawachi I, Sanpei K, Honma Y, Onodera O, Ikeuchi T, Kakita A. Oculopharyngodistal myopathy with coexisting histology of systemic neuronal intranuclear inclusion disease: Clinicopathologic features of an autopsied patient harboring CGG repeat expansions in LRP12. Acta Neuropathol Commun 2020; 8:75. [PMID: 32493488 PMCID: PMC7268649 DOI: 10.1186/s40478-020-00945-2] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Accepted: 05/07/2020] [Indexed: 11/24/2022] Open
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207
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Dong H, Ji G, Liu P, Li Y, Tian Y, Shen L, Liu Y, Song X. A case of adult-onset neuronal intranuclear inclusion disease without abnormal high-intensity signal in the corticomedullary junction in diffusion-weighted imaging. Neurol Sci 2020; 41:2653-2655. [PMID: 32318951 DOI: 10.1007/s10072-020-04385-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Accepted: 03/28/2020] [Indexed: 02/06/2023]
Affiliation(s)
- Hui Dong
- Department of Neurology, The Second Hospital of Hebei Medical University, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China.,Department of Neurology, Institute of Cardiocerebrovascular Disease, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China.,Department of Neurology, Neurological Laboratory of Hebei Province, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China
| | - Guang Ji
- Department of Neurology, The Second Hospital of Hebei Medical University, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China.,Department of Neurology, Institute of Cardiocerebrovascular Disease, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China.,Department of Neurology, Neurological Laboratory of Hebei Province, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China
| | - Peipei Liu
- Department of Neurology, The Second Hospital of Hebei Medical University, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China.,Department of Neurology, Institute of Cardiocerebrovascular Disease, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China.,Department of Neurology, Neurological Laboratory of Hebei Province, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China
| | - Yuehong Li
- Department of Pathology, The Second Hospital of Hebei Medical University, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China
| | - Yun Tian
- Department of Geriatrics, Xiangya Hospital, Central South University, NO. 87 Xiangya Road, Changsha, 410008, Hunan, China
| | - Lu Shen
- Department of Geriatrics, Xiangya Hospital, Central South University, NO. 87 Xiangya Road, Changsha, 410008, Hunan, China
| | - Yaling Liu
- Department of Neurology, The Second Hospital of Hebei Medical University, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China. .,Department of Neurology, Institute of Cardiocerebrovascular Disease, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China. .,Department of Neurology, Neurological Laboratory of Hebei Province, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China.
| | - Xueqin Song
- Department of Neurology, The Second Hospital of Hebei Medical University, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China.,Department of Neurology, Institute of Cardiocerebrovascular Disease, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China.,Department of Neurology, Neurological Laboratory of Hebei Province, NO. 215 Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China
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208
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Lim SY, Ishiura H, Ramli N, Shibata S, Almansour MA, Tan AH, Houlden H, Lang AE, Tsuji S. Adult-onset neuronal intranuclear inclusion disease mimicking Fragile X-associated tremor-ataxia syndrome in ethnic Chinese patients. Parkinsonism Relat Disord 2020; 74:25-27. [PMID: 32289521 DOI: 10.1016/j.parkreldis.2020.03.025] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Revised: 03/22/2020] [Accepted: 03/23/2020] [Indexed: 10/24/2022]
Abstract
Two ethnic Chinese men with clinico-radiologic features of Fragile X-associated tremor-ataxia syndrome (FXTAS) were found on genetic testing to have neuronal intranuclear inclusion disease (NIID), highlighting that NIID should be considered in the differential diagnosis of FXTAS. NIID may also be much more common than FXTAS in certain Asian populations.
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Affiliation(s)
- Shen-Yang Lim
- Division of Neurology and the Mah Pooi Soo & Tan Chin Nam Centre for Parkinson's & Related Disorders, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
| | - Hiroyuki Ishiura
- Department of Neurology, The University of Tokyo Hospital, Tokyo, Japan
| | - Norlisah Ramli
- Division of Neuroradiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Shota Shibata
- Department of Neurology, The University of Tokyo Hospital, Tokyo, Japan
| | - M Asem Almansour
- Department of Neurology, The University of Tokyo Hospital, Tokyo, Japan
| | - Ai Huey Tan
- Division of Neurology and the Mah Pooi Soo & Tan Chin Nam Centre for Parkinson's & Related Disorders, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Henry Houlden
- Neurogenetics Laboratory, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom
| | - Anthony E Lang
- Edmond J Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, Toronto, Canada
| | - Shoji Tsuji
- Department of Molecular Neurology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Institute of Medical Genomics, International University of Health and Welfare, Chiba, Japan
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209
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Li M, Li K, Li X, Tian Y, Shen L, Wu G, Zhang Z, Chen W. Multiple reversible encephalitic attacks: a rare manifestation of neuronal intranuclear inclusion disease. BMC Neurol 2020; 20:125. [PMID: 32268889 PMCID: PMC7140360 DOI: 10.1186/s12883-020-01712-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Accepted: 03/30/2020] [Indexed: 12/15/2022] Open
Abstract
Background Neuronal intranuclear inclusion disease (NIID) is a rare neurodegenerative condition characterized by the loss of neurons and the presence of eosinophilic nuclear inclusions in the central and peripheral nervous system, skin and visceral organs. In this paper, we present a case of NIID with recurrent encephalitic attacks that remained stable and nonprogressive for seven years; no such case has previously been reported. Case presentation A 63-year-old female was hospitalized due to light-headedness, vomiting, unstable gait and cognitive impairment. Seven years prior, she had experienced an episode of light-headedness, central facial paralysis, unstable gait, aphasia, nausea, vomiting and loss of consciousness. She regained consciousness within 12 h, and her other symptoms were completely resolved within one week. During the present hospitalization, a brain magnetic resonance imaging (MRI) examination detected high signal intensity on diffusion-weighted imaging (DWI) of the bilateral frontal grey matter–white matter junction. We reviewed the patient’s previous MRI results and found that she had also had high signal intensity on DWI of the bilateral frontal grey matter–white matter junction seven years prior. In the intervening seven years, the high signal intensity in the frontal lobes had spread along the grey matter–white matter junction, but the deep white matter remained unaffected. Skin biopsy was performed, and intranuclear inclusions were found in adipocytes, fibroblasts and sweat gland cells. GGC repeat expansions in the NOTCH2NLC (Notch 2 N-terminal like C) gene confirmed the diagnosis of NIID. She received supportive treatment such as nutrition support therapy and vitamin B and C supplementation, as well as symptomatic treatment during hospitalization. The patient’s symptoms were completely relieved within one week. Conclusion This is a detailed report of a case of NIID with multiple reversible encephalitic attacks, diagnosed by clinical symptoms, intranuclear inclusions, characteristic DWI signals, and genetic tests.
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Affiliation(s)
- Mingming Li
- Department of Neurology, Lanzhou University Second Hospital, Lanzhou, 730000, Gansu, China
| | - Kai Li
- Department of Neurology, Beijing Hospital, National Center of Gerontology, Beijing, 100730, China
| | - Xin Li
- Department of Neurology, Lanzhou University Second Hospital, Lanzhou, 730000, Gansu, China
| | - Yun Tian
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China
| | - Lu Shen
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China
| | - Guode Wu
- Department of Neurology, Lanzhou University Second Hospital, Lanzhou, 730000, Gansu, China.
| | - Zaiqiang Zhang
- Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050, China.
| | - Weian Chen
- Department of Neurology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China.
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210
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Fang P, Yu Y, Yao S, Chen S, Zhu M, Chen Y, Zou K, Wang L, Wang H, Xin L, Hong T, Hong D. Repeat expansion scanning of the NOTCH2NLC gene in patients with multiple system atrophy. Ann Clin Transl Neurol 2020; 7:517-526. [PMID: 32250060 PMCID: PMC7187708 DOI: 10.1002/acn3.51021] [Citation(s) in RCA: 65] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Revised: 02/26/2020] [Accepted: 03/05/2020] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVE Trinucleotide GGC repeat expansion in the 5'UTR of the NOTCH2NLC gene has been recognized as the pathogenesis of neuronal intranuclear inclusion disease (NIID). Previous studies have described that some NIID patients showed clinical and pathological similarities with multiple system atrophy (MSA). This study aimed to address the possibility that GGC repeat expansion in NOTCH2NLC might be associated with some cases diagnosed as MSA. METHODS A total of 189 patients with probable or possible MSA were recruited to screen for GGC repeat expansion in NOTCH2NLC by repeat-primed PCR (RP-PCR). In addition, long-read sequencing (LRS) was performed for all patients with RP-PCR-positive expansion, five patients with RP-PCR-negative expansion, and five controls on the Nanopore platform. Skin biopsies were performed on two patients with GGC expansion. RESULTS Five of 189 patients (2.6%) were found to have GGC expansion in NOTCH2NLC. LRS results identified that the five patients had GGC expansion between 101 and 266, but five patients with RP-PCR-negative expansion and five controls had GGC expansion between 8 and 29. Besides the typical symptoms and signs of MSA, patients with GGC expansion might have longer disease duration, severe urinary retention, and prominent cognitive impairment. In the skin samples from the patients with GGC expansion, typical p62-postive but alpha-synuclein-negative intranuclear inclusions were found in fibroblasts, adipocyte and ductal epithelial cells of sweat glands. CONCLUSION Trinucleotide GGC repeat expansion in NOTCH2NLC could be observed in patients with clinically diagnosed MSA. Adult-onset NIID should be considered as a differential diagnosis of MSA.
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Affiliation(s)
- Pu Fang
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Yanyan Yu
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Sheng Yao
- Department of Neurology, The Sixth Medical Center of PLA General Hospital, Beijing, China
| | - Shuyun Chen
- Department of Neurology, Affiliated Hospital of Guiyang Medical University, Guiyang, China
| | - Min Zhu
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Yunqing Chen
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Keji Zou
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Lulu Wang
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Huan Wang
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Ling Xin
- Department of Health, Exercise Science, and Recreation Management, University of Mississippi, University, Mississippi, USA
| | - Tao Hong
- Department of Neurosurgery, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Daojun Hong
- Department of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, China
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211
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Jiao B, Zhou L, Zhou Y, Weng L, Liao X, Tian Y, Guo L, Liu X, Yuan Z, Xiao X, Jiang Y, Wang X, Yang Q, Li C, Zhu Y, Zhou L, Zhang W, Wang J, Li Y, Gu W, Yang J, Xia J, Huang Q, Yin J, Xue J, Duan R, Tang B, Shen L. Identification of expanded repeats in NOTCH2NLC in neurodegenerative dementias. Neurobiol Aging 2020; 89:142.e1-142.e7. [PMID: 32081467 DOI: 10.1016/j.neurobiolaging.2020.01.010] [Citation(s) in RCA: 57] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Revised: 12/31/2019] [Accepted: 01/20/2020] [Indexed: 02/06/2023]
Abstract
repeat expansion in the NOTCH2NLC gene has been identified to be associated with neuronal intranuclear inclusion disease (NIID). Given the clinical overlap of dementia-dominant NIID with neurodegenerative dementia, we therefore hypothesized that the NOTCH2NLC repeat expansion might also contribute to these diseases. In the present study, repeat primed polymerase chain reaction (RP-PCR) and GC-rich PCR were conducted to detect the repeats of NOTCH2NLC in a cohort of 1004 patients with neurodegenerative dementias from mainland China. As a result, 4 sporadic patients were found to carry the NOTCH2NLC repeats expansion, totally accounting for 0.4% of all dementia individuals, and the accurate repeated sizes were 110, 133,120 and 76 respectively. Of 4 mutation carriers, three and one were clinically diagnosed Alzheimer's disease (AD) and frontotemporal dementia (FTD) respectively. In addition, 3 out of them revealed leukoencephalopathy in T2-Flair imaging. This study revealed that although rare, the NOTCH2NLC repeat expansions may be associated with AD or FTD-like phenotype as well as leukoencephalopathy.
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Affiliation(s)
- Bin Jiao
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China; National Clinical Research Center for Geriatric Disorders, Central South University, Changsha, China; Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, China
| | - Lu Zhou
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Yafang Zhou
- National Clinical Research Center for Geriatric Disorders, Central South University, Changsha, China; Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, China; Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, China
| | - Ling Weng
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China; National Clinical Research Center for Geriatric Disorders, Central South University, Changsha, China; Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, China
| | - Xinxin Liao
- National Clinical Research Center for Geriatric Disorders, Central South University, Changsha, China; Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, China; Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, China
| | - Yun Tian
- National Clinical Research Center for Geriatric Disorders, Central South University, Changsha, China; Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, China; Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, China
| | - Lina Guo
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Xixi Liu
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Zhenhua Yuan
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Xuewen Xiao
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Yaling Jiang
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Xin Wang
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Qijie Yang
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Chenping Li
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Yuan Zhu
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Lin Zhou
- National Clinical Research Center for Geriatric Disorders, Central South University, Changsha, China; Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, China; Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, China
| | - Weiwei Zhang
- Department of Radiology, Xiangya Hospital, Central South University, Changsha, China
| | - Junling Wang
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China; National Clinical Research Center for Geriatric Disorders, Central South University, Changsha, China; Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, China
| | - Yu Li
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Wenping Gu
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Jie Yang
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Jian Xia
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Qing Huang
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Jun Yin
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China
| | - Jin Xue
- Center for Medical Genetics, School of Life Sciences, Central South University, Changsha, China
| | - Ranhui Duan
- Center for Medical Genetics, School of Life Sciences, Central South University, Changsha, China
| | - Beisha Tang
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China; National Clinical Research Center for Geriatric Disorders, Central South University, Changsha, China; Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, China
| | - Lu Shen
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, China; National Clinical Research Center for Geriatric Disorders, Central South University, Changsha, China; Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Changsha, China.
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212
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Raza HK, Singh S, Rai P, Chansysouphanthong T, Amir A, Cui G, Song W, Bao L, Zhou S, Shi H, Chen H. Recent progress in neuronal intranuclear inclusion disease: a review of the literature. Neurol Sci 2020; 41:1019-1025. [DOI: 10.1007/s10072-019-04195-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 12/10/2019] [Indexed: 12/11/2022]
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213
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Zhou L, Luan X, Chen S, Liu J. Encephalitic Episodes Followed by Leukoencephalopathy: A Novel Indication for Neuronal Intranuclear Inclusion-Body Disease. J Clin Neurol 2020; 16:494-496. [PMID: 32657072 PMCID: PMC7354973 DOI: 10.3988/jcn.2020.16.3.494] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 02/25/2020] [Accepted: 02/27/2020] [Indexed: 11/28/2022] Open
Affiliation(s)
- Liche Zhou
- Department of Neurology & Institute of Neurology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xinghua Luan
- Department of Neurology & Institute of Neurology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Sheng Chen
- Department of Neurology & Institute of Neurology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
| | - Jun Liu
- Department of Neurology & Institute of Neurology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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214
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Sun QY, Xu Q, Tian Y, Hu ZM, Qin LX, Yang JX, Huang W, Xue J, Li JC, Zeng S, Wang Y, Min HX, Chen XY, Wang JP, Xie B, Liang F, Zhang HN, Wang CY, Lei LF, Yan XX, Xu HW, Duan RH, Xia K, Liu JY, Jiang H, Shen L, Guo JF, Tang BS. Expansion of GGC repeat in the human-specific NOTCH2NLC gene is associated with essential tremor. Brain 2019; 143:222-233. [PMID: 31819945 DOI: 10.1093/brain/awz372] [Citation(s) in RCA: 138] [Impact Index Per Article: 27.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2019] [Revised: 09/06/2019] [Accepted: 10/04/2019] [Indexed: 12/22/2022] Open
Abstract
Abstract
Essential tremor is one of the most common movement disorders. Despite its high prevalence and heritability, the genetic aetiology of essential tremor remains elusive. Up to now, only a few genes/loci have been identified, but these genes have not been replicated in other essential tremor families or cohorts. Here we report a genetic study in a cohort of 197 Chinese pedigrees clinically diagnosed with essential tremor. Using a comprehensive strategy combining linkage analysis, whole-exome sequencing, long-read whole-genome sequencing, repeat-primed polymerase chain reaction and GC-rich polymerase chain reaction, we identified an abnormal GGC repeat expansion in the 5′ region of the NOTCH2NLC gene that co-segregated with disease in 11 essential tremor families (5.58%) from our cohort. Clinically, probands that had an abnormal GGC repeat expansion were found to have more severe tremor phenotypes, lower activities of daily living ability. Obvious genetic anticipation was also detected in these 11 essential tremor-positive families. These results indicate that abnormal GGC repeat expansion in the 5′ region of NOTCH2NLC gene is associated with essential tremor, and provide strong evidence that essential tremor is a family of diseases with high clinical and genetic heterogeneities.
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Affiliation(s)
- Qi-Ying Sun
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Qian Xu
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Yun Tian
- Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Zheng-Mao Hu
- Center for Medical Genetics, School of Life Sciences, Central South University, Changsha, Hunan, China
- Hunan Key Laboratory of Medical Genetics, Central South University, Changsha, Hunan, China
| | - Li-Xia Qin
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Jin-Xia Yang
- Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Wen Huang
- Center for Medical Genetics, School of Life Sciences, Central South University, Changsha, Hunan, China
| | - Jin Xue
- Center for Medical Genetics, School of Life Sciences, Central South University, Changsha, Hunan, China
| | - Jin-Chen Li
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Sheng Zeng
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Ying Wang
- Department of Pathology, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | | | - Xiao-Yu Chen
- Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Jun-Pu Wang
- Department of Pathology, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Bin Xie
- Department of Pathology, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Fan Liang
- GrandOmics Biosciences, Beijing, China
| | - Hai-Nan Zhang
- Department of Neurology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Chun-Yu Wang
- Department of Neurology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Li-Fang Lei
- Department of Neurology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Xin-Xiang Yan
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Hong-Wei Xu
- Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Ran-Hui Duan
- Center for Medical Genetics, School of Life Sciences, Central South University, Changsha, Hunan, China
- Hunan Key Laboratory of Medical Genetics, Central South University, Changsha, Hunan, China
| | - Kun Xia
- Center for Medical Genetics, School of Life Sciences, Central South University, Changsha, Hunan, China
- Hunan Key Laboratory of Medical Genetics, Central South University, Changsha, Hunan, China
| | - Jing-Yu Liu
- Key Laboratory of Molecular Biophysics of the Ministry of Education, Center for Human Genome Research, College of Life Science and Technology, Huazhong University of Science and Technology (HUST), Wuhan, China
| | - Hong Jiang
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, Hunan, China
| | - Lu Shen
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Ji-Feng Guo
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Bei-Sha Tang
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China
- Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, Hunan, China
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215
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De Cocker LJL. Persistent Diffusion-weighted Imaging Abnormalities in Adult Leukodystrophies. Radiographics 2019; 39:1231-1232. [PMID: 31283458 DOI: 10.1148/rg.2019190028] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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216
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Paulson H. Repeat expansions in leukoencephalopathy. Ann Neurol 2019; 86:809-811. [DOI: 10.1002/ana.25613] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 09/30/2019] [Indexed: 01/03/2023]
Affiliation(s)
- Henry Paulson
- Department of NeurologyUniversity of Michigan Ann Arbor MI
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217
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Han X, Han M, Liu N, Xu J, Zhang Y, Zhang Y, Hong D, Zhang W. Adult-onset neuronal intranuclear inclusion disease presenting with typical MRI changes. Brain Behav 2019; 9:e01477. [PMID: 31749292 PMCID: PMC6908888 DOI: 10.1002/brb3.1477] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 09/11/2019] [Accepted: 10/15/2019] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND This study aims to analyze the clinical, imaging, electrophysiological, and dermatopathological features of a patient with adult-onset neuronal intranuclear inclusion disease (NIID) and to explore the diagnostic methods of adult-onset NIID. CASE PRESENTATION We here report a 63-year-old male with recurrent acute encephalopathy syndrome and autonomic nervous system damage syndrome characterized by sexual dysfunction and urinary and fecal dysfunction. Cranial diffusion-weighted magnetic resonance imaging (DWI) demonstrated symmetrically distributed strip-shaped high-intensity signal in bilateral fronto-occipital-parietal cortical-medullary junction. Electrophysiological test revealed that the main site of injury was myelin sheath in both motor and sensory nerves. Skin biopsy revealed eosinophilic spherical inclusion bodies in the nucleus of sweat gland epithelial cells. CONCLUSION This case suggests that adult NIID is a chronic neurodegenerative disease with high clinical heterogeneity. Subcortical strip-shaped high-intensity signal on DWI has high diagnostic significance. Eosinophilic intranuclear inclusion bodies detected by skin biopsy contribute to diagnosis.
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Affiliation(s)
- Xinsheng Han
- Department of Neurology, Kaifeng Central Hospital, Kaifeng, China
| | - Miao Han
- Department of Neurology, Kaifeng Central Hospital, Kaifeng, China
| | - Ning Liu
- Department of Neurology, Kaifeng Central Hospital, Kaifeng, China
| | - Jianke Xu
- Department of Neurology, Kaifeng Central Hospital, Kaifeng, China
| | - Yan Zhang
- Department of Neurology, Kaifeng Central Hospital, Kaifeng, China
| | - Yun Zhang
- Department of Neurology, Kaifeng Central Hospital, Kaifeng, China
| | - Daojun Hong
- Department of Neurology, Peking University People's Hospital, Beijing, China
| | - Wei Zhang
- Department of Neurology, Peking University First Hospital, Beijing, China
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218
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Vermilion J, Johnson M, Srinivasan J, Mink JW. Neuronal Intranuclear Inclusion Disease: Longitudinal Case Report of Motor and Nonmotor Symptoms. J Child Neurol 2019; 34:801-805. [PMID: 31304825 PMCID: PMC6801045 DOI: 10.1177/0883073819860566] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Neuronal intranuclear inclusion disease is a rare, neurodegenerative disorder with onset in childhood. We report a single case natural history over 10 years and present a review of juvenile parkinsonism and neuronal intranuclear inclusion disease. Our patient was initially seen at the University of Rochester at age 12 years after 4 years of progressive dysarthria, dysphagia, and clumsiness. His neurologic examination was notable for parkinsonism. He had excellent initial response to levodopa, but subsequently developed dopa-induced motor fluctuations, dyskinesias, psychosis, and dystonia. Later in the course, he developed multiple nonmotor symptoms and ultimately died from respiratory failure. Neuropathology demonstrated large eosinophilic nuclear inclusions and small ubiquitin-related modifier 1 (SUMO-1) immunoreactivity, confirming the diagnosis of neuronal intranuclear inclusion disease. This diagnosis should be considered in a patient presenting with juvenile parkinsonism. Clues to the diagnosis include early-onset dopa-induced dyskinesias, gastrointestinal dysfunction, and oculogyric crises.
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219
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Qin C, Huang BX, Yang KK, Chu KJ, Tian DS, Bu BT. Recurrent headaches with cerebral white matter lesions. J Neurol Sci 2019; 408:116557. [PMID: 31683049 DOI: 10.1016/j.jns.2019.116557] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 09/30/2019] [Accepted: 10/28/2019] [Indexed: 01/17/2023]
Affiliation(s)
- Chuan Qin
- Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Bang-Xing Huang
- Department of Pathology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - Kun-Kun Yang
- Department of Intensive Medicine, People's Hospital of Huaining County, Huaining 246121, China
| | - Ke-Jin Chu
- Department of Neurology, People's Hospital of Huaining County, Huaining 246121, China
| | - Dai-Shi Tian
- Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
| | - Bi-Tao Bu
- Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
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220
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Okubo M, Doi H, Fukai R, Fujita A, Mitsuhashi S, Hashiguchi S, Kishida H, Ueda N, Morihara K, Ogasawara A, Kawamoto Y, Takahashi T, Takahashi K, Nakamura H, Kunii M, Tada M, Katsumoto A, Fukuda H, Mizuguchi T, Miyatake S, Miyake N, Suzuki J, Ito Y, Sone J, Sobue G, Takeuchi H, Matsumoto N, Tanaka F. GGC Repeat Expansion of NOTCH2NLC in Adult Patients with Leukoencephalopathy. Ann Neurol 2019; 86:962-968. [PMID: 31433517 DOI: 10.1002/ana.25586] [Citation(s) in RCA: 91] [Impact Index Per Article: 18.2] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 08/19/2019] [Accepted: 08/19/2019] [Indexed: 12/20/2022]
Abstract
Leukoencephalopathies comprise a broad spectrum of disorders, but the genetic background of adult leukoencephalopathies has rarely been assessed. In this study, we analyzed 101 Japanese patients with genetically unresolved adult leukoencephalopathy using whole-exome sequencing and repeat-primed polymerase chain reaction for detecting GGC expansion in NOTCH2NLC. NOTCH2NLC was recently identified as the cause of neuronal intranuclear inclusion disease. We found 12 patients with GGC expansion in NOTCH2NLC as the most frequent cause of adult leukoencephalopathy followed by NOTCH3 variants in our cohort. Furthermore, we found 1 case with de novo GGC expansion, which might explain the underlying pathogenesis of sporadic cases. ANN NEUROL 2019;86:962-968.
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Affiliation(s)
- Masaki Okubo
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Hiroshi Doi
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Ryoko Fukai
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Atsushi Fujita
- Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Satomi Mitsuhashi
- Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Shunta Hashiguchi
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Hitaru Kishida
- Department of Neurology, Yokohama City University Medical Center, Yokohama, Japan
| | - Naohisa Ueda
- Department of Neurology, Yokohama City University Medical Center, Yokohama, Japan
| | - Keisuke Morihara
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Akihiro Ogasawara
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Yuko Kawamoto
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Tatsuya Takahashi
- Department of Neurology, National Hospital Organization Yokohama Medical Center, Yokohama, Japan
| | - Keita Takahashi
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Haruko Nakamura
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Misako Kunii
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Mikiko Tada
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Atsuko Katsumoto
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | - Hiromi Fukuda
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan.,Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Takeshi Mizuguchi
- Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Satoko Miyatake
- Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Noriko Miyake
- Department of Human Genetics, Yokohama City University, Yokohama, Japan
| | - Junichiro Suzuki
- Department of Neurology, Toyota Memorial Hospital, Toyota, Japan
| | - Yasuhiro Ito
- Department of Neurology, Toyota Memorial Hospital, Toyota, Japan
| | - Jun Sone
- Department of Neurology, National Hospital Organization, Suzuka National Hospital, Suzuka, Japan.,Department of Neurology , Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Gen Sobue
- Department of Neurology , Nagoya University Graduate School of Medicine, Nagoya, Japan.,Brain and Mind Research Center, Nagoya University Graduate School of Medicine, Nagoya, Japan.,Aichi Medical University, Nagakute, Japan
| | - Hideyuki Takeuchi
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
| | | | - Fumiaki Tanaka
- Department of Neurology and Stroke Medicine , Yokohama City University, Yokohama, Japan
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221
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Nakajima H, Motoki M. Author response: Neuronal intranuclear inclusion disease showing intranuclear inclusions in renal biopsy 12 years earlier. Neurology 2019; 93:413-414. [PMID: 31451593 DOI: 10.1212/wnl.0000000000008019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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222
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Deng J, Gu M, Miao Y, Yao S, Zhu M, Fang P, Yu X, Li P, Su Y, Huang J, Zhang J, Yu J, Li F, Bai J, Sun W, Huang Y, Yuan Y, Hong D, Wang Z. Long-read sequencing identified repeat expansions in the 5'UTR of the NOTCH2NLC gene from Chinese patients with neuronal intranuclear inclusion disease. J Med Genet 2019; 56:758-764. [PMID: 31413119 DOI: 10.1136/jmedgenet-2019-106268] [Citation(s) in RCA: 95] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 06/25/2019] [Accepted: 07/16/2019] [Indexed: 12/13/2022]
Abstract
BACKGROUND Neuronal intranuclear inclusion disease (NIID) is a heterogenous neurodegenerative disorder named after its pathological features. It has long been considered a disease of genetic origin. Recently, the GGC repeated expansion in the 5'-untranslated region (5'UTR) of the NOTCH2NLC gene has been found in adult-onset NIID in Japanese individuals. This study was aimed to investigate the causative mutations of NIID in Chinese patients. METHODS Fifteen patients with NIID were identified from five academic neurological centres. Biopsied skin samples were analysed by histological staining, immunostaining and electron microscopic observation. Whole-genome sequencing (WGS) and long-read sequencing (LRS) were initially performed in three patients with NIID. Repeat-primed PCR was conducted to confirm the genetic variations in the three patients and the other 12 cases. RESULTS Our patients included 14 adult-onset patients and 1 juvenile-onset patient characterised by degeneration of multiple nervous systems. All patients were identified with intranuclear inclusions in the nuclei of fibroblasts, fat cells and ductal epithelial cells of sweat glands. The WGS failed to find any likely pathogenic variations for NIID. The LRS successfully identified that three patients with adult-onset NIID showed abnormalities of GGC expansion in 5'UTR of the NOTCH2NLC gene. The GGC repeated expansion was further confirmed by repeat-primed PCR in seven familial cases and eight sporadic cases. CONCLUSION Our findings provided evidence that confirmed the GGC repeated expansion in the 5'UTR of the NOTCH2NLC gene is associated with the pathogenesis of NIID. Additionally, the GGC expansion was not only responsible for adult-onset patients, but also responsible for juvenile-onset patients.
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Affiliation(s)
- Jianwen Deng
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Muliang Gu
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Yu Miao
- GrandOmics Biosciences, Beijing, China
| | - Sheng Yao
- Department of Neurology, Sixth Medical Center of PLA General Hospital, Beijing, China
| | - Min Zhu
- Department of Neurology, First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Pu Fang
- Department of Neurology, First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Xuefan Yu
- Department of Neurology, Bethune First Affiliated Hospital of Jilin University, Nanchang, China
| | - Pidong Li
- GrandOmics Biosciences, Beijing, China
| | - Yanan Su
- GrandOmics Biosciences, Beijing, China
| | | | - Jun Zhang
- Department of Neurology, Peking University People's Hospital, Beijing, China
| | - Jiaxi Yu
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Fan Li
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Jing Bai
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Wei Sun
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Yining Huang
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Yun Yuan
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Daojun Hong
- Department of Neurology, First Affiliated Hospital of Nanchang University, Nanchang, China .,Department of Neurology, Peking University People's Hospital, Beijing, China
| | - Zhaoxia Wang
- Department of Neurology, Peking University First Hospital, Beijing, China
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Ishiura H, Shibata S, Yoshimura J, Suzuki Y, Qu W, Doi K, Almansour MA, Kikuchi JK, Taira M, Mitsui J, Takahashi Y, Ichikawa Y, Mano T, Iwata A, Harigaya Y, Matsukawa MK, Matsukawa T, Tanaka M, Shirota Y, Ohtomo R, Kowa H, Date H, Mitsue A, Hatsuta H, Morimoto S, Murayama S, Shiio Y, Saito Y, Mitsutake A, Kawai M, Sasaki T, Sugiyama Y, Hamada M, Ohtomo G, Terao Y, Nakazato Y, Takeda A, Sakiyama Y, Umeda-Kameyama Y, Shinmi J, Ogata K, Kohno Y, Lim SY, Tan AH, Shimizu J, Goto J, Nishino I, Toda T, Morishita S, Tsuji S. Noncoding CGG repeat expansions in neuronal intranuclear inclusion disease, oculopharyngodistal myopathy and an overlapping disease. Nat Genet 2019; 51:1222-1232. [DOI: 10.1038/s41588-019-0458-z] [Citation(s) in RCA: 178] [Impact Index Per Article: 35.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Accepted: 05/29/2019] [Indexed: 11/09/2022]
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Sone J, Mitsuhashi S, Fujita A, Mizuguchi T, Hamanaka K, Mori K, Koike H, Hashiguchi A, Takashima H, Sugiyama H, Kohno Y, Takiyama Y, Maeda K, Doi H, Koyano S, Takeuchi H, Kawamoto M, Kohara N, Ando T, Ieda T, Kita Y, Kokubun N, Tsuboi Y, Katoh K, Kino Y, Katsuno M, Iwasaki Y, Yoshida M, Tanaka F, Suzuki IK, Frith MC, Matsumoto N, Sobue G. Long-read sequencing identifies GGC repeat expansions in NOTCH2NLC associated with neuronal intranuclear inclusion disease. Nat Genet 2019; 51:1215-1221. [PMID: 31332381 DOI: 10.1038/s41588-019-0459-y] [Citation(s) in RCA: 295] [Impact Index Per Article: 59.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Accepted: 05/29/2019] [Indexed: 12/20/2022]
Abstract
. The average onset age is 59.7 years among approximately 140 NIID cases consisting of mostly sporadic and several familial cases. By linkage mapping of a large NIID family with several affected members (Family 1), we identified a 58.1 Mb linked region at 1p22.1-q21.3 with a maximum logarithm of the odds score of 4.21. By long-read sequencing, we identified a GGC repeat expansion in the 5' region of NOTCH2NLC (Notch 2 N-terminal like C) in all affected family members. Furthermore, we found similar expansions in 8 unrelated families with NIID and 40 sporadic NIID cases. We observed abnormal anti-sense transcripts in fibroblasts specifically from patients but not unaffected individuals. This work shows that repeat expansion in human-specific NOTCH2NLC, a gene that evolved by segmental duplication, causes a human disease.
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Affiliation(s)
- Jun Sone
- Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan.,Department of Neurology, National hospital organization Suzuka National Hospital, Suzuka, Japan
| | - Satomi Mitsuhashi
- Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama, Japan
| | - Atsushi Fujita
- Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama, Japan
| | - Takeshi Mizuguchi
- Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama, Japan
| | - Kohei Hamanaka
- Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama, Japan
| | - Keiko Mori
- Department of Neurology, Oyamada Memorial Spa Hospital, Yokkaichi, Japan
| | - Haruki Koike
- Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Akihiro Hashiguchi
- Department of Neurology and Geriatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
| | - Hiroshi Takashima
- Department of Neurology and Geriatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
| | - Hiroshi Sugiyama
- Department of Neurology, National Hospital Organization Utano National Hospital, Kyoto, Japan
| | - Yutaka Kohno
- Department of Neurology, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan
| | - Yoshihisa Takiyama
- Department of Neurology, University of Yamanashi, Chuo, Yamanashi, Japan
| | - Kengo Maeda
- Department of Neurology, National hospital organization Higashi-Ohmi General Medical Center, Higashi-Ohmi, Japan
| | - Hiroshi Doi
- Department of Neurology and Stroke Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan
| | - Shigeru Koyano
- Department of Neurology and Stroke Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan
| | - Hideyuki Takeuchi
- Department of Neurology and Stroke Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan
| | - Michi Kawamoto
- Department of Neurology, Kobe City Medical Center General Hospital, Kobe, Japan
| | - Nobuo Kohara
- Department of Neurology, Kobe City Medical Center General Hospital, Kobe, Japan
| | - Tetsuo Ando
- Department of Neurology, Anjo Kosei Hospital, Anjo, Japan
| | - Toshiaki Ieda
- Department of Neurology, Yokkaichi Municipal Hospital, Yokkaichi, Japan
| | - Yasushi Kita
- Department of Neurology, Hyogo Brain and Heart Center, Himeji, Japan
| | - Norito Kokubun
- Department of Neurology, Dokkyo Medical University, Tochigi, Japan
| | - Yoshio Tsuboi
- Department of Neurology, Fukuoka University, Fukuoka, Japan
| | - Kazutaka Katoh
- Research Institute for Microbial Diseases, Osaka University, Suita, Japan.,Artificial Intelligence Research Center, National Institute of Advanced Industrial Science and Technology, Tokyo, Japan
| | - Yoshihiro Kino
- Department of Bioinformatics and Molecular Neuropathology, Meiji Pharmaceutical University, Tokyo, Japan
| | - Masahisa Katsuno
- Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Yasushi Iwasaki
- Department of Neuropathology, Institute for Medical Science of Aging, Aichi Medical University, Nagakute, Japan
| | - Mari Yoshida
- Department of Neuropathology, Institute for Medical Science of Aging, Aichi Medical University, Nagakute, Japan
| | - Fumiaki Tanaka
- Department of Neurology and Stroke Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan
| | - Ikuo K Suzuki
- Department of Biological Sciences, Graduate School of Science, The University of Tokyo, Tokyo, Japan
| | - Martin C Frith
- Artificial Intelligence Research Center, National Institute of Advanced Industrial Science and Technology, Tokyo, Japan.,Graduate School of Frontier Sciences, University of Tokyo, Chiba, Japan.,Computational Bio Big-Data Open Innovation Laboratory, National Institute of Advanced Industrial Science and Technology, Tokyo, Japan
| | - Naomichi Matsumoto
- Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
| | - Gen Sobue
- Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan. .,Department of Neurology, and Brain and Mind Research Center, Nagoya University Graduate School of Medicine, Nagoya, Japan. .,Aichi Medical University, Nagakute, Aichi, Japan.
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225
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Identifying patients with neuronal intranuclear inclusion disease in Singapore using characteristic diffusion-weighted MR images. Neuroradiology 2019; 61:1281-1290. [PMID: 31292692 DOI: 10.1007/s00234-019-02257-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Accepted: 07/02/2019] [Indexed: 02/06/2023]
Abstract
PURPOSE Adult-onset neuronal intranuclear inclusion disease (NIID) is a rare neurodegenerative disorder described mainly in the Japanese population, with characteristic DWI abnormalities at the junction between gray and white matter. We identify possible cases of NIID in the picture archive and communication system (PACS) of a tertiary neurological referral hospital in Singapore and describe their radiological features. METHODS The neuroradiology imaging database was reviewed using keyword search of radiological reports to identify patients who had "subcortical U fibre" abnormalities on DWI. MRI were retrospectively reviewed, and those fulfilling inclusion criteria were invited for skin biopsy to detect nuclear inclusions by light and electron microscopy. RESULTS Twelve Chinese patients (nine female; median age 70.5 years) were enrolled. Seven patients were being assessed for dementia and five for other neurological indications. In all patients, DWI showed distinctive subcortical high signal with increased average apparent diffusion coefficient (ADC), involving frontal, parietal, and temporal more than occipital lobes; the corpus callosum and external capsule were affected in some patients. On T2-weighted images, cerebral and cerebellar atrophy and white matter hyperintensity of Fazekas grade 2 and above were seen in all patients. Three patients underwent skin biopsy; all were positive for intranuclear hyaline inclusion bodies on either p62 staining or electron microscopy, which are pathognomonic for NIID. CONCLUSION Previously undiagnosed patients with NIID can be identified by searching for abnormalities at the junction between gray and white matter on DWI in PACS and subsequently confirmed by skin biopsy. Radiologists should recognize the distinctive neuroimaging pattern of this dementing disease.
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Expansion of Human-Specific GGC Repeat in Neuronal Intranuclear Inclusion Disease-Related Disorders. Am J Hum Genet 2019; 105:166-176. [PMID: 31178126 PMCID: PMC6612530 DOI: 10.1016/j.ajhg.2019.05.013] [Citation(s) in RCA: 208] [Impact Index Per Article: 41.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Accepted: 05/17/2019] [Indexed: 12/11/2022] Open
Abstract
Neuronal intranuclear inclusion disease (NIID) is a slowly progressing neurodegenerative disease characterized by eosinophilic intranuclear inclusions in the nervous system and multiple visceral organs. The clinical manifestation of NIID varies widely, and both familial and sporadic cases have been reported. Here we have performed genetic linkage analysis and mapped the disease locus to 1p13.3-q23.1; however, whole-exome sequencing revealed no potential disease-causing mutations. We then performed long-read genome sequencing and identified a large GGC repeat expansion within human-specific NOTCH2NLC. Expanded GGC repeats as the cause of NIID was further confirmed in an additional three NIID-affected families as well as five sporadic NIID-affected case subjects. Moreover, given the clinical heterogeneity of NIID, we examined the size of the GGC repeat among 456 families with a variety of neurological conditions with the known pathogenic genes excluded. Surprisingly, GGC repeat expansion was observed in two Alzheimer disease (AD)-affected families and three parkinsonism-affected families, implicating that the GGC repeat expansions in NOTCH2NLC could also contribute to the pathogenesis of both AD and PD. Therefore, we suggest defining a term NIID-related disorders (NIIDRD), which will include NIID and other related neurodegenerative diseases caused by the expanded GGC repeat within human-specific NOTCH2NLC.
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227
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A case of recurrent vomiting: extending the spectrum of neuronal intranuclear inclusion disease. Neurol Sci 2019; 40:2661-2664. [PMID: 31267307 DOI: 10.1007/s10072-019-03986-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2019] [Accepted: 06/17/2019] [Indexed: 12/23/2022]
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228
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Yamanaka H, Hashimoto S, Suenaga T. [Neuronal intranuclear inclusion disease with prolonged impaired consciousness and status epilepticus: a case report]. Rinsho Shinkeigaku 2019; 59:425-430. [PMID: 31243248 DOI: 10.5692/clinicalneurol.cn-001264] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Neuronal intranuclear inclusion disease (NIID) is a neurodegenerative disease presenting with various manifestations including dementia, weakness, transient impaired consciousness, encephalitis-like episodes and also epileptic seizures. However, the nature of epileptic seizures, focal or generalized onset, remains unclear. A man at age 76 was admitted to a local hospital due to febrile impaired consciousness lasting several days. During the hospital stay, a generalized convulsion occurred, and afterward he remained obtunded. He was transferred to our hospital for further treatment. One additional seizure occurred while on an ambulance to our hospital and two additional seizures shortly after the arrival, which indicated convulsive status epilepticus (SE). The ictal EEG showed low amplitude fast activity arising from the left centro-parietal area with an evolutionary pattern. The clinical concomitant was the contralateral versive seizure evolving to a bilateral convulsion. Inter-ictal epileptiform abnormalities seen on the tracings taken on later days consisted of brief potentially ictal rhythmic discharges (B(I)RDs) and frequent sharp waves recorded from both frontal areas. These findings along with the ictal discharges would indicate a multifocal epileptic disorder in this patient. Diffusion weighted images (DWIs) of this patient showed hyperintensity signals in the cortico-medullary junctions in the bilateral frontal and the left parietal regions. Skin biopsy revealed characteristic intranuclear inclusions, and hence the diagnosis of NIID was made. The regions of epileptic foci on EEG corresponded well to the hyperintensity areas in DWIs, which suggests the cerebral cortices near the DWI hyperintensity could be more hyperactive than other regions. This case report suggests that some of the prolonged impaired consciousness and the encephalitis-like episodes in NIID could be related to epileptic seizures and even non-convulsive SE or a post-ictal twilight state after an unwitnessed convulsion. This issue should be further studied for the appropriate treatment of episodic encephalopathy and epileptic seizures in NIID.
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229
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Neuropathology and pathogenesis of extrapyramidal movement disorders: a critical update. II. Hyperkinetic disorders. J Neural Transm (Vienna) 2019; 126:997-1027. [DOI: 10.1007/s00702-019-02030-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Accepted: 06/14/2019] [Indexed: 12/14/2022]
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230
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Suthiphosuwan S, Sasikumar S, Munoz DG, Chan DK, Montanera WJ, Bharatha A. MRI diagnosis of neuronal intranuclear inclusion disease leukoencephalopathy. Neurol Clin Pract 2019; 9:497-499. [PMID: 32042489 DOI: 10.1212/cpj.0000000000000664] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Accepted: 04/08/2019] [Indexed: 01/08/2023]
Affiliation(s)
- Suradech Suthiphosuwan
- Diagnostic and Therapeutic Neuroradiology (S. Suthiphosuwan, WJM, AB), Department of Medical Imaging; Division of Neurology (S. Sasikumar, DKC), Department of Medicine; Department of Laboratory Medicine and Pathobiology (DGM); and Neurosurgery (WJM, AB), Department of Surgery, St. Michael's Hospital, University of Toronto, ON, Canada
| | - Sanskriti Sasikumar
- Diagnostic and Therapeutic Neuroradiology (S. Suthiphosuwan, WJM, AB), Department of Medical Imaging; Division of Neurology (S. Sasikumar, DKC), Department of Medicine; Department of Laboratory Medicine and Pathobiology (DGM); and Neurosurgery (WJM, AB), Department of Surgery, St. Michael's Hospital, University of Toronto, ON, Canada
| | - David G Munoz
- Diagnostic and Therapeutic Neuroradiology (S. Suthiphosuwan, WJM, AB), Department of Medical Imaging; Division of Neurology (S. Sasikumar, DKC), Department of Medicine; Department of Laboratory Medicine and Pathobiology (DGM); and Neurosurgery (WJM, AB), Department of Surgery, St. Michael's Hospital, University of Toronto, ON, Canada
| | - David K Chan
- Diagnostic and Therapeutic Neuroradiology (S. Suthiphosuwan, WJM, AB), Department of Medical Imaging; Division of Neurology (S. Sasikumar, DKC), Department of Medicine; Department of Laboratory Medicine and Pathobiology (DGM); and Neurosurgery (WJM, AB), Department of Surgery, St. Michael's Hospital, University of Toronto, ON, Canada
| | - Walter J Montanera
- Diagnostic and Therapeutic Neuroradiology (S. Suthiphosuwan, WJM, AB), Department of Medical Imaging; Division of Neurology (S. Sasikumar, DKC), Department of Medicine; Department of Laboratory Medicine and Pathobiology (DGM); and Neurosurgery (WJM, AB), Department of Surgery, St. Michael's Hospital, University of Toronto, ON, Canada
| | - Aditya Bharatha
- Diagnostic and Therapeutic Neuroradiology (S. Suthiphosuwan, WJM, AB), Department of Medical Imaging; Division of Neurology (S. Sasikumar, DKC), Department of Medicine; Department of Laboratory Medicine and Pathobiology (DGM); and Neurosurgery (WJM, AB), Department of Surgery, St. Michael's Hospital, University of Toronto, ON, Canada
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231
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Gelpi E, Botta-Orfila T, Bodi L, Marti S, Kovacs G, Grau-Rivera O, Lozano M, Sánchez-Valle R, Muñoz E, Valldeoriola F, Pagonabarraga J, Tartaglia GG, Milà M. Neuronal intranuclear (hyaline) inclusion disease and fragile X-associated tremor/ataxia syndrome: a morphological and molecular dilemma. Brain 2019; 140:e51. [PMID: 28899011 DOI: 10.1093/brain/awx156] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Ellen Gelpi
- Neurological Tissue Bank of the Biobanc-Hospital Clinic-IDIBAPS, Barcelona, Spain
| | - Teresa Botta-Orfila
- Centre for Genomic Regulation (CRG), The Barcelona Institute for Science and Technology, Dr. Aiguader 88, 08003 Barcelona, Spain.,Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Laia Bodi
- Department of Genetics, Hospital Clinic de Barcelona, Barcelona, Spain
| | - Stefanie Marti
- Centre for Genomic Regulation (CRG), The Barcelona Institute for Science and Technology, Dr. Aiguader 88, 08003 Barcelona, Spain.,Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Gabor Kovacs
- Institute of Neurology, Medical University of Vienna, Austria
| | - Oriol Grau-Rivera
- Neurological Tissue Bank of the Biobanc-Hospital Clinic-IDIBAPS, Barcelona, Spain.,Neurology Department, Alzheimer's disease and other Cognitive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain
| | - Manuel Lozano
- Neurology Department, Hospital Germans Trias I Pujol, Badalona, Spain
| | - Raquel Sánchez-Valle
- Neurology Department, Alzheimer's disease and other Cognitive Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain
| | - Esteban Muñoz
- Neurology Department, Movement Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain
| | - Francesc Valldeoriola
- Neurology Department, Movement Disorders Unit, Hospital Clinic de Barcelona, Barcelona, Spain
| | | | - Gian-Gaetano Tartaglia
- Centre for Genomic Regulation (CRG), The Barcelona Institute for Science and Technology, Dr. Aiguader 88, 08003 Barcelona, Spain.,Universitat Pompeu Fabra (UPF), Barcelona, Spain.,Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain
| | - Montserrat Milà
- Department of Genetics, Hospital Clinic de Barcelona, Barcelona, Spain
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232
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Hayashi K, Hamaguchi T, Sakai K, Nakamura K, Wakabayashi K, Shirasaki H, Yamada M. Neuronal intranuclear inclusion disease showing blepharoptosis and positive serum anti-acetylcholine receptor antibody without myasthenia gravis. J Neurol Sci 2019; 400:119-121. [PMID: 30925359 DOI: 10.1016/j.jns.2019.03.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Revised: 03/15/2019] [Accepted: 03/15/2019] [Indexed: 12/01/2022]
Affiliation(s)
- Koji Hayashi
- Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.
| | - Tsuyoshi Hamaguchi
- Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.
| | - Kenji Sakai
- Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.
| | - Keiko Nakamura
- Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan; Department of Neuropathology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
| | - Koichi Wakabayashi
- Department of Neuropathology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
| | - Hiroe Shirasaki
- Department of Neurology, Kouseiren Takaoka Hospital, Takaoka, Japan.
| | - Masahito Yamada
- Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.
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233
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Chen L, Chen A, Lei S, He L, Zhou M. Teaching NeuroImages: The zigzag edging sign of adult-onset neuronal intranuclear inclusion disease. Neurology 2019; 92:e2295-e2296. [DOI: 10.1212/wnl.0000000000007464] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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234
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Shindo K, Tsuchiya M, Hata T, Ichinose Y, Koh K, Sone J, Nagasaka T, Sobue G, Takiyama Y. Non-convulsive status epilepticus associated with neuronal intranuclear inclusion disease: A case report and literature review. EPILEPSY & BEHAVIOR CASE REPORTS 2019; 11:103-106. [PMID: 30891404 PMCID: PMC6403408 DOI: 10.1016/j.ebcr.2019.01.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Revised: 01/18/2019] [Accepted: 01/21/2019] [Indexed: 01/25/2023]
Abstract
We report a case of neuronal intranuclear inclusion disease (NIID) confirmed by detection of intranuclear inclusions in a skin biopsy specimen. Brain magnetic resonance imaging showed mild cerebral atrophy and linear hyperintensities at the corticomedullary junction on diffusion-weighted images. This patient developed nonconvulsive status epilepticus with generalized periodic discharges on electroencephalography after recurrent symptoms of paroxysmal nausea and slowly progressive cognitive decline. There have been no previous reports of NIID with nonconvulsive status epilepticus to our knowledge. Since adult patients with NIID display a wide variety of clinical manifestations, skin biopsy should be considered in patients who have leukoencephalopathy of unknown origin.
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Affiliation(s)
- Kazumasa Shindo
- Department of Neurology, University of Yamanashi, Yamanashi, Japan
| | - Mai Tsuchiya
- Department of Neurology, University of Yamanashi, Yamanashi, Japan
| | - Takanori Hata
- Department of Neurology, University of Yamanashi, Yamanashi, Japan
| | - Yuta Ichinose
- Department of Neurology, University of Yamanashi, Yamanashi, Japan
| | - Kishin Koh
- Department of Neurology, University of Yamanashi, Yamanashi, Japan
| | - Jun Sone
- Department of Neurology, Nagoya University Graduate School of Medicine, Yamanashi, Japan
| | | | - Gen Sobue
- Department of Neurology, Nagoya University Graduate School of Medicine, Yamanashi, Japan
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235
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Mitsutake A, Tamai T, Kamisawa A, Sugiyama Y, Sato T, Katsumata J, Seki T, Maekawa R, Hideyama T, Saito Y, Shiio Y. Familial neuronal intranuclear inclusion disease complicated by subcortical hemorrhage. ACTA ACUST UNITED AC 2019. [DOI: 10.1111/ncn3.12268] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
| | - Tomohisa Tamai
- Department of Neurology Tokyo Teishin Hospital Tokyo Japan
| | - Aya Kamisawa
- Department of Neurology Tokyo Teishin Hospital Tokyo Japan
| | | | - Tatsuya Sato
- Department of Neurology Tokyo Teishin Hospital Tokyo Japan
| | | | - Tomonari Seki
- Department of Neurology Tokyo Teishin Hospital Tokyo Japan
| | - Risa Maekawa
- Department of Neurology Tokyo Teishin Hospital Tokyo Japan
| | | | - Yuko Saito
- Department of Pathology and Laboratory Medicine National Center Hospital National Center of Neurology and Psychiatry Tokyo Japan
| | - Yasushi Shiio
- Department of Neurology Tokyo Teishin Hospital Tokyo Japan
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236
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Yamaguchi N, Mano T, Ohtomo R, Ishiura H, Almansour MA, Mori H, Kanda J, Shirota Y, Taira K, Morikawa T, Ikemura M, Yanagi Y, Murayama S, Shimizu J, Sakurai Y, Tsuji S, Iwata A. An Autopsy Case of Familial Neuronal Intranuclear Inclusion Disease with Dementia and Neuropathy. Intern Med 2018; 57:3459-3462. [PMID: 30101925 PMCID: PMC6306544 DOI: 10.2169/internalmedicine.1141-18] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Neuronal intranuclear inclusion disease (NIID) is a rare neurodegenerative disease with marked variety in its clinical manifestations. While characteristic neuroimaging and skin biopsy findings are important clues to the diagnosis, autopsy studies are still important for confirming the exact disease features. We herein report the case of a patient who received an antemortem diagnosis of familial NIID with dementia-dominant phenotype that was later confirmed by an autopsy. Our report is the first to document a case of autopsy-confirmed NIID involving both cognitive impairment and sensorimotor neuropathy.
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Affiliation(s)
- Nanaka Yamaguchi
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Tatsuo Mano
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Ryo Ohtomo
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Hiroyuki Ishiura
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
| | - M Asem Almansour
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Harushi Mori
- Department of Radiology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Junko Kanda
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Yuichiro Shirota
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Kenichiro Taira
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Teppei Morikawa
- Department of Pathology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Masako Ikemura
- Department of Pathology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Yasuo Yanagi
- Duke NUS Medical School, Singapore National Eye Centre, Singapore Eye Research Institute, Singapore
| | - Shigeo Murayama
- Department of Neuropathology, Tokyo Metropolitan Institute of Gerontology, Japan
| | - Jun Shimizu
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
| | | | - Shoji Tsuji
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
| | - Atsushi Iwata
- Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan
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237
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Xiao F, Tian X, Wang XF. Cerebral Atrophy and Leukoencephalopathy in a Young Man Presenting With Encephalitic Episodes. JAMA Neurol 2018; 75:1563-1564. [PMID: 30167633 DOI: 10.1001/jamaneurol.2018.2333] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- Fei Xiao
- Department of Neurology, the First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Neurology, Chongqing, China
| | - Xin Tian
- Department of Neurology, the First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Neurology, Chongqing, China
| | - Xue-feng Wang
- Department of Neurology, the First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Neurology, Chongqing, China
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238
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Chen L, Wu L, Li S, Huang Q, Xiong J, Hong D, Zeng X. A long time radiological follow-up of neuronal intranuclear inclusion disease: Two case reports. Medicine (Baltimore) 2018; 97:e13544. [PMID: 30544465 PMCID: PMC6310506 DOI: 10.1097/md.0000000000013544] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
RATIONALE Neuronal intranuclear inclusion disease (NIID) is a rare neurodegenerative disease identified with diffusion-weighted imaging (DWI) high-intensity signal in magnetic resonance imaging (MRI). The disappearance of the abnormal signal is extremely rare. PATIENT CONCERNS We present the 2 cases of patients, both of them were suffering from heterogeneous symptoms. We followed up one of them for 7 years with MRI, the other accepted comprehensive MRI inspections. DIAGNOSES DWI high-intensity signal were observed along the corticomedullary junction in MRI plan scan of heads of 2 patients. For patient 1, the hyperintensities in DWI and fluid-attenuated inversion recovery (FLAIR) images in the occipital lobe disappeared 5 years after onset. Based on the biopsy, patient 1 and 2 were diagnosed as NIID. INTERVENTIONS There have not effective medication and prevention for NIID. Patient 1 and 2 received symptomatic treatment. OUTCOMES Up until now, the patients are alive but the disease is progressing. LESSONS DWI high-intensity signal is a strong clue for the diagnosis of NIID, but the rare case of the disappearance of it may lead to misdiagnosis.
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Affiliation(s)
- Linglong Chen
- Department of Radiology, The First Affiliated Hospital, Nanchang University
| | - Lin Wu
- Department of Radiology, The First Affiliated Hospital, Nanchang University
| | - Shenghong Li
- Department of Radiology, The First Affiliated Hospital, Nanchang University
| | - Qin Huang
- Department of Neurology, The First Affiliated Hospital, Nanchang University
| | - Jiajun Xiong
- Department of Neurology, The First Affiliated Hospital, Nanchang University
| | - Daojun Hong
- Department of Neurology, Peking University People's Hospital, No. 11 Xizhimen South Street,Xicheng District, Beijing, PR China
| | - Xianjun Zeng
- Department of Radiology, The First Affiliated Hospital, Nanchang University
- Jiangxi Province Medical Imaging Research Institute
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239
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Motoki M, Nakajima H, Sato T, Tada M, Kakita A, Arawaka S. Neuronal intranuclear inclusion disease showing intranuclear inclusions in renal biopsy 12 years earlier. Neurology 2018; 91:884-886. [PMID: 30282768 DOI: 10.1212/wnl.0000000000006480] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Mikiko Motoki
- From the Division of Neurology, Department of Internal Medicine IV (M.M., H.N., S.A.), Osaka Medical College; Division of Neurology, Department of Medicine (H.N.), Nihon University School of Medicine; and Department of Pathology, Brain Research Institute (T.S., M.T., A.K.), Niigata University, Japan
| | - Hideto Nakajima
- From the Division of Neurology, Department of Internal Medicine IV (M.M., H.N., S.A.), Osaka Medical College; Division of Neurology, Department of Medicine (H.N.), Nihon University School of Medicine; and Department of Pathology, Brain Research Institute (T.S., M.T., A.K.), Niigata University, Japan.
| | - Tomoe Sato
- From the Division of Neurology, Department of Internal Medicine IV (M.M., H.N., S.A.), Osaka Medical College; Division of Neurology, Department of Medicine (H.N.), Nihon University School of Medicine; and Department of Pathology, Brain Research Institute (T.S., M.T., A.K.), Niigata University, Japan
| | - Mari Tada
- From the Division of Neurology, Department of Internal Medicine IV (M.M., H.N., S.A.), Osaka Medical College; Division of Neurology, Department of Medicine (H.N.), Nihon University School of Medicine; and Department of Pathology, Brain Research Institute (T.S., M.T., A.K.), Niigata University, Japan
| | - Akiyoshi Kakita
- From the Division of Neurology, Department of Internal Medicine IV (M.M., H.N., S.A.), Osaka Medical College; Division of Neurology, Department of Medicine (H.N.), Nihon University School of Medicine; and Department of Pathology, Brain Research Institute (T.S., M.T., A.K.), Niigata University, Japan
| | - Shigeki Arawaka
- From the Division of Neurology, Department of Internal Medicine IV (M.M., H.N., S.A.), Osaka Medical College; Division of Neurology, Department of Medicine (H.N.), Nihon University School of Medicine; and Department of Pathology, Brain Research Institute (T.S., M.T., A.K.), Niigata University, Japan
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240
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Pilson K, Farrell M, Lynch B, Devaney D. A Case of Juvenile Onset Neuronal Intranuclear Inclusion Disease With a Negative Antemortem Skin Biopsy. Pediatr Dev Pathol 2018; 21:494-496. [PMID: 28853324 DOI: 10.1177/1093526617724293] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Neuronal intranuclear (hyaline) inclusion disease (NIID) is a rare neurodegenerative disorder with a variable clinical presentation and multiple subtypes. We present the clinicopathologic details of a patient with juvenile-onset NIID and discuss the pathogenesis. We also discuss the utility of antemortem skin biopsy which was negative in our case.
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Affiliation(s)
- Keith Pilson
- 1 Department of Histopathology, Temple Street Children's University Hospital, Dublin, Ireland
| | - Michael Farrell
- 2 Department of Neuropathology, Beaumont Hospital, Dublin, Ireland
| | - Bryan Lynch
- 3 Department of Paediatrics, Temple Street Children's University Hospital, Dublin, Ireland
| | - Deirdre Devaney
- 1 Department of Histopathology, Temple Street Children's University Hospital, Dublin, Ireland
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241
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Affiliation(s)
- A Sugiyama
- Department of Radiology National Center of Neurology and Psychiatry Tokyo, Japan Department of Neurology Graduate School of Medicine, Chiba University Chiba, Japan
| | - N Sato
- Department of Radiology National Center of Neurology and Psychiatry Tokyo, Japan
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242
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Padilha IG, Nunes RH, Scortegagna FA, Pedroso JL, Marussi VH, Rodrigues Gonçalves MR, Barsottini OGP, da Rocha AJ. MR Imaging Features of Adult-Onset Neuronal Intranuclear Inclusion Disease May Be Indistinguishable from Fragile X-Associated Tremor/Ataxia Syndrome. AJNR Am J Neuroradiol 2018; 39:E100-E101. [PMID: 30072371 DOI: 10.3174/ajnr.a5729] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- I G Padilha
- Division of Neuroradiology Santa Casa de Sao Paulo School of Medical Sciences Sao Paulo, Brazil.,Division of Neuroradiology Diagnosticos da America SA Sao Paulo, Brazil
| | - R H Nunes
- Division of Neuroradiology Santa Casa de Sao Paulo School of Medical Sciences Sao Paulo, Brazil.,Division of Neuroradiology Diagnosticos da America SA Sao Paulo, Brazil
| | - F A Scortegagna
- Division of Neuroradiology Santa Casa de Sao Paulo School of Medical Sciences Sao Paulo, Brazil.,Division of Neuroradiology Diagnosticos da America SA Sao Paulo, Brazil
| | - J L Pedroso
- Ataxia Unit, Department of Neurology Universidade Federal de São Paulo Sao Paulo, Brazil
| | - V H Marussi
- Division of Neuroradiology Med Imagem, Hospital da Beneficencia Portuguesa de Sao Paulo Sao Paulo, Brazil
| | | | - O G P Barsottini
- Division of Neuroradiology Med Imagem, Hospital da Beneficencia Portuguesa de Sao Paulo Sao Paulo, Brazil
| | - A J da Rocha
- Division of Neuroradiology Santa Casa de Sao Paulo School of Medical Sciences Sao Paulo, Brazil Division of Neuroradiology Diagnosticos da America SA Sao Paulo, Brazil
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243
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Imai T, Kato B, Ohsima J, Hasegawa Y. [An adult onset sporadic neuronal intranuclear inclusion disease case reminiscent with Fisher syndrome]. Rinsho Shinkeigaku 2018; 58:505-508. [PMID: 30068807 DOI: 10.5692/clinicalneurol.cn-001139] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
A 63-year-old woman presented to our hospital with sudden symptoms of unsteadiness while walking. Based on the neurological findings, i.e., ataxia and absence of tendon reflex in the extremities accompanied by antecedent infection at the time, she was tentatively diagnosed with Fisher syndrome. Following intravenous immunoglobulin (IVIg) therapy for 5 days, her ataxic symptoms improved. Laboratory data were negative for antiganglioside antibody against GQ1b in the IgG subclass. Six months after her first admission, cognitive impairment gradually developed. She was re-admitted owing to new onset of unsteadiness while walking 1.5 years after her first admission. Diffusion-weighted brain MRI (DWI) revealed linear high-intensity signals in the region of the corticomedullary junction. Cutaneous skin biopsy revealed intranuclear inclusion bodies in sweat gland cells. Considering her family history along with the examination results, we diagnosed with adult-onset sporadic neuronal intranuclear inclusion disease (NIID). Retrospective investigation of the previous DWI obtained at the first admission had also shown slight linear high-intensity areas, suggesting that a series of events, including repeated sudden-onset transient ataxia, resulted due to NIID.
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Affiliation(s)
- Takeshi Imai
- Department of Internal Medicine, Division of Neurology, St Marianna University School of Medicine, Yokohama City Seibu Hospital
| | - Bunta Kato
- Department of Internal Medicine, Division of Neurology, St Marianna University School of Medicine, Yokohama City Seibu Hospital
| | - Jun Ohsima
- Department of Internal Medicine, Division of Neurology, St Marianna University School of Medicine, Yokohama City Seibu Hospital
| | - Yasuhiro Hasegawa
- Department of Internal Medicine, Division of Neurology, St Marianna University School of Medicine
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244
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Nakamura M, Ueki S, Kubo M, Yagi H, Sasaki R, Okada Y, Akiguchi I, Kusaka H, Kondo T. Two cases of sporadic adult-onset neuronal intranuclear inclusion disease preceded by urinary disturbance for many years. J Neurol Sci 2018; 392:89-93. [PMID: 30031993 DOI: 10.1016/j.jns.2018.07.012] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 06/05/2018] [Accepted: 07/13/2018] [Indexed: 11/26/2022]
Abstract
Neuronal intranuclear inclusion disease (NIID) is a neurodegenerative disease defined by the presence of eosinophilic hyaline intranuclear inclusions. The initial and main clinical feature of adult-onset NIID is predominantly dementia. We present herein 2 cases of sporadic adult-onset NIID with longstanding urinary disturbance prior to development of other neurological symptoms. Case 1: A 71-year-old woman was admitted after she lost consciousness while bathing. She presented slowly progressive bladder dysfunction starting at the age of 40. Recently, she complained of recurrent light-headedness on standing. Her neurological findings showed miosis, muscle weakness, rigidity, hyporeflexia, sensory disturbance, cerebellar ataxia, and orthostatic hypotension. Case 2: A 68-year-old man was admitted because of episodes of transient loss of consciousness. Ten years earlier, he had developed urinary dysfunction. His neurological findings revealed cognitive dysfunction, cerebellar ataxia, and hyporeflexia. Both patients had leukoencephalopathy and motor-sensory neuropathy. In both cases, diffusion-weighted imaging showed high-intensity signals in the corticomedurally junction; and skin biopsy samples revealed ubiquitin-positive intranuclear inclusions. Therefore, we made a diagnosis of adult-onset NIID. Although numerous cases of this disorder have been reported in the past, there were only a few cases showing the development of other neurological symptoms after longstanding urinary disturbance. Our cases suggest that it is worthwhile considering the possibility of NIID in cases with a long-term history of neurogenic bladder dysfunction.
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Affiliation(s)
- Masataka Nakamura
- Department of Neurology, Kansai Medical University Medical Center, 10-15, Fumizono-cho, Moriguchi, Osaka 5708507, Japan; Department of Neurology, Kansai Medical University, 2-5-1 Shinmachi, Hirakata, Osaka 5731010, Japan.
| | - Syugo Ueki
- Department of Neurology, Kansai Medical University Medical Center, 10-15, Fumizono-cho, Moriguchi, Osaka 5708507, Japan
| | - Motonori Kubo
- Department of Neurology, Koseikai Takeda Hospital, 841-5, Higashi Shiokoji-cho, Shiokoji-dori Nishinotoin-higashiiru, Shimogyo-ku, Kyoto 600-8558, Japan
| | - Hideo Yagi
- Department of Neurology, Koseikai Takeda Hospital, 841-5, Higashi Shiokoji-cho, Shiokoji-dori Nishinotoin-higashiiru, Shimogyo-ku, Kyoto 600-8558, Japan
| | - Risa Sasaki
- Department of Neurology, Kansai Medical University Medical Center, 10-15, Fumizono-cho, Moriguchi, Osaka 5708507, Japan
| | - Yoichiro Okada
- Department of Neurology, Kansai Medical University Medical Center, 10-15, Fumizono-cho, Moriguchi, Osaka 5708507, Japan
| | - Ichiro Akiguchi
- Department of Neurology, Koseikai Takeda Hospital, 841-5, Higashi Shiokoji-cho, Shiokoji-dori Nishinotoin-higashiiru, Shimogyo-ku, Kyoto 600-8558, Japan
| | - Hirofumi Kusaka
- Department of Neurology, Kansai Medical University, 2-5-1 Shinmachi, Hirakata, Osaka 5731010, Japan
| | - Takayuki Kondo
- Department of Neurology, Kansai Medical University Medical Center, 10-15, Fumizono-cho, Moriguchi, Osaka 5708507, Japan
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245
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Hirose B, Hisahara S, Uesugi H, Sone J, Sobue G, Shimohama S. [Sporadic adult-onset neuronal intranuclear inclusion disease with abnormal electroretinogram, nerve conduction studies and somatosensory evoked potential]. Rinsho Shinkeigaku 2018; 58:407-410. [PMID: 29863097 DOI: 10.5692/clinicalneurol.cn-001154] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
A 70-year-old man, a urinary retention of unknown origin from 10 years ago, decreased cognitive function from 4 years ago, vision impairment advanced a year ago. Brain MRI with DWI showed high intensity erea in the cortico-medullary junction. We diagnosed as intranuclear inclusion body disease (NIID) because of p62-positive intranuclear inclusion bodies by skin biopsy. Electroretinogram revealed amplitude reduction in the cone response superiority. Nerve conduction test showed mild conduction velocity reduction. Furthermore, in the somatosensory evoked potential of the lower limb, latency of the first cortical component was prolonged. These electrophysiological abnormalities were considered to be associated with the pathological features of NIID.
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Affiliation(s)
- Bungo Hirose
- Department of Neurology, Sapporo Medical University School of Medicine
| | - Shin Hisahara
- Department of Neurology, Sapporo Medical University School of Medicine
| | - Haruo Uesugi
- Department of Neurology, Sapporo Yamanoue Hospital
| | - Jun Sone
- Department of Neurology, Nagoya University Graduate School of Medicine
| | - Gen Sobue
- Department of Neurology, Nagoya University Graduate School of Medicine
| | - Shun Shimohama
- Department of Neurology, Sapporo Medical University School of Medicine
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246
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Omoto S, Hayashi T, Matsuno H, Higa H, Kameya S, Sengoku R, Takahashi-Fujigasaki J, Murayama S, Iguchi Y. Neuronal intranuclear hyaline inclusion disease presenting with childhood-onset night blindness associated with progressive retinal dystrophy. J Neurol Sci 2018; 388:84-86. [DOI: 10.1016/j.jns.2018.03.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Revised: 03/02/2018] [Accepted: 03/05/2018] [Indexed: 11/26/2022]
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247
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Kawarabayashi T, Nakamura T, Seino Y, Hirohata M, Mori F, Wakabayashi K, Ono S, Harigaya Y, Shoji M. Disappearance of MRI imaging signals in a patient with neuronal intranuclear inclusion disease. J Neurol Sci 2018; 388:1-3. [PMID: 29626999 DOI: 10.1016/j.jns.2018.02.038] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 02/21/2018] [Accepted: 02/22/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Takeshi Kawarabayashi
- Department of Neurology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan.
| | - Takumi Nakamura
- Department of Neurology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan
| | - Yusuke Seino
- Department of Neurology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan
| | - Mie Hirohata
- Department of Neurology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan
| | - Fumiaki Mori
- Department of Neuropathology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan
| | - Koichi Wakabayashi
- Department of Neuropathology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan
| | - Shuichi Ono
- Department of Radiology and Radiation Oncology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan
| | - Yasuo Harigaya
- Department of Neurology, Maebashi Red Cross Hospital, 3-21-36 Asahi-cho, Maebashi 371-0014, Japan
| | - Mikio Shoji
- Department of Neurology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan
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248
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Mori F, Tanji K, Miki Y, Toyoshima Y, Sasaki H, Yoshida M, Kakita A, Takahashi H, Wakabayashi K. Immunohistochemical localization of exoribonucleases (DIS3L2 and XRN1) in intranuclear inclusion body disease. Neurosci Lett 2018; 662:389-394. [DOI: 10.1016/j.neulet.2017.10.061] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2017] [Revised: 10/26/2017] [Accepted: 10/30/2017] [Indexed: 12/27/2022]
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249
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Takumida H, Yakabe M, Mori H, Shibasaki K, Umeda-Kameyama Y, Urano T, Mano T, Hayashi A, Ikemura M, Ogawa S, Akishita M. Case of a 78-year-old woman with a neuronal intranuclear inclusion disease. Geriatr Gerontol Int 2017; 17:2623-2625. [DOI: 10.1111/ggi.13174] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 07/18/2017] [Accepted: 07/31/2017] [Indexed: 01/02/2023]
Affiliation(s)
- Hiroshi Takumida
- Department of Geriatric medicine; The University of Tokyo Hospital; Tokyo Japan
| | - Mitsutaka Yakabe
- Department of Geriatric medicine; The University of Tokyo Hospital; Tokyo Japan
| | - Harushi Mori
- The Department of Radiology; The University of Tokyo Hospital; Tokyo Japan
| | - Koji Shibasaki
- Department of Geriatric medicine; The University of Tokyo Hospital; Tokyo Japan
| | - Yumi Umeda-Kameyama
- Department of Geriatric medicine; The University of Tokyo Hospital; Tokyo Japan
| | - Tomohiko Urano
- Department of Geriatric medicine; The University of Tokyo Hospital; Tokyo Japan
| | - Tatsuo Mano
- The Department of Neurology; The University of Tokyo Hospital; Tokyo Japan
| | - Akimasa Hayashi
- Department of Pathology; The University of Tokyo Hospital; Tokyo Japan
| | - Masako Ikemura
- Department of Pathology; The University of Tokyo Hospital; Tokyo Japan
| | - Sumito Ogawa
- Department of Geriatric medicine; The University of Tokyo Hospital; Tokyo Japan
| | - Masahiro Akishita
- Department of Geriatric medicine; The University of Tokyo Hospital; Tokyo Japan
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250
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Sugiyama A, Sato N, Kimura Y, Maekawa T, Enokizono M, Saito Y, Takahashi Y, Matsuda H, Kuwabara S. MR Imaging Features of the Cerebellum in Adult-Onset Neuronal Intranuclear Inclusion Disease: 8 Cases. AJNR Am J Neuroradiol 2017; 38:2100-2104. [PMID: 28818825 DOI: 10.3174/ajnr.a5336] [Citation(s) in RCA: 60] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2017] [Accepted: 05/20/2017] [Indexed: 12/20/2022]
Abstract
Neuronal intranuclear inclusion disease is a neurodegenerative disorder pathologically characterized by eosinophilic hyaline intranuclear inclusions. A high-intensity signal along the corticomedullary junction on DWI has been described as a specific MR imaging finding of the cerebrum in neuronal intranuclear inclusion disease. However, MR imaging findings of the cerebellum in neuronal intranuclear inclusion disease have not been fully evaluated. Here, we review MR imaging findings of the cerebellum in a series of 8 patients with pathologically confirmed neuronal intranuclear inclusion disease. The MR imaging results showed cerebellar atrophy (8/8 patients) and high-intensity signal on FLAIR images in the medial part of the cerebellar hemisphere right beside the vermis (the "paravermal area") (6/8) and in the middle cerebellar peduncle (4/8). The paravermal abnormal signals had a characteristic distribution, and they could be an indicator of the diagnosis of neuronal intranuclear inclusion disease even when using the results of past MR imaging examinations in which DWI findings were not examined.
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Affiliation(s)
- A Sugiyama
- From the Departments of Radiology (A.S., N.S., Y.K., T.M., M.E.)
- Department of Neurology (A.S., S.K.), Graduate School of Medicine, Chiba University, Chiba, Japan
| | - N Sato
- From the Departments of Radiology (A.S., N.S., Y.K., T.M., M.E.)
| | - Y Kimura
- From the Departments of Radiology (A.S., N.S., Y.K., T.M., M.E.)
| | - T Maekawa
- From the Departments of Radiology (A.S., N.S., Y.K., T.M., M.E.)
| | - M Enokizono
- From the Departments of Radiology (A.S., N.S., Y.K., T.M., M.E.)
| | - Y Saito
- Pathology and Laboratory Medicine (Y.S.)
| | | | - H Matsuda
- Integrative Brain Imaging Center (H.M.), National Center of Neurology and Psychiatry, Tokyo, Japan
| | - S Kuwabara
- Department of Neurology (A.S., S.K.), Graduate School of Medicine, Chiba University, Chiba, Japan
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