Table 1.
known neuropathology in hyperkinetic disorders described in this article.
Hyperkinetic disorder | Disease | Description of neuropathology | Immunohistochemistry | Future directions |
---|---|---|---|---|
Chorea | HD | Degeneration in striatum, frontal cortex, brain stem, cerebellum + gliosis + protein inclusions | 1C2+/huntingtin+ | |
Neuroacanthosis | Striatal degeneration + gliosis (no protein inclusions) | 1C2− | ||
DRPLA | Degeneration in pallidum, STN, dentate, and red nucleus + protein inclusions | 1C2+/atrophin-1 | ||
SCA17 | Degeneration in striatum, ventral thalamus, SN, inferior olive, cerebellum + protein inclusions | 1C2+/TBP | ||
HDL2 | Degeneration and protein inclusions largely comparable to HD | 1C2+ | ||
HDL1 | ?? | Neuropathology? | ||
HDL3 | ?? | Neuropathology? | ||
Dystonia | DYT1 | Degeneration of SNc, LC, raphe nuclei, PPN, and dentate | Ub+, TorsinA+ | Concomitant tangles/Lewy bodies? |
DYT6 and DYT11 | ?? | Neuropathology? | ||
DYT5/DYT14 | SN neurodegeneration; 1 case with Lewy bodies | Concomitant Lewy bodies? | ||
LUBAG/DYT3 | Mosaic neuronal loss in caudate and lateral putamen + gliosis | |||
PD | Diffuse degeneration throughout the CNS (six stages) with Lewy bodies, pale bodies, and Lewy neurites | Alfa-synuclein | ||
PSP | Degeneration of SN, locus coeruleus, pons, midbrain, pallidum + neuronal and glial protein inclusions | tau | ||
CBD | Degeneration in SN, pallidum, striatum, STN, thalamus, and red nucleus + neuronal and glial protein inclusions | tau | ||
MSA | Variable degeneration of olivo-ponto-cerebellar system and basal ganglia + neuronal + glial protein inclusions | Alfa-synuclein | ||
Tremor | ET | Cerebellar cortical degeneration | LB in brainstem concomitant? Ub+/p62+ nii specific? | |
PD | See above | Alfa-synuclein | ||
Cerebellar tremor | Lesions in cerebellum or fiber tracts from deep cerebellar nuclei | |||
Holmes tremor | Lesions in ventrolateral thalamus/red nucleus or surrounding fiber tracts | |||
Palatal tremor | Degeneration of dentate-olivary pathway + secondary hypertrophy of inferior olive | |||
Li induced tremor | Neuronal loss + gliosis in cerebellar cortex and dentate nucleus |