Abstract
A 22 year old patient with non-familial progressive myoclonus, macular cherry-red spot, moderate cerebellar syndrome and normal intelligence is described. The myoclonus began at the age of 18 years. Focal myoclonus could easily be elicited by voluntary and passive movements, and by touch and electrical stimulation of median nerve. Somatosensory evoked potentials showed a high voltage early component. Jerk-locked averaging of the EEG preceding action myoclonus detected an otherwise hidden, time-related, EEG spike. The myoclonus responded partially but clearly to L-5 hydroxytryptophan plus carbidopa treatment. Biochemical study showed an alpha-neuraminidase deficiency in cultured fibroblasts: the decrease in this enzyme activity was compared to that found in a patient affected by mucolipidosis III.
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- Caimi L., Lombardo A., Preti A., Wiesmann U., Tettamanti G. Optimal conditions for the assay of fibroblast neuraminidase with different natural substrates. Biochim Biophys Acta. 1979 Nov 9;571(1):137–146. doi: 10.1016/0005-2744(79)90234-1. [DOI] [PubMed] [Google Scholar]
- Cantz M., Gehler J., Spranger J. Mucolipidosis I: increased sialic acid content and deficiency of an alpha-N-acetylneuraminidase in cultured fibroblasts. Biochem Biophys Res Commun. 1977 Jan 24;74(2):732–738. doi: 10.1016/0006-291x(77)90363-1. [DOI] [PubMed] [Google Scholar]
- Chadwick D., Hallett M., Harris R., Jenner P., Reynolds E. H., Marsden C. D. Clinical, biochemical, and physiological features distinguishing myoclonus responsive to 5-hydroxytryptophan, tryptophan with a monoamine oxidase inhibitor, and clonazepam. Brain. 1977 Sep;100(3):455–487. doi: 10.1093/brain/100.3.455. [DOI] [PubMed] [Google Scholar]
- Durand P., Gatti R., Cavalieri S., Borrone C., Tondeur M., Michalski J. C., Strecker G. Sialidosis (mucolipidosis I). Helv Paediatr Acta. 1977 Nov;32(4-5):391–400. [PubMed] [Google Scholar]
- Engel J., Jr, Rapin I., Giblin D. R. Electrophysiological studies in two patients with cherry red spot--myoclonus syndrome. Epilepsia. 1977 Mar;18(1):73–87. doi: 10.1111/j.1528-1157.1977.tb05589.x. [DOI] [PubMed] [Google Scholar]
- Hickman S., Neufeld E. F. A hypothesis for I-cell disease: defective hydrolases that do not enter lysosomes. Biochem Biophys Res Commun. 1972 Nov 15;49(4):992–999. doi: 10.1016/0006-291x(72)90310-5. [DOI] [PubMed] [Google Scholar]
- Kelly J. J., Jr, Sharbrough F. W., Westmoreland B. F. Movement-activated central fast rhythms: an EEG finding in action myoclonus. Neurology. 1978 Oct;28(10):1037–1040. doi: 10.1212/wnl.28.10.1037. [DOI] [PubMed] [Google Scholar]
- Kelly T. E., Graetz G. Isolated acid neuraminidase deficiency: a distinct lysosomal storage disease. Am J Med Genet. 1977;1(1):31–46. doi: 10.1002/ajmg.1320010105. [DOI] [PubMed] [Google Scholar]
- Lhermitte F., Peterfalvi M., Marteau R., Gazengel J., Serdaru M. Analyse pharmcologique d'un cas de myoclonies d'intention et d'action post-anoxiques. Rev Neurol (Paris) 1971 Jan;124(1):21–31. [PubMed] [Google Scholar]
- Lowden J. A., O'Brien J. S. Sialidosis: a review of human neuraminidase deficiency. Am J Hum Genet. 1979 Jan;31(1):1–18. [PMC free article] [PubMed] [Google Scholar]
- Miyatake T., Yamada T., Suzuki M., Pallmann B., Sandhoff K., Ariga T., Atsumi T. Sialidase deficiency in adult-type neuronal storage disease. FEBS Lett. 1979 Jan 15;97(2):257–259. doi: 10.1016/0014-5793(79)80097-6. [DOI] [PubMed] [Google Scholar]
- O'Brien J. S. Neuraminidase deficiency in the cherry red spot-myoclonus syndrome. Biochem Biophys Res Commun. 1977 Dec 21;79(4):1136–1141. doi: 10.1016/0006-291x(77)91124-x. [DOI] [PubMed] [Google Scholar]
- Okada S., Yutaka T., Kato T., Ikehara C., Yabuuchi H., Okawa M., Inui M., Chiyo H. A case of neuraminidase deficiency associated with a partial beta-galactosidase defect. Clinical, biochemical and radiological studies. Eur J Pediatr. 1979 Apr 3;130(4):239–249. doi: 10.1007/BF00441360. [DOI] [PubMed] [Google Scholar]
- Orii T., Minami R., Sukegawa K., Sato S., Tsugawa S. A new type of mucolipidosis with -galactosidase deficiency and glycopeptiduria. Tohoku J Exp Med. 1972 Aug;107(4):303–315. doi: 10.1620/tjem.107.303. [DOI] [PubMed] [Google Scholar]
- Rapin I., Goldfischer S., Katzman R., Engel J., Jr, O'Brien J. S. The cherry-red spot--myoclonus syndrome. Ann Neurol. 1978 Mar;3(3):234–242. doi: 10.1002/ana.410030309. [DOI] [PubMed] [Google Scholar]
- Shibasaki H., Yamashita Y., Kuroiwa Y. Electroencephalographic studies myoclonus. Brain. 1978 Sep;101(3):447–460. doi: 10.1093/brain/101.3.447. [DOI] [PubMed] [Google Scholar]
- Sphranger J., Gehler J., Cantz M. Mucolipidosis I--a sialidosis. Am J Med Genet. 1977;1(1):21–29. doi: 10.1002/ajmg.1320010104. [DOI] [PubMed] [Google Scholar]
- Strecker G., Michalski J. C., Montreuil J., Farriaux J. P. Deficit in neuraminidase associated with mucolipidosis II (I-cell disease). Biomedicine. 1976 Sep 30;25(7):238–240. [PubMed] [Google Scholar]
- Suzuki Y., Nakamura N., Shimada Y., Yotsumoto H., Endo H., Nagashima K. Macular cherry-red spots and beta-galactosidase deficiency in an adult. An autopsy case with progressive cerebellar ataxia, myoclonus, thrombocytopathy, and accumulation of polysaccharide in liver. Arch Neurol. 1977 Mar;34(3):157–161. doi: 10.1001/archneur.1977.00500150043008. [DOI] [PubMed] [Google Scholar]
- Tettamanti B., Lombardo A., Marchesini S., Giuliani A., Berra B., Di Donato S., Rimoldi M., Bertagnolio B. Lipid storage diseases: biochemical diagnosis. Biochem Exp Biol. 1977;13(1):45–60. [PubMed] [Google Scholar]
- Thomas G. H., Goldberg M. F., Miller C. S., Reynolds L. W. Neuraminidase deficiency in the original patient with the Goldberg syndrome. Clin Genet. 1979 Nov;16(5):323–330. doi: 10.1111/j.1399-0004.1979.tb01010.x. [DOI] [PubMed] [Google Scholar]
- Thomas G. H., Tiller G. E., Jr, Reynolds L. W., Miller C. S., Bace J. W. Increased levels of sialic acid associated with a sialidase deficiency in I-cell disease (mucolipidosis II) fibroblasts. Biochem Biophys Res Commun. 1976 Jul 12;71(1):188–195. doi: 10.1016/0006-291x(76)90267-9. [DOI] [PubMed] [Google Scholar]
- Thomas P. K., Abrams J. D., Swallow D., Stewart G. Sialidosis type 1: cherry red spot-myoclonus syndrome with sialidase deficiency and altered electrophoretic mobilities of some enzymes known to be glycoproteins. 1. Clinical findings. J Neurol Neurosurg Psychiatry. 1979 Oct;42(10):873–880. doi: 10.1136/jnnp.42.10.873. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Van Woert M. H., Rosenbaum D., Howieson J., Bowers M. B., Jr Long-term therapy of myoclonus and other neurologic disorders with L-5-hydroxytryptophan and carbidopa. N Engl J Med. 1977 Jan 13;296(2):70–75. doi: 10.1056/NEJM197701132960203. [DOI] [PubMed] [Google Scholar]
- Wenger D. A., Tarby T. J., Wharton C. Macular cherry-red spots and myoclonus with dementia: coexistent neuraminidase and beta-galactosidase deficiencies. Biochem Biophys Res Commun. 1978 May 30;82(2):589–595. doi: 10.1016/0006-291x(78)90915-4. [DOI] [PubMed] [Google Scholar]
- Wiesmann U. N., Herschkowitz N. N. Studies on the pathogenetic mechanism of I-cell disease in cultured fibroblasts. Pediatr Res. 1974 Nov;8(11):865–869. doi: 10.1203/00006450-197411000-00002. [DOI] [PubMed] [Google Scholar]
- Yamamoto A., Adachi S., Kawamura S., Takahashi M., Kitani T. Localized beta-galactosidase deficiency. Occurrence in cerebellar ataxia with myoclonus epilepsy and macular cherry-red spot--a new variant of GM1-gangliosidosis? Arch Intern Med. 1974 Oct;134(4):627–634. doi: 10.1001/archinte.134.4.627. [DOI] [PubMed] [Google Scholar]