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Neurometabolic disorders are treatable causes of dystonia

Kuiper, A. ; Eggink, H. ; Tijssen, M. A.J. and de Koning, T. J. LU (2016) In Revue Neurologique 172(8-9). p.455-464
Abstract

A broad range of rare inherited metabolic disorders can present with dystonia. For clinicians, it is important to recognize dystonic features, but it can be complicated by the mixed and complex clinical picture seen in many neurometabolic patients. Careful phenotyping is the first step towards the diagnosis of the underlying condition and subsequent targeted treatment, further supported by imaging, biochemical diagnostics and the availability of modern diagnostic techniques such as next generation sequencing. As several neurometabolic disorders are treatable causes of dystonia, these should have priority in the diagnostic process. In the symptomatic treatment of dystonia, several therapeutic options are available. Awareness for the... (More)

A broad range of rare inherited metabolic disorders can present with dystonia. For clinicians, it is important to recognize dystonic features, but it can be complicated by the mixed and complex clinical picture seen in many neurometabolic patients. Careful phenotyping is the first step towards the diagnosis of the underlying condition and subsequent targeted treatment, further supported by imaging, biochemical diagnostics and the availability of modern diagnostic techniques such as next generation sequencing. As several neurometabolic disorders are treatable causes of dystonia, these should have priority in the diagnostic process. In the symptomatic treatment of dystonia, several therapeutic options are available. Awareness for the occurrence and optimal treatment of dystonia and other movement disorders in neurometabolic conditions is important because these symptoms can have a substantial impact on the quality of life and daily functioning; this effect is not only exerted by the dystonia itself, but also by the frequently associated non-motor features. In this paper, the highlights and key concepts of neurometabolic forms of dystonia are discussed, with a focus on phenomenology, the diagnostic approach, the most important neurometabolic aetiologies, co-occurring non-motor features and therapeutic options.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Dystonia, Inborn errors of metabolism, Next generation sequencing, Non-motor symptoms, Quality of life
in
Revue Neurologique
volume
172
issue
8-9
pages
10 pages
publisher
Elsevier Masson SAS
external identifiers
  • pmid:27561437
  • scopus:84992110590
ISSN
0035-3787
DOI
10.1016/j.neurol.2016.07.011
language
English
LU publication?
no
id
67e8f0d2-a321-4061-9b20-91e491184fc6
date added to LUP
2020-02-26 09:54:08
date last changed
2024-08-07 15:45:03
@article{67e8f0d2-a321-4061-9b20-91e491184fc6,
  abstract     = {{<p>A broad range of rare inherited metabolic disorders can present with dystonia. For clinicians, it is important to recognize dystonic features, but it can be complicated by the mixed and complex clinical picture seen in many neurometabolic patients. Careful phenotyping is the first step towards the diagnosis of the underlying condition and subsequent targeted treatment, further supported by imaging, biochemical diagnostics and the availability of modern diagnostic techniques such as next generation sequencing. As several neurometabolic disorders are treatable causes of dystonia, these should have priority in the diagnostic process. In the symptomatic treatment of dystonia, several therapeutic options are available. Awareness for the occurrence and optimal treatment of dystonia and other movement disorders in neurometabolic conditions is important because these symptoms can have a substantial impact on the quality of life and daily functioning; this effect is not only exerted by the dystonia itself, but also by the frequently associated non-motor features. In this paper, the highlights and key concepts of neurometabolic forms of dystonia are discussed, with a focus on phenomenology, the diagnostic approach, the most important neurometabolic aetiologies, co-occurring non-motor features and therapeutic options.</p>}},
  author       = {{Kuiper, A. and Eggink, H. and Tijssen, M. A.J. and de Koning, T. J.}},
  issn         = {{0035-3787}},
  keywords     = {{Dystonia; Inborn errors of metabolism; Next generation sequencing; Non-motor symptoms; Quality of life}},
  language     = {{eng}},
  month        = {{08}},
  number       = {{8-9}},
  pages        = {{455--464}},
  publisher    = {{Elsevier Masson SAS}},
  series       = {{Revue Neurologique}},
  title        = {{Neurometabolic disorders are treatable causes of dystonia}},
  url          = {{http://dx.doi.org/10.1016/j.neurol.2016.07.011}},
  doi          = {{10.1016/j.neurol.2016.07.011}},
  volume       = {{172}},
  year         = {{2016}},
}