Eye movement disorders in inborn errors of metabolism : A quantitative analysis of 37 patients
(2022) In Journal of Inherited Metabolic Disease 45(5). p.981-995- Abstract
Inborn errors of metabolism are genetic disorders that need to be recognized as early as possible because treatment may be available. In late-onset forms, core symptoms are movement disorders, psychiatric symptoms, and cognitive impairment. Eye movement disorders are considered to be frequent too, although specific knowledge is lacking. We describe and analyze eye movements in patients with an inborn error of metabolism, and see whether they can serve as an additional clue in the diagnosis of particularly late-onset inborn errors of metabolism. Demographics, disease characteristics, and treatment data were collected. All patients underwent a standardized videotaped neurological examination and a video-oculography. Videos are included.... (More)
Inborn errors of metabolism are genetic disorders that need to be recognized as early as possible because treatment may be available. In late-onset forms, core symptoms are movement disorders, psychiatric symptoms, and cognitive impairment. Eye movement disorders are considered to be frequent too, although specific knowledge is lacking. We describe and analyze eye movements in patients with an inborn error of metabolism, and see whether they can serve as an additional clue in the diagnosis of particularly late-onset inborn errors of metabolism. Demographics, disease characteristics, and treatment data were collected. All patients underwent a standardized videotaped neurological examination and a video-oculography. Videos are included. We included 37 patients with 15 different inborn errors of metabolism, including 18 patients with a late-onset form. With the exception of vertical supranuclear gaze palsy in Niemann-Pick type C and external ophthalmolplegia in Kearns-Sayre syndrome, no relation was found between the type of eye movement disorder and the underlying metabolic disorder. Movement disorders were present in 29 patients (78%), psychiatric symptoms in 14 (38%), and cognitive deficits in 26 patients (70%). In 87% of the patients with late-onset disease, eye movement disorders were combined with one or more of these core symptoms. To conclude, eye movement disorders are present in different types of inborn errors of metabolism, but are often not specific to the underlying disorder. However, the combination of eye movement disorders with movement disorders, psychiatric symptoms, or cognitive deficits can serve as a diagnostic clue for an underlying late-onset inborn error of metabolism.
(Less)
- author
- organization
- publishing date
- 2022-06-27
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Inherited Metabolic Disease
- volume
- 45
- issue
- 5
- pages
- 981 - 995
- publisher
- Springer
- external identifiers
-
- scopus:85133674745
- pmid:35758105
- ISSN
- 0141-8955
- DOI
- 10.1002/jimd.12533
- language
- English
- LU publication?
- yes
- additional info
- © 2022 The Authors. Journal of Inherited Metabolic Disease published by John Wiley & Sons Ltd on behalf of SSIEM.
- id
- f01f9977-56a2-41dc-ade5-89cd5c424a65
- date added to LUP
- 2022-07-19 13:47:50
- date last changed
- 2024-06-12 17:24:20
@article{f01f9977-56a2-41dc-ade5-89cd5c424a65,
abstract = {{<p>Inborn errors of metabolism are genetic disorders that need to be recognized as early as possible because treatment may be available. In late-onset forms, core symptoms are movement disorders, psychiatric symptoms, and cognitive impairment. Eye movement disorders are considered to be frequent too, although specific knowledge is lacking. We describe and analyze eye movements in patients with an inborn error of metabolism, and see whether they can serve as an additional clue in the diagnosis of particularly late-onset inborn errors of metabolism. Demographics, disease characteristics, and treatment data were collected. All patients underwent a standardized videotaped neurological examination and a video-oculography. Videos are included. We included 37 patients with 15 different inborn errors of metabolism, including 18 patients with a late-onset form. With the exception of vertical supranuclear gaze palsy in Niemann-Pick type C and external ophthalmolplegia in Kearns-Sayre syndrome, no relation was found between the type of eye movement disorder and the underlying metabolic disorder. Movement disorders were present in 29 patients (78%), psychiatric symptoms in 14 (38%), and cognitive deficits in 26 patients (70%). In 87% of the patients with late-onset disease, eye movement disorders were combined with one or more of these core symptoms. To conclude, eye movement disorders are present in different types of inborn errors of metabolism, but are often not specific to the underlying disorder. However, the combination of eye movement disorders with movement disorders, psychiatric symptoms, or cognitive deficits can serve as a diagnostic clue for an underlying late-onset inborn error of metabolism.</p>}},
author = {{Koens, Lisette H and Tuitert, Inge and Blokzijl, Hans and Engelen, Marc and Klouwer, Femke C C and Lange, Fiete and Leen, Wilhelmina G and Lunsing, Roelineke J and Koelman, Johannes H T M and Verrips, Aad and de Koning, Tom J and Tijssen, Marina A J}},
issn = {{0141-8955}},
language = {{eng}},
month = {{06}},
number = {{5}},
pages = {{981--995}},
publisher = {{Springer}},
series = {{Journal of Inherited Metabolic Disease}},
title = {{Eye movement disorders in inborn errors of metabolism : A quantitative analysis of 37 patients}},
url = {{http://dx.doi.org/10.1002/jimd.12533}},
doi = {{10.1002/jimd.12533}},
volume = {{45}},
year = {{2022}},
}