A new tyrosine hydroxylase genotype associated with early-onset severe encephalopathy

J Child Neurol. 2012 Apr;27(4):523-5. doi: 10.1177/0883073811420717. Epub 2011 Sep 22.

Abstract

We describe a boy affected by an early-onset severe encephalopathy (stagnation of psychomotor development, paroxysmal dystonic postures and movements of limbs, hypokinesia) due to tyrosine hydroxylase deficiency. High blood prolactin and low homovanillic acid in cerebrospinal fluid suggested the diagnosis. Genetic analysis revealed 3 new missense mutations on tyrosine hydroxylase gene: [c.752C>T(p.P251L) and c.887G>A(p.R296Q] harbored by the father and c.836G>T (p.C279F) of maternal origin. Bioinformatics tools have been helpful in predicting the pathogenic role of p.P251L and p.C279F substitutions, while a weak pathogenic effect was ascribed to p.R296Q.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child, Preschool
  • Dystonia / blood
  • Dystonia / cerebrospinal fluid
  • Dystonia / complications
  • Dystonia / genetics
  • Genetic Testing
  • Homovanillic Acid / cerebrospinal fluid
  • Humans
  • Male
  • Mutation, Missense / genetics*
  • Prolactin / blood
  • Psychomotor Disorders / blood
  • Psychomotor Disorders / cerebrospinal fluid
  • Psychomotor Disorders / complications
  • Psychomotor Disorders / genetics*
  • Tyrosine 3-Monooxygenase / deficiency
  • Tyrosine 3-Monooxygenase / genetics*

Substances

  • Prolactin
  • Tyrosine 3-Monooxygenase
  • Homovanillic Acid