PLA2G6-associated Dystonia-Parkinsonism: Case Report and Literature Review

Tremor Other Hyperkinet Mov (N Y). 2015 Jul 10:5:317. doi: 10.7916/D84Q7T4W. eCollection 2015.

Abstract

Background: Phospholipase-associated neurodegeneration (PLAN) caused by PLA2G6 mutations is a recessively inherited disorder with three known phenotypes: the typical infantile onset neuroaxonal dystrophy (INAD); an atypical later onset form (atypical NAD); and the more recently recognized young-onset dystonia-parkinsonism (PLAN-DP).

Case report: We report the clinical, radiological, and genetic findings of a young Pakistani male with PLAN-DP. We review 11 previously published case reports cited in PubMed, and summarize the demographic, clinical, genetic, and radiological data of the 23 patients described in those articles.

Discussion: PLAN-DP presents with diverse motor, autonomic, and neuropsychiatric features and should be considered in the differential diagnosis of patients with young-onset neurodegenerative disorders.

Keywords: PLA2G6; PLAN-DP; young-onset neurodegenerative disease.