Looking "Cherry Red Spot Myoclonus" in the Eyes: Clinical Phenotype, Treatment Response, and Eye Movements in Sialidosis Type 1

Tremor Other Hyperkinet Mov (N Y). 2021 Dec 9:11:53. doi: 10.5334/tohm.652. eCollection 2021.

Abstract

Sialidosis type 1 is a rare lysosomal storage disorder caused by mutations of the neuraminidase gene. Specific features suggesting this condition include myoclonus, ataxia and macular cherry-red spots. However, phenotypic variability exists. Here, we present detailed clinical and video description of three patients with this rare condition. We also provide an in-depth characterization of eye movement abnormalities, as an additional tool to investigate pathophysiological mechanisms and to facilitate diagnosis. In our patients, despite phenotypic differences, eye movement deficits largely localized to the cerebellum.

Keywords: eye movements; myoclonus; sialidosis type 1; sodium oxybate.

MeSH terms

  • Eye Movements
  • Humans
  • Mucolipidoses* / diagnosis
  • Mucolipidoses* / genetics
  • Mucolipidoses* / therapy
  • Myoclonus* / diagnosis
  • Myoclonus* / drug therapy
  • Myoclonus* / genetics
  • Neuraminidase / genetics
  • Phenotype

Substances

  • Neuraminidase