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Case Reports
. 2005 Jul 12;65(1):141-3.
doi: 10.1212/01.wnl.0000167130.31618.0a.

Early-onset ALS with long-term survival associated with spastin gene mutation

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Case Reports

Early-onset ALS with long-term survival associated with spastin gene mutation

T Meyer et al. Neurology. .

Abstract

The authors report a 73-year-old patient with a natural history of early-onset ALS for 49 years presenting with limb and bulbar amyotrophy and a pyramidal syndrome. Analysis of the locus SPG4 identified a heterozygous duplication mutation (c.304_309dupGCCTCG) within exon 1 of the spastin gene. We propose that sequence alterations of spastin may comprise a genetic risk factor in a greater spectrum of motor neuron disorders including clinical variants of ALS.

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