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Clinical Neurogenetics, An Issue of Neurologic Clinics, E-Book

Clinical Neurogenetics, An Issue of Neurologic Clinics, E-Book

Brent L. Fogel

(2013)

Additional Information

Abstract

This issue of Neurologic Clinics features a review of clinical neurogenetics as it pertains to the following disorders: Huntington Disease; Autism/ASD;Fragile X Tremor Ataxia Syndrome (FXTAS); Lysosomal Storage Diseases; Psychiatric Disorders; Dominant Spinocerebellar Ataxias; Metabolic Disorders; Friedreich Ataxia; ALS; Dementia; Neuromuscular Disorders; Stroke; Epilepsy; and Dystonia.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Clinical Neurogenetics i
Copyright\r ii
Contributors iii
Contents v
Forthcoming Issues ix
Preface xi
Clinical Neurogenetics 891
Key points 891
Introduction 891
Definitions 891
Classification 891
Clinical findings, genetics, and etiology 893
Primary Genetic Causes/Electroclinical Syndromes 893
Syndromes with onset in the neonatal period and infancy 893
Syndromes with onset in childhood and adolescence 897
Structural/Metabolic Causes 898
Evaluation and management 903
Strategies for Diagnosis 903
Current Management and Therapeutic Options 906
Summary and future directions 906
References 907
Clinical Neurogenetics 915
Key points 915
Introduction 915
Stroke as a phenotype: definition and variability 916
Etiologic Stroke Subtypes 916
Intermediate Cerebrovascular Phenotypes 917
Genetic disorders associated with stroke 918
Heritability of Stroke 918
Known Monogenic Stroke Disorders 918
Complex genetics of stroke 918
Overview of Concepts and Methodology 918
Genetic Architecture of Cerebrovascular Disorders 920
Ischemic stroke 920
ICH 921
WMH 922
Future research and clinical implications 923
References 923
Clinical Neurogenetics 929
Key points 929
Definition 929
Symptoms and clinical course 929
Nature of the disease 931
Clinical findings 931
Physical Examination 931
Other Diagnostic Modalities 932
Genetic basis of disease 932
C9ORF72 933
SOD1 933
TARDBP 936
FUS 936
UBQLN2 937
PFN1 937
ANG 938
OPTN 938
VCP 938
SETX 938
VAPB 939
Other Genes 939
Genomics/risk variants 939
Evaluation and management 939
Strategies for Diagnosis 939
Current Management and Therapeutic Options 940
Summary 940
References 940
Clinical Neurogenetics 951
Key points 951
Introduction 951
Symptoms and clinical course 952
Psychiatric comorbidities 953
Nature of the disease 953
Clinical findings (case study) 954
Genetics 954
Disease pathology 955
Evaluation and management 957
The role of genetic testing 957
Summary 962
References 962
Clinical Neurogenetics 969
Key points 969
Introduction 969
Definition 969
Symptoms and Clinical Course 969
Nature of Disease 975
Clinical findings 975
Physical Examination 975
Imaging 976
Other Diagnostic Modalities 976
Electromyography 976
Transcranial magnetic stimulation 976
Polysomnography 976
Sensory discrimination testing 978
Impaired motor learning 978
Disease pathology 978
Genetics 979
Molecular Pathogenesis 980
Medical management of dystonia 980
Surgical management of dystonia 980
Summary 982
References 982
Clinical Neurogenetics 987
Key points 987
Introduction 987
Definition 987
Symptoms and Clinical Course 987
Clinical findings 988
Physical Examination 988
Genetics 988
Molecular pathogenesis 988
Polyglutamine Ataxias 994
Ion-channel Mutations/Dysfunction 994
Signal Transduction 995
Noncoding Repeats/RNA Toxicity 995
Genomics 996
Disease models 996
Evaluation and Management 996
Clinical Examination and Diagnostic Testing 996
Genetic Testing 998
Current Management and Therapeutic Options 1000
Summary 1003
References 1003
Muscular Dystrophies and Other Genetic Myopathies 1009
Key points 1009
Introduction 1009
Duchenne muscular dystrophy and Becker muscular dystrophy 1010
Facioscapulohumeral muscular dystrophy 1011
Myotonic dystrophy 1012
Limb-girdle muscular dystrophy 1013
Emery-Dreifuss muscular dystrophy 1014
Distal myopathies 1015
Oculopharyngeal muscular dystrophies 1015
Congenital myopathies 1017
Congenital muscular dystrophies 1017
Congenital myasthenic syndromes 1017
Metabolic myopathies 1018
Periodic paralysis and other muscle channelopathies 1022
Autophagic vaculolar myopathies 1022
Diagnostic approach 1022
Summary 1025
References 1026
Clinical Neurogenetics 1031
Key points 1031
Small molecule disorders: overview 1031
Defects of amino acid metabolism 1032
Introduction: Clinical Aspects 1032
Organic Acidemias 1035
Aminoacidopathies 1039
Urea Cycle Defects 1041
Other small molecule disorders 1041
Summary 1048
References 1048
Clinical Neurogenetics 1051
Key points 1051
Introduction 1051
Definition 1051
Symptoms and Clinical Course 1052
Nature of Disease 1052
Clinical findings 1052
Physical Examination 1052
Imaging 1059
Other Diagnostic Modalities 1059
Disease Pathology 1059
Genetics 1061
Genetic Basis of Disease 1061
Molecular Pathogenesis 1062
Relevant Disease Models 1065
Evaluation and management 1066
Strategies for Diagnosis 1066
Current Management and Therapeutic Options 1066
Future Directions in Therapy and Diagnosis 1067
Summary 1068
Acknowledgments 1068
References 1068
Clinical Neurogenetics 1073
Key points 1073
Introduction 1073
Definition 1073
Symptoms and Clinical Course 1073
Nature of Disease 1074
Clinical Findings 1075
Imaging 1075
Other Diagnostic Modalities 1076
Disease Pathology 1076
Genetics 1076
Genetic Basis of Disease 1076
Molecular Pathogenesis 1078
Relevant Disease Models 1078
Evaluation and management 1079
Strategies for Diagnosis 1079
Current Management and Therapeutic Options 1079
Future Directions in Therapy and Diagnosis 1080
Summary 1080
References 1080
Clinical Neurogenetics 1085
Key points 1085
Introduction 1085
Clinical findings 1086
Genetics and disease pathology 1087
Evaluation and management 1089
Treatment strategies 1091
Motor Symptoms 1091
Behavioral Symptoms 1091
Cognitive Symptoms 1092
Future directions in therapy 1092
Summary 1092
References 1093
Clinical Neurogenetics 1095
Key points 1095
Introduction 1095
Symptoms and clinical course 1095
Epidemiology 1096
Clinical findings 1097
Physical Examination 1097
Imaging 1097
Disease pathology 1098
Genetics 1100
Genetic Basis of Disease 1100
Molecular Pathogenesis: Frataxin Production and Function 1101
Genomics 1103
Evaluation and management 1105
Strategies for Diagnosis 1105
Current Management Strategies and Therapeutic Options 1106
Future Directions in Therapy and Diagnosis 1107
Summary 1114
References 1114
Clinical Neurogenetics 1121
Key points 1121
Introduction 1121
Clinical findings 1122
Major Depression 1122
Apathy 1124
Mania and Bipolar Affective Disorder 1124
Attention Deficit-hyperactivity Disorder Versus Bipolar Affective Disorder 1124
Obsessions and Compulsions Versus Impulsions 1124
Obsessions Versus Perseveration 1125
Irritability and Aggression 1125
Anxiety Versus Akathisia 1125
Suicidality 1126
Evaluation and management 1126
Effective Treatment Planning Will Include the Following Components 1126
Adverse effects 1129
Serotonin Syndrome 1130
Antidepressant Withdrawal Syndrome 1131
Antidepressant-induced Sexual Dysfunction 1131
Lithium Toxicity 1136
Dopamine Dysregulation Syndrome 1136
Summary 1137
References 1137
Index 1145