Published in:
Open Access
01-12-2013 | Case report
Novel polymerase gamma (POLG1) gene mutation in the linker domain associated with parkinsonism
Authors:
Rachel Dolhun, Erin M Presant, Peter Hedera
Published in:
BMC Neurology
|
Issue 1/2013
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Abstract
Background
Mutations in the POLG1 gene have variable phenotypic presentations and a high degree of clinical suspicion is necessary for their recognition. Parkinsonism and ataxia are the most common movement disorders associated with POLG1 mutations but no phenotype-genotype correlation has been established.
Case presentation
We identified a male patient with progressive external ophthalmoplegia who also developed a progressive bradykinesia, rigidity and camptocormia in the third decade. Parkinsonism was partially responsive to dopaminegic replacement. His father and brother had reportedly similar clinical problems. Genetic analysis identified a novel mutation p.K512M in the POLG1 gene.
Conclusion
This report further expands the spectrum of POLG1-associated neurologic problems with the report of a novel mutation in the linker region of the gene, which are rarely associated with parkinsonism.