Benign hereditary chorea related to NKX2-1 with ataxia and dystonia
- PMID: 27066577
- PMCID: PMC4817908
- DOI: 10.1212/NXG.0000000000000040
Benign hereditary chorea related to NKX2-1 with ataxia and dystonia
Abstract
Benign hereditary chorea (BHC) was originally described in 1967, but it was not until 2002 that linkage analysis and positional cloning identified the causative gene, NKX2-1 (also known as TTF-1).(1,2) The range of manifestations spans from isolated chorea, pulmonary disease, or thyroid dysfunction, with one-third of patients having the full brain-lung-thyroid syndrome.(3) Recent reports have expanded the NKX2-1 phenotype, as patients may present with additional movement disorders such as dystonia and myoclonus.(3) We present a case with early-onset chorea, ataxia, and dystonia.
Similar articles
-
NKX2-1 New Mutation Associated With Myoclonus, Dystonia, and Pituitary Involvement.Front Genet. 2018 Aug 22;9:335. doi: 10.3389/fgene.2018.00335. eCollection 2018. Front Genet. 2018. PMID: 30186310 Free PMC article.
-
Benign hereditary chorea, not only chorea: a family case presentation.Cerebellum Ataxias. 2016 Feb 2;3:3. doi: 10.1186/s40673-016-0041-7. eCollection 2016. Cerebellum Ataxias. 2016. PMID: 26839702 Free PMC article.
-
Benign hereditary chorea: phenotype, prognosis, therapeutic outcome and long term follow-up in a large series with new mutations in the TITF1/NKX2-1 gene.J Neurol Neurosurg Psychiatry. 2012 Oct;83(10):956-62. doi: 10.1136/jnnp-2012-302505. Epub 2012 Jul 24. J Neurol Neurosurg Psychiatry. 2012. PMID: 22832740
-
Benign Hereditary Chorea: An Update.Tremor Other Hyperkinet Mov (N Y). 2015 Jul 14;5:314. doi: 10.7916/D8RJ4HM5. eCollection 2015. Tremor Other Hyperkinet Mov (N Y). 2015. PMID: 26196025 Free PMC article. Review.
-
Benign hereditary chorea: an update.Parkinsonism Relat Disord. 2011 Jun;17(5):301-7. doi: 10.1016/j.parkreldis.2011.01.002. Epub 2011 Feb 3. Parkinsonism Relat Disord. 2011. PMID: 21292530 Review.
Cited by
-
Recognizing genetic disease: A key aspect of pediatric pulmonary care.Pediatr Pulmonol. 2020 Jul;55(7):1794-1809. doi: 10.1002/ppul.24706. Pediatr Pulmonol. 2020. PMID: 32533909 Free PMC article. Review.
-
Differential diagnosis of Huntington's disease- neurological aspects of NKX2-1-related disorders.J Neural Transm (Vienna). 2024 Sep;131(9):1013-1024. doi: 10.1007/s00702-024-02800-3. Epub 2024 Jun 25. J Neural Transm (Vienna). 2024. PMID: 38916623 Free PMC article. Review.
-
Is Benign Hereditary Chorea Really Benign? Brain-Lung-Thyroid Syndrome Caused by NKX2-1 Mutations.Mov Disord Clin Pract. 2018 Nov 9;6(1):34-39. doi: 10.1002/mdc3.12690. eCollection 2019 Jan. Mov Disord Clin Pract. 2018. PMID: 30746413 Free PMC article.
-
Recent advances in genetics of chorea.Curr Opin Neurol. 2016 Aug;29(4):486-95. doi: 10.1097/WCO.0000000000000352. Curr Opin Neurol. 2016. PMID: 27257945 Free PMC article. Review.
-
Pediatric Genetic Dystonias: Current Diagnostic Approaches and Treatment Options.Life (Basel). 2025 Jun 20;15(7):992. doi: 10.3390/life15070992. Life (Basel). 2025. PMID: 40724495 Free PMC article. Review.
References
-
- Breedveld GJ, van Dongen JWF, Danesino C, et al. Mutations in TITF-1 are associated with benign hereditary chorea. Hum Mol Genet 2002;11:971–979. - PubMed
-
- Peall KJ, Lumsden D, Kneen R, et al. Benign hereditary chorea related to NKX2.1: expansion of the genotypic and phenotypic spectrum. Dev Med Child Neurol 2014;56:642–648. - PubMed
-
- Gras D, Jonard L, Roze E, et al. Benign hereditary chorea: phenotype, prognosis, therapeutic outcome and long term follow-up in a large series with new mutations in the TITF1/NKX2-1 gene. J Neurol Neurosurg Psychiatry 2012;83:956–962. - PubMed
-
- Ferrara AM, De Michele G, Salvatore E, et al. A novel NKX2.1 mutation in a family with hypothyroidism and benign hereditary chorea. Thyroid 2008;18:1005–1009. - PubMed
-
- Armstrong MJ, Shah BB, Chen R, Angel MJ, Lang AE. Expanding the phenomenology of benign hereditary chorea: evolution from chorea to myoclonus and dystonia. Mov Disord 2011;26:2296–2297. - PubMed
LinkOut - more resources
Full Text Sources