Abstract
More than 600 human disorders afflict the nervous system. Of these, neurodegenerative diseases are usually characterised by onset in late adulthood, progressive clinical course, and neuronal loss with regional specificity in the central nervous system. They include Alzheimer’s disease and other less frequent dementias, brain cancer, degenerative nerve diseases, encephalitis, epilepsy, genetic brain disorders, head and brain malformations, hydrocephalus, stroke, Parkinson’s disease, multiple sclerosis, amyotrophic lateral sclerosis (ALS or Lou Gehrig’s Disease), Huntington’s disease, and Prion diseases, among others. Neurodegeneration usually affects, but is not limited to, the cerebral cortex, intracranial white matter, basal ganglia, thalamus, hypothalamus, brain stem, and cerebellum. Although the majority of neurodegenerative diseases are sporadic, Mendelian inheritance is well documented. Intriguingly, the clinical presentations and neuropathological findings in inherited neurodegenerative forms are often indistinguishable from those of sporadic cases, suggesting that converging genomic signatures and pathophysiologic mechanisms underlie both hereditary and sporadic neurodegenerative diseases. Unfortunately, effective therapies for these diseases are scarce to non-existent. In this chapter, we highlight the clinical and genetic features associated with the rare inherited forms of neurodegenerative diseases, including ataxias, multiple system atrophy, spastic paraplegias, Parkinson’s disease, dementias, motor neuron diseases, and rare metabolic disorders.
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Acknowledgements
The authors apologise for being unable to include all relevant references for the works reviewed here due to space constraints. Antoni Matilla-Dueñas is a Miguel Servet Investigator in Neurosciences of the Spanish National Health System (CPII 14/00029). His research is or has been funded by the Spanish Carlos III Health Institute (ISCIII; CP08/00027, CPII 14/00029, and PI14/00136), the Spanish Ministry of Science and Innovation (BFU2008-00527/BMC), the European Commission (EUROSCA project LHSMCT-2004-503304) and the Fundació de la Marató de TV3 (Televisió de Catalunya, 100730). Ivelisse Sánchez is or has been funded by the Boston University School of Medicine, Boston Massachussetts, EEUU and the National Institute of Aging (NIA P01AG000001S), EEUU. This work was supported by the CERCA Programme/Generalitat de Catalunya.
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Matilla-Dueñas, A. et al. (2017). Rare Neurodegenerative Diseases: Clinical and Genetic Update. In: Posada de la Paz, M., Taruscio, D., Groft, S. (eds) Rare Diseases Epidemiology: Update and Overview. Advances in Experimental Medicine and Biology, vol 1031. Springer, Cham. https://doi.org/10.1007/978-3-319-67144-4_25
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