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Neuroacanthocytosis Syndromes

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Abstract

Neuroacanthocytosis (NA) syndromes are a group of rare disorders displaying neurodegeneration and misshaped spiky red blood cells (acanthocytes) including chorea-acanthocytosis (ChAc), McLeod syndrome (MLS), Huntington’s disease-like 2, and pantothenate kinase-associated neurodegeneration (PKAN). The major clinical manifestations are movement disorders most often showing involuntary movements as the main symptom and thus being a differential diagnosis to Huntington’s disease. Additionally, cognitive decline, psychiatric disturbances, peripheral neuropathy, epilepsy, and parkinsonism appear together with blood cell acanthocytosis and elevated creatine kinase and liver enzymes. There is currently no cure for the diseases; treatment is purely symptomatic. Recent data suggests chorein being involved in actin cytoskeleton disturbances and different kinase pathways. This book chapter briefly summarizes the clinical phenotype, neuropathology, and the current state of pathophysiology of NA syndromes.

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Acknowledgment

The author is supported by the Advocacy for Neuroacanthocytosis Patients and by the Federal Ministry of Education and Research (BMBF, 01GM1303) under the frame of E-Rare-2, the ERA-Net for Research on Rare Diseases (www.emina2.de).

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Correspondence to Andreas Hermann M.D., Ph.D. .

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© 2017 Springer-Verlag Wien

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Hermann, A. (2017). Neuroacanthocytosis Syndromes. In: Falup-Pecurariu, C., Ferreira, J., Martinez-Martin, P., Chaudhuri, K. (eds) Movement Disorders Curricula. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1628-9_44

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  • DOI: https://doi.org/10.1007/978-3-7091-1628-9_44

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1627-2

  • Online ISBN: 978-3-7091-1628-9

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