Skip to main content

Advertisement

Log in

Tremor in Primary Monogenic Dystonia

  • Movement Disorders (T. Simuni, Section Editor)
  • Published:
Current Neurology and Neuroscience Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Tremor is an important phenotypic feature of dystonia with wide variability in the reported prevalence ranging from 14 to 86.67%. This variability may be due to the types of dystonia patients reported in different studies. This article reviews research articles reporting tremor in primary monogenic dystonia.

Recent Findings

We searched the MDS gene data and selected all research articles reporting tremor in primary monogenic dystonia. Tremor was reported in nine dystonia genes, namely DYT-HPCA, DYT-ANO3, DYT-KCTD17, DYT-THAP1, DYT-PRKRA, DYT-GNAL, DYT-TOR1A, DYT-KMT2B, and DYT-SGCE in the descending order of its frequency. HPCA gene mutation is rare, but all reported patients had tremor. Similarly, tremor was reported in eight genes associated with dystonia parkinsonism, namely DYT-SLC6A3, DYT-TH, DYT-SPR, DYT-PTS, DYT-GCH1, DYT-TAF1, DYT-QDPR, and DYT-SCL30A10 in the descending order of its prevalence.

Summary

DYT-HPCA and DYT-ANO3 gene showed the highest prevalence of tremor in isolated dystonia, and DYT-SLC6A3 has the highest prevalence of tremor in combined dystonia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. Charlesworth G, Bhatia KP, Wood NW. The genetics of dystonia: new twists in an old tale. Brain. 2013;136(Pt 7):2017–37.

    Article  Google Scholar 

  2. Pandey S, Sarma N. Tremor in dystonia. Parkinsonism Relat Disord. 2016;29:3–9.

    Article  Google Scholar 

  3. Albanese A, Bhatia K, Bressman SB, Delong MR, Fahn S, Fung VS, et al. Phenomenology and classification of dystonia: a consensus update. Mov Disord. 2013;28(7):863–73.

    Article  Google Scholar 

  4. Balint B, Charlesworth G, Erro R, Wood NW, Bhatia KP. Delineating the phenotype of autosomal-recessive HPCA mutations: not only isolated dystonia! Mov Disord. 2019;34(4):589–92.

    Article  Google Scholar 

  5. •• Atasu B, Hanagasi H, Bilgic B, Pak M, Erginel-Unaltuna N, Hauser AK, et al. HPCA confirmed as a genetic cause of DYT2-like dystonia phenotype. Mov Disord. 2018;33(8):1354–8. The authors report two consanguineous Turkish DYT-HPCA families carrying the novel HPCA mutations confirming that HPCA leads to recessively inherited dystonia.

    Article  CAS  Google Scholar 

  6. Charlesworth G, Plagnol V, Holmström KM, Bras J, Sheerin UM, Preza E, et al. Mutations in ANO3 cause dominant craniocervical dystonia: ion channel implicated in pathogenesis. Am J Hum Genet. 2012;91(6):1041–50.

    Article  CAS  Google Scholar 

  7. Stamelou M, Charlesworth G, Cordivari C, Schneider SA, Kägi G, Sheerin UM, et al. The phenotypic spectrum of DYT24 due to ANO3 mutations. Mov Disord. 2014;29(7):928–34.

    Article  CAS  Google Scholar 

  8. Lohmann K, Uflacker N, Erogullari A, Lohnau T, Winkler S, Dendorfer A, et al. Identification and functional analysis of novel THAP1 mutations. Eur J Hum Genet. 2012;20(2):171–5.

    Article  CAS  Google Scholar 

  9. Xiromerisiou G, Houlden H, Scarmeas N, Stamelou M, Kara E, Hardy J, et al. THAP1 mutations and dystonia phenotypes: genotype phenotype correlations. Mov Disord. 2012;27(10):1290–4.

    Article  CAS  Google Scholar 

  10. LeDoux MS, Xiao J, Rudzińska M, Bastian RW, Wszolek ZK, Van Gerpen JA, et al. Genotype-phenotype correlations in THAP1 dystonia: molecular foundations and description of new cases. Parkinsonism Relat Disord. 2012;18(5):414–25.

    Article  Google Scholar 

  11. Camargos S, Scholz S, Simón-Sánchez J, Paisán-Ruiz C, Lewis P, Hernandez D, et al. DYT16, a novel young-onset dystonia-parkinsonism disorder: identification of a segregating mutation in the stress-response protein PRKRA. Lancet Neurol. 2008;7(3):207–15.

    Article  CAS  Google Scholar 

  12. Carecchio M, Panteghini C, Reale C, Barzaghi C, Monti V, Romito L, et al. Novel GNAL mutation with intra-familial clinical heterogeneity: expanding the phenotype. Parkinsonism Relat Disord. 2016;23:66–71.

    Article  Google Scholar 

  13. Magrinelli F, Bacchin R, Tinazzi M, Gambarin M. Twelve-year follow-up of a large Italian family with atypical phenotypes of DYT1-dystonia. Mov Disord Clin Pract. 2018;6(2):166–70.

    Article  Google Scholar 

  14. Zech M, Boesch S, Maier EM, Borggraefe I, Vill K, Laccone F, et al. Haploinsufficiency of KMT2B, encoding the lysine-specific histone methyltransferase 2B, results in early-onset generalized dystonia. Am J Hum Genet. 2016;99(6):1377–87.

    Article  CAS  Google Scholar 

  15. •• Meyer E, Carss KJ, Rankin J, Nichols JM, Grozeva D, Joseph AP, et al. Mutations in the histone methyltransferase gene KMT2B cause complex early-onset dystonia. Nat Genet. 2017;49(2):223–37. The authors report heterozygous variants in the gene KMT2B in 27 unrelated individuals with a complex progressive childhood-onset dystonia with a typical facial appearance and characteristic brain magnetic resonance imaging finding.

    Article  CAS  Google Scholar 

  16. Mencacci NE, Rubio-Agusti I, Zdebik A, Asmus F, Ludtmann MH, Ryten M, et al. A missense mutation in KCTD17 causes autosomal dominant myoclonus-dystonia. Am J Hum Genet. 2015;96(6):938–47.

    Article  CAS  Google Scholar 

  17. Kübler D, Borngräber F, Lohmann K, Kühn AA. Novel SGCE mutation in a patient with myoclonus-dystonia syndrome - diagnostic delay of more than 40   years. J Clin Neurosci. 2018;50:131–2.

    Article  Google Scholar 

  18. Kurian MA, Li Y, Zhen J, Meyer E, Hai N, Christen HJ, et al. Clinical and molecular characterisation of hereditary dopamine transporter deficiency syndrome: an observational cohort and experimental study. Lancet Neurol. 2011;10(1):54–62.

    Article  CAS  Google Scholar 

  19. Blackstone C. Infantile parkinsonism-dystonia: a dopamine “transportopathy”. J Clin Invest. 2009;119(6):1455–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  20. Hoffmann GF, Assmann B, Bräutigam C, Dionisi-Vici C, Häussler M, de Klerk JB, et al. Tyrosine hydroxylase deficiency causes progressive encephalopathy and dopa-nonresponsive dystonia. Ann Neurol. 2003;54(Suppl 6):S56–65.

    Article  CAS  Google Scholar 

  21. Lohmann E, Köroğlu Ç, Hanagasi HA, Dursun B, Taşan E, Tolun A. A homozygous frameshift mutation of sepiapterin reductase gene causing parkinsonism with onset in childhood. Parkinsonism Relat Disord. 2012;18(2):191–3.

    Article  Google Scholar 

  22. Hanihara T, Inoue K, Kawanishi C, Sugiyama N, Miyakawa T, Onishi H, et al. 6-Pyruvoyl-tetrahydropterin synthase deficiency with generalized dystonia and diurnal fluctuation of symptoms: a clinical and molecular study. Mov Disord. 1997;12:408–11.

    Article  CAS  Google Scholar 

  23. Domingo A, Westenberger A, Lee LV, Brænne I, Liu T, Vater I, et al. New insights into the genetics of X-linked dystonia-parkinsonism (XDP, DYT3). Eur J Hum Genet. 2015;23(10):1334–40.

    Article  CAS  Google Scholar 

  24. Rosales RL. X-linked dystonia parkinsonism: clinical phenotype, genetics and therapeutics. J Mov Disord. 2010;3(2):32–8.

    Article  Google Scholar 

  25. Tuschl K, Mills PB, Parsons H, Malone M, Fowler D, Bitner-Glindzicz M, et al. Hepatic cirrhosis, dystonia, polycythaemia and hypermanganesaemia--a new metabolic disorder. J Inherit Metab Dis. 2008;31(2):151–63.

    Article  CAS  Google Scholar 

  26. Lu DY, Ye J, Han LS, Qiu WJ, Zhang HW, Zhou JD, et al. QDPR gene mutation and clinical follow-up in Chinese patients with dihydropteridine reductase deficiency. World J Pediatr : WJP. 2014;10(3):219–26.

    Article  CAS  Google Scholar 

  27. Au C, Benedetto A, Aschner M. Manganese transport in eukaryotes: the role of DMT1. Neurotoxicology. 2008;29(4):569–76.

    Article  CAS  Google Scholar 

  28. Deuschl G, Bain P, Brin M. Consensus statement of the Movement Disorder Society on Tremor. Ad Hoc Scientific Committee. Mov Disord. 1998;13(Suppl 3):2–23.

    PubMed  Google Scholar 

  29. •• Magrinelli F, Latorre A, Balint B, Mackenzie M, Mulroy E, Stamelou M, et al. Isolated and combined genetic tremor syndromes: a critical appraisal based on the 2018 MDS criteria [published online ahead of print, 2020 Jun 15]. Parkinsonism Relat Disord. 2020;77:121–40. This review discusses the wide range of tremor disorders with defined or presumed genetic etiology, both isolated and combined focusing mainly on essential tremor-like phenotypes.

    Article  Google Scholar 

Download references

Acknowledgements

This “Point of view” article is not funded by any organization.

Funding

The Junior research fellowship for Shreya Dinesh (co-author) was funded by a grant from the Department of Biotechnology from project # BT/PR26428/Med/12/783/2018.

Author information

Authors and Affiliations

Authors

Contributions

Sanjay Pandey, Sonali Bhattad, and Shreya Dinesh contributed in manuscript preparation by writing the first draft, review, and critique.

Corresponding author

Correspondence to Sanjay Pandey.

Ethics declarations

Conflict of Interest

Sanjay Pandey, Sonali Bhattad, and Shreya Dinesh each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Movement Disorders

Supplementary Information

ESM 1

(DOCX 61 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Pandey, S., Bhattad, S. & Dinesh, S. Tremor in Primary Monogenic Dystonia. Curr Neurol Neurosci Rep 21, 48 (2021). https://doi.org/10.1007/s11910-021-01135-w

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11910-021-01135-w

Keywords

Navigation