Oromandibular Dystonia is a Prominent Feature in Patients with Aromatic L-Amino Acid Decarboxylase (AADC) Deficiency

Abstract Aromatic L-Amino acid decarboxylase (AADC) deficiency is a rare neurometabolic disorder due to a homozygous or compound heterozygous pathogenic variant of the DDC gene, resulting in low synthesis of the biogenic amines dopamine, serotonin, epinephrine, and norepinephrine. Most patients had...

Full description

Bibliographic Details
Main Authors: Helio van der Linden Jr., Christiane Cobas, Andre Felipe Pinto Duarte, Marcelo Rodrigues Masruha
Format: Article
Language:English
Published: SciELO 2023-09-01
Series:Journal of Inborn Errors of Metabolism and Screening
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2326-45942023000100305&tlng=en
_version_ 1797673913138806784
author Helio van der Linden Jr.
Christiane Cobas
Andre Felipe Pinto Duarte
Marcelo Rodrigues Masruha
author_facet Helio van der Linden Jr.
Christiane Cobas
Andre Felipe Pinto Duarte
Marcelo Rodrigues Masruha
author_sort Helio van der Linden Jr.
collection DOAJ
description Abstract Aromatic L-Amino acid decarboxylase (AADC) deficiency is a rare neurometabolic disorder due to a homozygous or compound heterozygous pathogenic variant of the DDC gene, resulting in low synthesis of the biogenic amines dopamine, serotonin, epinephrine, and norepinephrine. Most patients had severe expression of the disease with global developmental delay, early hypotonia, movement disorders such as oculogyric crises, tremor, and dystonia. Oromandibular dystonia (OMD) is rarely recognized in patients with AADC deficiency. The aim of this study was to describe OMD in detail in 4 patients with AADC deficiency. OMD occurred in isolated form or in association with oculogyric crises, increasing the difficulty in care patients during the crises. The main form of OMD was tongue dystonia associated with mouth opening dystonia. AADC deficiency must be included in the list of genetic causes of OMD.
first_indexed 2024-03-11T21:52:27Z
format Article
id doaj.art-481b7e1e589c4eda95904d804f2de20f
institution Directory Open Access Journal
issn 2326-4594
language English
last_indexed 2024-03-11T21:52:27Z
publishDate 2023-09-01
publisher SciELO
record_format Article
series Journal of Inborn Errors of Metabolism and Screening
spelling doaj.art-481b7e1e589c4eda95904d804f2de20f2023-09-26T07:41:52ZengSciELOJournal of Inborn Errors of Metabolism and Screening2326-45942023-09-011110.1590/2326-4594-jiems-2023-0008Oromandibular Dystonia is a Prominent Feature in Patients with Aromatic L-Amino Acid Decarboxylase (AADC) DeficiencyHelio van der Linden Jr.https://orcid.org/0000-0002-3123-2264Christiane CobasAndre Felipe Pinto DuarteMarcelo Rodrigues MasruhaAbstract Aromatic L-Amino acid decarboxylase (AADC) deficiency is a rare neurometabolic disorder due to a homozygous or compound heterozygous pathogenic variant of the DDC gene, resulting in low synthesis of the biogenic amines dopamine, serotonin, epinephrine, and norepinephrine. Most patients had severe expression of the disease with global developmental delay, early hypotonia, movement disorders such as oculogyric crises, tremor, and dystonia. Oromandibular dystonia (OMD) is rarely recognized in patients with AADC deficiency. The aim of this study was to describe OMD in detail in 4 patients with AADC deficiency. OMD occurred in isolated form or in association with oculogyric crises, increasing the difficulty in care patients during the crises. The main form of OMD was tongue dystonia associated with mouth opening dystonia. AADC deficiency must be included in the list of genetic causes of OMD.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2326-45942023000100305&tlng=enAromatic L-amino acid decarboxylase deficiencyDDC geneOculogyric crisesOromandibular dystonia
spellingShingle Helio van der Linden Jr.
Christiane Cobas
Andre Felipe Pinto Duarte
Marcelo Rodrigues Masruha
Oromandibular Dystonia is a Prominent Feature in Patients with Aromatic L-Amino Acid Decarboxylase (AADC) Deficiency
Journal of Inborn Errors of Metabolism and Screening
Aromatic L-amino acid decarboxylase deficiency
DDC gene
Oculogyric crises
Oromandibular dystonia
title Oromandibular Dystonia is a Prominent Feature in Patients with Aromatic L-Amino Acid Decarboxylase (AADC) Deficiency
title_full Oromandibular Dystonia is a Prominent Feature in Patients with Aromatic L-Amino Acid Decarboxylase (AADC) Deficiency
title_fullStr Oromandibular Dystonia is a Prominent Feature in Patients with Aromatic L-Amino Acid Decarboxylase (AADC) Deficiency
title_full_unstemmed Oromandibular Dystonia is a Prominent Feature in Patients with Aromatic L-Amino Acid Decarboxylase (AADC) Deficiency
title_short Oromandibular Dystonia is a Prominent Feature in Patients with Aromatic L-Amino Acid Decarboxylase (AADC) Deficiency
title_sort oromandibular dystonia is a prominent feature in patients with aromatic l amino acid decarboxylase aadc deficiency
topic Aromatic L-amino acid decarboxylase deficiency
DDC gene
Oculogyric crises
Oromandibular dystonia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2326-45942023000100305&tlng=en
work_keys_str_mv AT heliovanderlindenjr oromandibulardystoniaisaprominentfeatureinpatientswitharomaticlaminoaciddecarboxylaseaadcdeficiency
AT christianecobas oromandibulardystoniaisaprominentfeatureinpatientswitharomaticlaminoaciddecarboxylaseaadcdeficiency
AT andrefelipepintoduarte oromandibulardystoniaisaprominentfeatureinpatientswitharomaticlaminoaciddecarboxylaseaadcdeficiency
AT marcelorodriguesmasruha oromandibulardystoniaisaprominentfeatureinpatientswitharomaticlaminoaciddecarboxylaseaadcdeficiency