Presentation
There are very few conditions that present with dopa-responsive juvenile parkinsonism. [ncbi.nlm.nih.gov]
Entire Body System
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Unconsciousness
In the sporadic NIID cases, dementia was the most prominent initial symptom, followed by miosis, ataxia and unconsciousness. In familial NIID cases, we observed two groups of NIID cases “limb weakness dominant group” and “dementia dominant group”. [sasappa.co.jp]
In the sporadic NIID cases with onset age from 51 to 76, dementia was the most prominent initial symptom (94.7%) as designated 'dementia dominant group', followed by miosis, ataxia and unconsciousness. [ncbi.nlm.nih.gov]
Gastrointestinal
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Fecal Incontinence
Symptoms began in childhood in 2 of the 3 cases, and consisted of urinary and fecal incontinence, erectile dysfunction in the men, and recurrent orthostatic hypotension. [ncbi.nlm.nih.gov]
incontinence cardiomyopathy: reported but uncommon epilepsy: reported but uncommon The diagnosis can be made using peripheral nerve biopsy (e.g. sural nerve) 1 or myenteric plexus biopsy (e.g. rectal biopsy) 2-3. [radiopaedia.org]
Musculoskeletal
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Muscle Spasm
Beginning at 11 years of age, this patient had experienced diffuse muscle spasms, dysarthria, dysphagia, tremors, ataxia, oculogyric crises, progressive muscle weakness, and atrophy. [journals.lww.com]
Eyes
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Miosis
In the sporadic NIID cases with onset age from 51 to 76, dementia was the most prominent initial symptom (94.7%) as designated 'dementia dominant group', followed by miosis, ataxia and unconsciousness. [ncbi.nlm.nih.gov]
In the sporadic NIID cases, dementia was the most prominent initial symptom, followed by miosis, ataxia and unconsciousness. In familial NIID cases, we observed two groups of NIID cases “limb weakness dominant group” and “dementia dominant group”. [sasappa.co.jp]
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Night Blindness
Purpose To report the findings in a 72-year-old man with neuronal intranuclear hyaline inclusion disease (NIHID) with the negative-type electroretinogram (ERG) and without night blindness. [infona.pl]
Neurologic
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Limb Weakness
In most cases, the disease begins in childhood. [1] Symptoms of NIID worsen over time and may include dementia, limb weakness, cerebellar ataxia, dystonia, parkinsonism, seizures, and autonomic dysfunction. [rarediseases.info.nih.gov]
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Ocular Dysmetria
We found variable degrees of ocular dysmetria in 2 cases, ataxic dysarthria and limb ataxia in 1, and hyperreflexia in 2. Magnetic resonance imaging revealed cerebellar atrophy in all 3 cases and diffuse cerebral cortical atrophy in 1. [ncbi.nlm.nih.gov]
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Hyperreflexia
We found variable degrees of ocular dysmetria in 2 cases, ataxic dysarthria and limb ataxia in 1, and hyperreflexia in 2. Magnetic resonance imaging revealed cerebellar atrophy in all 3 cases and diffuse cerebral cortical atrophy in 1. [ncbi.nlm.nih.gov]
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Slurred Speech
A pair of female identical twins exhibited slurred speech, nystagmus, and oculogyral spasms starting at age 11. [ncbi.nlm.nih.gov]
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Tingling
Peripheral neuropathy - Examples of early signs and symptoms include sensations of tingling, numbness, or pain. Later symptoms may involve muscle weakness, loss of muscle control, poor digestion, and some loss of bladder and bowel control. [rarediseases.info.nih.gov]
Treatment
Patient 1 and 2 received symptomatic treatment. Up until now, the patients are alive but the disease is progressing. [ncbi.nlm.nih.gov]
However, specific genes known to cause NIID have not yet been found. [1] Currently there is no treatment that cures or slows the progression of NIID, but medications that help control symptoms may improve quality of life. [3] While the disease is ultimately [rarediseases.info.nih.gov]
Prognosis
Treatment and prognosis Neuronal intranuclear hyaline inclusion disease (NIHID) is slowly progressive and has no proven therapy. Death usually occurs before the age of 30 years 3. [radiopaedia.org]
Neuronal intranuclear inclusion disease (NIID) is a progressive disease (worsens over time) and long term prognosis is poor. Still, the course of NIID may vary from person to person. [rarediseases.info.nih.gov]
Pick disease occurs in a younger age group than dementia of the Alzheimer type, with peak incidence occurring in individuals aged 55-65 years. [12, 13] Prognosis Like most dementias, Pick disease is slowly progressive, leading to increased vocational [emedicine.medscape.com]
Etiology
Repository NIGMS Human Genetic Cell Repository Subcollection Heritable Diseases Class Disorders of Uncertain Biochemical Etiology Alternate IDs GM18073 [NEURONAL INTRANUCLEAR INCLUSION DISEASE] Biopsy Source Peripheral vein Cell Type B-Lymphocyte Tissue [catalog.coriell.org]
Epidemiology
Dynamic, molecular and epidemiological neuropathology. Profile Our group plays an important role interfacing the clinical and basic research in the Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (TMGHIG). [tmig.or.jp]
Epidemiology Occurrence in the United States Frontotemporal dementias as a group are the fourth most common cause of dementia. [emedicine.medscape.com]
Pathophysiology
Get a quick and memorable overview of anatomy, pathophysiology, and clinical presentation from the precision and beauty of Netter and Netter-style plates that highlight key neuroanatomical and neurologic concepts. [books.google.com]
The pathophysiology of PD has not been fully elucidated, but it has been hypothesized that the pacemaker of resting tremor exists in the basal ganglia-thalamocortical circuits [ 7, 8 ]. [karger.com]
Pathophysiology of chaperone-mediated autophagy. Int. J. Biochem. Cell Biol. 36, 2420–2434 (2004). 34 Kiffin, R., Christian, C., Knecht, E. & Cuervo, A. M. Activation of chaperone-mediated autophagy during oxidative stress. Mol. Biol. [nature.com]
Prevention
There have not effective medication and prevention for NIID. Patient 1 and 2 received symptomatic treatment. Up until now, the patients are alive but the disease is progressing. [ncbi.nlm.nih.gov]
This aspect of toxicity is important because it will shape how we develop therapeutics to alleviate or prevent these disorders. [depts.washington.edu]
Nakamura Y, Nakajima H, Unoda K, Kimura F, Arawaka S: Cilostazol prevents pneumonia in acute cerebral infarction. [osaka-med.ac.jp]