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Presenile Dementia with Bone Cysts
Nasu-Hakola disease

Presentation

Occasionally, the disease presents a different course with the neurologic symptoms preceding the osseous ones. [orpha.net]

Such syndromes may be present in as many as 60% of patients with ALS. Conversely, the occurrence of motor neuron dysfunction in patients with clinically pure frontotemporal dementia is increasingly recognized. [books.google.com]

At the age of 37 years, she presented a global worsening of neuropsychological functions, which made neuropsychological reassessment impossible. [functionalneurology.com]

The clinical presentations of these two siblings are as detailed below. [neurologyindia.com]

Most visits are expected to last 2 hour Inclusion/Exclusion Criteria Inclusion Criteria: Patients who meet the following criteria may be included in the study, if they present with all of the following: 1) The subject has signed the IRB approved Informed [hss.edu]

Entire Body System

  • Asymptomatic

    During evolution of the disease, MR can find asymptomatic white substance lesions in 60% of the patients. [thefreelibrary.com]

    Female mutation carriers are usually asymptomatic, although some female carriers may have less severe manifestations, which appears to depend on X-inactivation patterns (summary by Yang et al., 2012 ; review by Latour and Aguilar, 2015 ). [mendelian.co]

  • Anemia

    LYMPHOPROLIFERATIVE SYNDROME, X-LINKED, 2; XLP2 Is also known as xiap deficiency Related symptoms: Pica Ptosis Anemia Splenomegaly Fever SOURCES: UMLS DOID OMIM GARD MESH MONDO NCIT More info about LYMPHOPROLIFERATIVE SYNDROME, X-LINKED, 2; XLP2 Medium [mendelian.co]

    Syndrome, Septo-Optic Dysplasia Spectrum AD,AR 100% 26 of 26 HS6ST1 Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism AD 99.97% 8 of 8 HSPA9 Autosomal Dominant Sideroblastic Anemia [igenomix.es]

Gastrointestinal

  • Failure to Thrive

    LIVER FAILURE, INFANTILE, TRANSIENT; LFIT Is also known as ;acute infantile liver failure due to synthesis defect of mitochondrial dna-encoded proteins Related symptoms: Autosomal recessive inheritance Generalized hypotonia Nevus Feeding difficulties [mendelian.co]

Cardiovascular

  • Hypertension

    Vascular Origin Vascular leucoencephalopathies are caused by cerebral microvascular disease, most often related to risk factors such as smoking, hypertension, diabetes, migraine or cardiovascular embolic disease. [thefreelibrary.com]

Liver, Gall & Pancreas

  • Jaundice

    In addition to elevated liver enzymes, jaundice, vomiting, coagulopathy, and hyperbilirubinemia, the presence of increased serum lactate is consistent with a defect in mitochondrial respiratory function. [mendelian.co]

  • Hepatomegaly

    LIVER FAILURE, INFANTILE, TRANSIENT; LFIT Is also known as ;acute infantile liver failure due to synthesis defect of mitochondrial dna-encoded proteins Related symptoms: Autosomal recessive inheritance Generalized hypotonia Nevus Feeding difficulties Hepatomegaly [mendelian.co]

Psychiatrical

  • Psychiatric Manifestation

    Individuals with the adult form, sometimes referred to as Kufs disease, develop psychiatric manifestations, seizures, cerebellar ataxia, and cognitive decline. [mendelian.co]

  • Visual Hallucination

    Limitation of joint mobility Prolonged prothrombin time Chorea Prolonged partial thromboplastin time Alzheimer disease Visual hallucinations Nevus Involuntary movements Vomiting Hydrocephalus Weight loss Gait disturbance Caudate atrophy Abdominal distention [mendelian.co]

Neurologic

  • Tremor

    Neurodegeneration Abnormality of the cerebrum Abnormal corpus striatum morphology Functional motor deficit Delusions Acanthocytosis Resting tremor Nausea and vomiting Ranula Astrocytoma Abulia Action tremor Delirium Neuronal loss in central nervous system [mendelian.co]

    A syndrome characterized by leukoencephalopathy, dystonic head tremor, spasmodic torticollis and reduced tendon reflexes in lower extremities. [nectarmutation.org]

    BMC Neurol. 2003, 3: 4- PubMed Central View Article PubMed Google Scholar Labbe C, Soto-Ortolaza AI, Rayaprolu S, Harriott AM, Strongosky AJ, Uitti RJ, Van Gerpen JA, Wszolek ZK, Ross OA: Investigating the role of FUS exonic variants in essential tremor [molecularneurodegeneration.biomedcentral.com]

    Dominantly-inherited adult-onset leukodystrophy with palatal tremor caused by a mutation in the glial fibrillary acidic protein gene. Mov Disord 2004; 19: 1244-1248. (41.) Rodriguez D, Gauthier F, Bertini E, Bugiani M, Brenner M, N'guyen S et al. [thefreelibrary.com]

  • Memory Impairment

    […] atrophy Autosomal recessive inheritance Dementia Rigidity Elevated hepatic transaminase Apathy Abnormality of the coagulation cascade Parkinsonism Anxiety Anemia Cerebral calcification Myoclonus Behavioral abnormality Personality changes Fever Arthralgia Memory [mendelian.co]

    A weakness of visuo-spatial short-term memory was suggested by her poor performance on Spatial Span and impairment of visuo-spatial long-term memory was found on Spatial Supra-Span. [functionalneurology.com]

  • Babinski Sign

    Recurrent aphthous stomatitis Scoliosis Abnormality of the abdominal wall Stomatitis Folate deficiency Vitamin K deficiency Steatorrhea Vitamin B12 deficiency Spasticity Pain Ventriculomegaly Edema Hypoplasia of the corpus callosum Cerebral atrophy Babinski [mendelian.co]

  • Confabulation

    The capacity to acquire and retain new memory data was normal for verbal material and no confabulations were found. [functionalneurology.com]

Treatment

Management and treatment There is no curative treatment for the disease. Management is supportive. Antiepileptic drugs are prescribed to prevent seizures. A regular orthopedic and neurologic surveillance is recommended. [orpha.net]

After a careful review of the symptoms, 6 patients were excluded from surgical treatment and 11 (4 solitary cysts and 7 PLD) were treated by laparoscopic fenestration [9]. [wikigenes.org]

[…] fusion of the ankle plus all hindfoot joints [talonavicular, subtalar, and calcaneocuboid]) or an ankle fusion in combination with any hindfoot fusion. 9) The subject requires subsequent surgery of the concomitant hindfoot within 12 months of study treatment [hss.edu]

(From Brain 1998 Jan;121(Pt 1):115-26) Rivastigmine A carbamate-derived reversible CHOLINESTERASE INHIBITOR that is selective for the CENTRAL NERVOUS SYSTEM and is used for the treatment of DEMENTIA in ALZHEIMER DISEASE and PARKINSON DISEASE. [bioportfolio.com]

They are not in any way intended to be used as a substitute for professional medical advice, diagnostic, treatment or care. [web.expasy.org]

Prognosis

Prognosis NHD is a progressive disease that is fatal usually during the fifth decade of life. The documents contained in this web site are presented for information purposes only. [orpha.net]

Many patients die from fulminant HLH, and the only curative treatment is a hematopoietic stem cell transplant, although this procedure has been associated with a poor prognosis. [mendelian.co]

[…] macroencephaly. (38-40) Other phenotypes have been reported: oscillopsia, primary ovarian failure, thyroid hormone abnormalities, hypothermia, microcoria, dysautonomia and acute evolution of the disease with death occurring in less than 2 months. (41,42) The prognosis [thefreelibrary.com]

歯学部 講師 2009年 - 2014年 東京歯科大学 歯学部 助教 受賞 テキストで表示 1 2 > 2015年 日本口腔腫瘍学会 優秀ポスター賞受賞 2011年 日本口腔外科学会 優秀ポスター賞受賞 2010年 日本口腔科学会 優秀発表賞受賞 2009年 東京歯科大学 学長奨励研究賞受賞 2006年 日本口腔腫瘍学会 優秀ポスター賞受賞 論文 テキストで表示 Underexpression of α-1-microglobulin/bikunin precursor predicts poor prognosis [researchmap.jp]

Etiology

Etiology NHD is due to mutations in either the TYROBP or TREM2 genes encoding the tyrosine kinase binding adaptor protein and the triggering receptor expressed on myeloid cells 2 respectively. [orpha.net]

Conclusions Our study provides strong support for a role of the p.R47H variant in TREM2 in the etiology of FTD and PD. [molecularneurodegeneration.biomedcentral.com]

Epidemiology

From Epidemiology ~160 cases, mainly in Finland & Japan onset third decade Pathology basal ganglia calcification gliosis white matter demyelination senile plaques neurofibrillary tangles Clinical features: skeletal changes epiphyseal bone cysts, restricted [anvita.info]

Summary Epidemiology Over 200 cases have been reported worldwide in the literature, the majority of them being in the Japanese and Finnish population. The prevalence in Finland is estimated between 1/500,000 and 1/1,000,000. [orpha.net]

Relevant External Links for TYROBP Genetic Association Database (GAD) TYROBP Human Genome Epidemiology (HuGE) Navigator TYROBP Atlas of Genetics and Cytogenetics in Oncology and Haematology: TYROBP No data available for Genatlas for TYROBP Gene Loss-of-function [genecards.org]

Pathophysiology

Finally, Koga et al. show that while RANK, TREM-2, and OSCAR-mediated signals are necessary, none are sufficient for appropriate osteoclast maturation under physiological conditions. 8 The exact pathophysiology of Nasu-Hakola disease remains unknown. [rndsystems.com]

In conclusion, further insights into the pathophysiology of AD and, in general, neurodegenerative diseases are needed. Genetics play a main role in a deep knowledge of them and could lead us new therapeutic approaches. [omicsonline.org]

The elucidation of these factors is extremely important and will provide further insights into the pathophysiology of disease and generate novel in vitro and in vivo systems in which to model the disease and screen therapeutics. [molecularneurodegeneration.biomedcentral.com]

Prevention

Antiepileptic drugs are prescribed to prevent seizures. A regular orthopedic and neurologic surveillance is recommended. Prognosis NHD is a progressive disease that is fatal usually during the fifth decade of life. [orpha.net]

Alzheimer Vaccines Vaccines or candidate vaccines used to prevent or treat ALZHEIMER DISEASE. [bioportfolio.com]

Yamamura : A synthetic glycolipid prevents autoimmune encephalomyelitis by inducing TH2 bias of natural killer T cells. Nature 413:531-534, 2001 4. Maeda, M, S. Lohwasser, T. Yamamura, and F. [ncnp.go.jp]

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