Abstract
We report cerebrospinal fluid monoamine metabolite analyses and 6-[18F]fluoro-1-dopa positron emission tomography (FD-PET) from an asymptomatic carrier of the gene for dopa-responsive dystonia. Cerebrospinal fluid homovanillic acid, tetrahydrobiopterin, and neopterin concentrations were reduced in this man and in his affected children. His FD-PET was normal, as we have previously found in dopa-responsive dystonia. Neurological function and FD-PET may be normal despite marked abnormality in dopamine metabolism.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adolescent
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Adult
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Aged
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Biopterins / analogs & derivatives
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Biopterins / cerebrospinal fluid
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Dystonia / cerebrospinal fluid
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Dystonia / diagnostic imaging*
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Dystonia / genetics*
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Female
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Fluorine Radioisotopes
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Heterozygote*
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Homovanillic Acid / cerebrospinal fluid
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Humans
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Levodopa
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Male
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Neopterin
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Pedigree
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Tomography, Emission-Computed*
Substances
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Fluorine Radioisotopes
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Biopterins
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Levodopa
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Neopterin
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Homovanillic Acid