Novel polymerase gamma ( POLG1 ) gene mutation in the linker domain associated with parkinsonism

摘要

Background Mutations in the POLG1 gene have variable phenotypic presentations and a high degree of clinical suspicion is necessary for their recognition. Parkinsonism and ataxia are the most common movement disorders associated with POLG1 mutations but no phenotype-genotype correlation has been established. Case presentation We identified a male patient with progressive external ophthalmoplegia who also developed a progressive bradykinesia, rigidity and camptocormia in the third decade. Parkinsonism was partially responsive to dopaminegic replacement. His father and brother had reportedly similar clinical problems. Genetic analysis identified a novel mutation p.K512M in the POLG1 gene. Conclusion This report further expands the spectrum of POLG1 -associated neurologic problems with the report of a novel mutation in the linker region of the gene, which are rarely associated with parkinsonism.