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Neurology Genetics
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August 2022; 8 (4) Clinical/Scientific NoteOpen Access

Familial Brain Calcifications With Leukoencephalopathy

A Novel PDGFB Variant

Jack Shen, Amelle Shillington, Alberto J. Espay, View ORCID ProfileEmily J. Hill
First published May 20, 2022, DOI: https://doi.org/10.1212/NXG.0000000000200001
Jack Shen
From the Department of Neurology and Rehabilitation Medicine (J.S., A.J.E., E.J.H.), University of Cincinnati; and Department of Human Genetics (A.S.), Cincinnati Children's Hospital Medical Center, OH.
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  • For correspondence: shenjk@ucmail.uc.edu
Amelle Shillington
From the Department of Neurology and Rehabilitation Medicine (J.S., A.J.E., E.J.H.), University of Cincinnati; and Department of Human Genetics (A.S.), Cincinnati Children's Hospital Medical Center, OH.
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  • For correspondence: amelle.shillington@cchmc.org
Alberto J. Espay
From the Department of Neurology and Rehabilitation Medicine (J.S., A.J.E., E.J.H.), University of Cincinnati; and Department of Human Genetics (A.S.), Cincinnati Children's Hospital Medical Center, OH.
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  • For correspondence: espayaj@ucmail.uc.edu
Emily J. Hill
From the Department of Neurology and Rehabilitation Medicine (J.S., A.J.E., E.J.H.), University of Cincinnati; and Department of Human Genetics (A.S.), Cincinnati Children's Hospital Medical Center, OH.
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  • ORCID record for Emily J. Hill
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Citation
Familial Brain Calcifications With Leukoencephalopathy
A Novel PDGFB Variant
Jack Shen, Amelle Shillington, Alberto J. Espay, Emily J. Hill
Neurol Genet Aug 2022, 8 (4) e200001; DOI: 10.1212/NXG.0000000000200001

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Abstract

Objective To describe a family with primary familial brain calcifications (PFBCs) and leukoencephalopathy associated with a novel variant in PDGFB.

Methods We present 3 generations of a family with PFBC associated with a previously unreported variant in PDGFB.

Results A 24-year-old woman with migraine, bipolar disorder, and functional neurologic disorder was found to have bilateral calcifications of the basal ganglia and frontally predominant periventricular white matter disease. Her father had mild cognitive impairment and action tremor of the hands with basal ganglia and cerebellar calcifications found incidentally on head CT. Her paternal grandmother had severe parkinsonism and dementia with calcifications of the basal ganglia and cerebellum and diffuse, confluent periventricular white matter disease. Genetic testing in both the proband and her father revealed a PDGFB variant (NM_002608.3:c.298C>T:p.Arg100Cys) not reported in publicly available databases. Multiple in silico analysis tools support pathogenicity.

Discussion Our report identifies a novel PDGFB variant associated with PFBC and highlights the rare association of leukoencephalopathy with PDGFB-associated PFBC.

Footnotes

  • Go to Neurology.org/NG for full disclosures. Funding information is provided at the end of the article.

  • The Article Processing Charge was funded by the authors.

  • Submitted and externally peer reviewed. The handling editor was Suman Jayadev, MD.

  • Received January 17, 2022.
  • Accepted in final form April 19, 2022.
  • Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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