Genetic Study of Primary Dystonias: Recommendations from the Centro Hospitalar São João Neurogenetics Group
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622 |
Resumo: | The primary dystonias are a particular group of dystonias of presumed genetic origin, with a wide age of onset and variable progression. The diagnosis is, therefore, a challenge and the issue of the genetic investigation presents frequently in clinical practice. In the past few years several gene mutations have been identified as causative of primary dystonias. The choice of molecular testing is complex, given the clinical specificities and low frequency of these entities and the cost of genetic testing. It must follow observation by specialized clinicians highly differentiated in this area and be supported by a rational plan of investigation. The Centro Hospitalar São João Neurogenetics Group, a multidisciplinary team of Neurologists and Geneticists with special interest in neurogenetic disorders, devised consensus recommendations for the investigation of the genetic etiology of the primary dystonias, based on international consensus documents and recent published scientific evidence. This manuscript adopts the new classification system for genetic movement disorders, allowing for its systematic and standardized use in clinical practice. |
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Genetic Study of Primary Dystonias: Recommendations from the Centro Hospitalar São João Neurogenetics GroupEstudo Genético nas Distonias Primárias: Recomendações do Grupo de Neurogenética do Centro Hospitalar São JoãoConsensusDystonia/diagnósticoDystonia/geneticsPortugalConsensoDistonia/diagnósticoDistonia/genéticaPortugalThe primary dystonias are a particular group of dystonias of presumed genetic origin, with a wide age of onset and variable progression. The diagnosis is, therefore, a challenge and the issue of the genetic investigation presents frequently in clinical practice. In the past few years several gene mutations have been identified as causative of primary dystonias. The choice of molecular testing is complex, given the clinical specificities and low frequency of these entities and the cost of genetic testing. It must follow observation by specialized clinicians highly differentiated in this area and be supported by a rational plan of investigation. The Centro Hospitalar São João Neurogenetics Group, a multidisciplinary team of Neurologists and Geneticists with special interest in neurogenetic disorders, devised consensus recommendations for the investigation of the genetic etiology of the primary dystonias, based on international consensus documents and recent published scientific evidence. This manuscript adopts the new classification system for genetic movement disorders, allowing for its systematic and standardized use in clinical practice.As distonias primárias são um grupo particular de distonias, de etiologia presumivelmente genética e com sintomas que podem surgir em diversas idades e progredir durante um período variável de tempo. O seu diagnóstico constitui, por isso, um desafio, colocando-se frequentemente na prática clínica a questão da realização do estudo genético. Nos últimos anos foram identificadas várias mutações genéticas causadoras de distonia primária. A escolha do teste molecular é complexa, quer pela especificidade clínica e baixa frequência, quer pelo custo associado ao estudo genético. Esta escolha deve ser feita mediante observação especializada por médicos com elevada diferenciação nesta área, apoiada num plano racional de investigação. O Grupo de Neurogenética do Centro Hospitalar São João (grupo multidisciplinar de Neurologistas e Geneticistas com interesse especial na área das doenças neurogenéticas) delineou recomendações de consenso para a investigação da etiologia genética das distonias primárias, tendo por base documentos de consenso internacionais e a evidência científica entretanto publicada. Este documento adota o novo sistema de nomenclatura para as formas genéticas de doenças do movimento, permitindo a sua utilização padronizada e sistemática na prática clínica.Ordem dos Médicos2017-04-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfapplication/mswordapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622oai:ojs.www.actamedicaportuguesa.com:article/8622Acta Médica Portuguesa; Vol. 30 No. 4 (2017): April; 340-346Acta Médica Portuguesa; Vol. 30 N.º 4 (2017): Abril; 340-3461646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/5012https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/9010https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/9033https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/9139https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/9244https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/9293Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessMonteiro, AnaMassano, JoãoLeão, MiguelGarrett, CarolinaGrupo de Neurogenética do Centro Hospitalar São João, Em nome do2022-12-20T11:05:35Zoai:ojs.www.actamedicaportuguesa.com:article/8622Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:37.487469Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Genetic Study of Primary Dystonias: Recommendations from the Centro Hospitalar São João Neurogenetics Group Estudo Genético nas Distonias Primárias: Recomendações do Grupo de Neurogenética do Centro Hospitalar São João |
title |
Genetic Study of Primary Dystonias: Recommendations from the Centro Hospitalar São João Neurogenetics Group |
spellingShingle |
Genetic Study of Primary Dystonias: Recommendations from the Centro Hospitalar São João Neurogenetics Group Monteiro, Ana Consensus Dystonia/diagnóstico Dystonia/genetics Portugal Consenso Distonia/diagnóstico Distonia/genética Portugal |
title_short |
Genetic Study of Primary Dystonias: Recommendations from the Centro Hospitalar São João Neurogenetics Group |
title_full |
Genetic Study of Primary Dystonias: Recommendations from the Centro Hospitalar São João Neurogenetics Group |
title_fullStr |
Genetic Study of Primary Dystonias: Recommendations from the Centro Hospitalar São João Neurogenetics Group |
title_full_unstemmed |
Genetic Study of Primary Dystonias: Recommendations from the Centro Hospitalar São João Neurogenetics Group |
title_sort |
Genetic Study of Primary Dystonias: Recommendations from the Centro Hospitalar São João Neurogenetics Group |
author |
Monteiro, Ana |
author_facet |
Monteiro, Ana Massano, João Leão, Miguel Garrett, Carolina Grupo de Neurogenética do Centro Hospitalar São João, Em nome do |
author_role |
author |
author2 |
Massano, João Leão, Miguel Garrett, Carolina Grupo de Neurogenética do Centro Hospitalar São João, Em nome do |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Monteiro, Ana Massano, João Leão, Miguel Garrett, Carolina Grupo de Neurogenética do Centro Hospitalar São João, Em nome do |
dc.subject.por.fl_str_mv |
Consensus Dystonia/diagnóstico Dystonia/genetics Portugal Consenso Distonia/diagnóstico Distonia/genética Portugal |
topic |
Consensus Dystonia/diagnóstico Dystonia/genetics Portugal Consenso Distonia/diagnóstico Distonia/genética Portugal |
description |
The primary dystonias are a particular group of dystonias of presumed genetic origin, with a wide age of onset and variable progression. The diagnosis is, therefore, a challenge and the issue of the genetic investigation presents frequently in clinical practice. In the past few years several gene mutations have been identified as causative of primary dystonias. The choice of molecular testing is complex, given the clinical specificities and low frequency of these entities and the cost of genetic testing. It must follow observation by specialized clinicians highly differentiated in this area and be supported by a rational plan of investigation. The Centro Hospitalar São João Neurogenetics Group, a multidisciplinary team of Neurologists and Geneticists with special interest in neurogenetic disorders, devised consensus recommendations for the investigation of the genetic etiology of the primary dystonias, based on international consensus documents and recent published scientific evidence. This manuscript adopts the new classification system for genetic movement disorders, allowing for its systematic and standardized use in clinical practice. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-04-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622 oai:ojs.www.actamedicaportuguesa.com:article/8622 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622 |
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oai:ojs.www.actamedicaportuguesa.com:article/8622 |
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por |
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por |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/5012 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/9010 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/9033 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/9139 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/9244 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8622/9293 |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 30 No. 4 (2017): April; 340-346 Acta Médica Portuguesa; Vol. 30 N.º 4 (2017): Abril; 340-346 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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