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Query: UMLS:C0033377 (
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11,717
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Brown-Vialetto-Van Laere syndrome
is a rare disorder characterized by motor, sensory, and cranial neuronopathies, associated with mutations in
SLC52A2
and
SLC52A3
genes that code for human riboflavin transporters RFVT2 and RFVT3, respectively. The authors describe the clinical course of a 6-year-old girl with
Brown-Vialetto-Van Laere syndrome
and a novel homozygous mutation c.1156T>C in the
SLC52A3
gene, who presented at the age of 2.5 years with progressive brain stem dysfunction including
ptosis
, facial weakness, hearing loss, dysphagia, anarthria with bilateral vocal cord paralysis, and ataxic gait. She subsequently developed respiratory failure requiring tracheostomy and worsening dysphagia necessitating a gastrostomy. Following riboflavin supplementation, resolution of facial diplegia and ataxia, improvements in
ptosis
, and bulbar function including vocalization and respiration were noted. However, her sensorineural hearing loss remained unchanged. Similar to other cases of
Brown-Vialetto-Van Laere syndrome
, our patient responded favorably to early riboflavin supplementation with significant but not complete neurologic recovery.
...
PMID:A Case of Brown-Vialetto-Van Laere Syndrome Due To a Novel Mutation in
SLC52A3
Gene: Clinical Course and Response to Riboflavin. 2885 73
Brown-Vialetto-Van Laere syndrome
(BVVLS) or riboflavin transporter deficiency (OMIM 211530) is a rare treatable autosomal recessive neurodegenerative disorder. This condition is associated with progressive pontobulbar palsy. We describe the clinical course of a 16-month-old boy with BVVLS and a novel homozygous mutation from Pakistan. Our patient presented with stridor and respiratory insufficiency. Hearing loss which is the most common sign of this condition was absent, making it an unusual presentation of BVVLS. His examination revealed
ptosis
and tongue fasciculation. His riboflavin receptor mutational analysis showed the homozygous mutation in the
SLC52A3
gene. Per oral riboflavin was administered, and subsequently, he was able to be weaned off the ventilator. Now the child is improving and attaining developmental milestones.
...
PMID:Brown-Vialetto-Van Laere syndrome: a novel diagnosis to a common presentation. 2995 May 2