Joubert syndrome surviving to adulthood associated with a progressive movement disorder

Steven A. Gunzler, A. Jon Stoess, Robert A. Egan, Richard G. Weleber, Paul Wang, John G. Nutt

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

A 48-year-old man presented with a progressive gait disorder. He had longstanding ataxia, oculomotor apraxia, motor delay, and cognitive impairment, diagnosed as cerebral palsy. Physical examination revealed ataxia, oculomotor apraxia, extrapyramidal signs, and a wide-based, shuffling gait. Magnetic resonance imaging showed vermian aplasia, consistent with Joubert syndrome. Positron emission tomography scan revealed normal fluorodopa uptake, but elevated raclopride binding, compatible with dopamine deficiency. This case demonstrates that a patient with Joubert syndrome may survive into adulthood and present as a chronic neurologic disorder with subacute extrapyramidal signs.

Original languageEnglish (US)
Pages (from-to)262-264
Number of pages3
JournalMovement Disorders
Volume22
Issue number2
DOIs
StatePublished - Jan 15 2007

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Keywords

  • Ataxia
  • Extrapyramidal
  • Fluorodopa PET
  • Joubert syndrome
  • Oculomotor apraxia
  • Parkinsonism

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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