Abstract
We describe the rare case of a young woman with hereditary neuropathy with liability to compression palsy (HNPP), who developed a rapidly progressive ALS. We suggest that underexpression of PMP22 protein in the nervous system might interfere with motor neuron function by impairing myelin formation and exposure of the axon to injury. Patients with ALS and evidence of demyelination should be screened for HNPP.
MeSH terms
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Adult
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Amyotrophic Lateral Sclerosis / complications*
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Amyotrophic Lateral Sclerosis / pathology
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Brain / pathology
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Chromosomes, Human, Pair 17
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Disease Progression
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Electromyography
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Female
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Hereditary Sensory and Motor Neuropathy / complications*
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Hereditary Sensory and Motor Neuropathy / genetics
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Hereditary Sensory and Motor Neuropathy / pathology
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Humans
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Magnetic Resonance Imaging
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Myelin Proteins / genetics
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Neural Conduction / genetics
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Neural Conduction / physiology
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Paralysis / etiology*
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Pressure
Substances
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Myelin Proteins
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PMP22 protein, human