Eye Movement Impairment Recovery in a Gaucher Patient Treated with Miglustat

In Gaucher Disease (GD) the enzyme (imiglucerase) replacement therapy (ERT) is not able to stop the progression of the neurological involvement, while the substrate reduction therapy (SRT), performed by N-Butyldeoxynojirimycin (miglustat), is an alternative that should be evaluated. Two sisters, pre...

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Main Authors: Agostino Accardo, Stefano Pensiero, Giovanni Ciana, Fulvio Parentin, Bruno Bembi
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Neurology Research International
Online Access:http://dx.doi.org/10.1155/2010/358534
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author Agostino Accardo
Stefano Pensiero
Giovanni Ciana
Fulvio Parentin
Bruno Bembi
author_facet Agostino Accardo
Stefano Pensiero
Giovanni Ciana
Fulvio Parentin
Bruno Bembi
author_sort Agostino Accardo
collection DOAJ
description In Gaucher Disease (GD) the enzyme (imiglucerase) replacement therapy (ERT) is not able to stop the progression of the neurological involvement, while the substrate reduction therapy (SRT), performed by N-Butyldeoxynojirimycin (miglustat), is an alternative that should be evaluated. Two sisters, presenting the same genotype (R353G/R353G), were diagnosed as suffering from GD; one of them later developed neurological alterations identified by quantitative saccadic eye movements analysis. The aim of the study was to quantitatively measure the miglustat effects in this GD neurological patient. Eye movement analysis during subsequent controls was performed by estimating the characteristic parameters of saccadic main sequence. The study demonstrates that the SRT alone can be effective in GD3. Moreover, it confirms that quantitative eye movement analysis is able to precociously identify also slight neurological alterations, permitting more accurate GD classification.
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institution Kabale University
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series Neurology Research International
spelling doaj-art-31d6070e48fc4c8f9abd219486a006792025-02-03T05:51:07ZengWileyNeurology Research International2090-18522090-18602010-01-01201010.1155/2010/358534358534Eye Movement Impairment Recovery in a Gaucher Patient Treated with MiglustatAgostino Accardo0Stefano Pensiero1Giovanni Ciana2Fulvio Parentin3Bruno Bembi4Department of Electronics (DEEI), University of Trieste, 34127 Trieste, ItalyDepartment of Ophthalmology, IRCCS “Burlo Garofolo”, 34137 Trieste, ItalyMetabolic Diseases Unit, IRCCS “Burlo Garofolo”, 34137 Trieste, ItalyDepartment of Ophthalmology, IRCCS “Burlo Garofolo”, 34137 Trieste, ItalyMetabolic Diseases Unit, IRCCS “Burlo Garofolo”, 34137 Trieste, ItalyIn Gaucher Disease (GD) the enzyme (imiglucerase) replacement therapy (ERT) is not able to stop the progression of the neurological involvement, while the substrate reduction therapy (SRT), performed by N-Butyldeoxynojirimycin (miglustat), is an alternative that should be evaluated. Two sisters, presenting the same genotype (R353G/R353G), were diagnosed as suffering from GD; one of them later developed neurological alterations identified by quantitative saccadic eye movements analysis. The aim of the study was to quantitatively measure the miglustat effects in this GD neurological patient. Eye movement analysis during subsequent controls was performed by estimating the characteristic parameters of saccadic main sequence. The study demonstrates that the SRT alone can be effective in GD3. Moreover, it confirms that quantitative eye movement analysis is able to precociously identify also slight neurological alterations, permitting more accurate GD classification.http://dx.doi.org/10.1155/2010/358534
spellingShingle Agostino Accardo
Stefano Pensiero
Giovanni Ciana
Fulvio Parentin
Bruno Bembi
Eye Movement Impairment Recovery in a Gaucher Patient Treated with Miglustat
Neurology Research International
title Eye Movement Impairment Recovery in a Gaucher Patient Treated with Miglustat
title_full Eye Movement Impairment Recovery in a Gaucher Patient Treated with Miglustat
title_fullStr Eye Movement Impairment Recovery in a Gaucher Patient Treated with Miglustat
title_full_unstemmed Eye Movement Impairment Recovery in a Gaucher Patient Treated with Miglustat
title_short Eye Movement Impairment Recovery in a Gaucher Patient Treated with Miglustat
title_sort eye movement impairment recovery in a gaucher patient treated with miglustat
url http://dx.doi.org/10.1155/2010/358534
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