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“Deep Brain Stimulation of the Ventral Intermediate Nucleus of the Thalamus for Tremor in Polr3a-Related Tremor-ataxia Syndrome: A Two-case Report” Cover

“Deep Brain Stimulation of the Ventral Intermediate Nucleus of the Thalamus for Tremor in Polr3a-Related Tremor-ataxia Syndrome: A Two-case Report”

Open Access
|Sep 2025

References

  1. de Assis Pereira Matos PCA. POLR3A-Related Disorder Presenting with Late-Onset Dystonia and Spastic Paraplegia. Mov Disord Clin Pract. 2020 Apr 18;7(4):467469. DOI: 10.1002/mdc3.12945
  2. Yang H. A novel variant of the POLR3A gene in a Chinese patient with POLR3-related leukodystrophy. Neurol Sci. 2023 Sep;44(9):33633368. DOI: 10.1007/s10072-023-06767-z
  3. Campopiano R, Ferese R, Zampatti S, Giardina E, Biagioni F, Colonnese C, et al. A novel POLR3A genotype leads to leukodystrophy type-7 in two siblings with unusually late age of onset. BMC Neurol. 2020;20:258. DOI: 10.1186/s12883-020-01835-9
  4. Majethia P, Girisha KM. Wiedemann-Rautenstrauch syndrome in an Indian patient with biallelic pathogenic variants in POLR3A. Am J Med Genet A. 2021;185:16021605. DOI: 10.1002/ajmg.a.62115
  5. Thomas A, Thomas AK. POLR3-related Leukodystrophy. J Clin Imaging Sci. 2019 Oct 24;9:45. DOI: 10.25259/JCIS_116_2019
  6. Nikkhah A, Rezakhani S. Developmental regression and movement disorder as a phenotypic variant of POLR3A Mutation-Case report. Clin Case Rep. 2022 Nov 15;10(11):e6556. DOI: 10.1002/ccr3.6556
  7. Wu S. Novel mutations of the POLR3A gene caused POLR3-related leukodystrophy in a Chinese family: a case report. BMC Pediatr. 2019;19:289. DOI: 10.1186/s12887-019-1656-7
  8. Ahmed Si H, Belarbi O, Daoudi S, et al. A new rare homozygous mutation in the POLR3A gene causes ataxo-spasmodic leukodystrophy. Ro J Neurol. 2022;21(2). DOI: 10.37897/RJN.2022.2.4
  9. Zanette V, Reyes A, Johnson M, et al. Neurodevelopmental regression, severe generalized dystonia, and metabolic acidosis caused by POLR3A mutations. Neurol Genet. 2020;6(6):e521. DOI: 10.1212/NXG.0000000000000521
  10. Tewari VV, Mehta R, Sreedhar C, et al. A novel homozygous mutation in POLR3A gene causing 4H syndrome: a case report. BMC Pediatr. 2018;18:17. DOI: 10.1186/s12887-018-1108-9
  11. Ruan DD. Clinical phenotype and genetic function analysis of a family with hypomyelinating leukodystrophy-7 caused by POLR3A mutation. Sci Rep. 2024 Apr 1;14(1):7638. DOI: 10.1038/s41598-024-58452-6
  12. Hiraide T, Kubota K, Kono Y, et al. POLR3A variants in striatal involvement without diffuse hypomyelination. Brain Dev. 2020;42:363368. DOI: 10.1016/j.braindev.2019.12.012
  13. Musumeci A, et al. Identifcation of a novel missense mutation of POLR3A gene in a cohort of sicilian patients with leukodystrophy. Biomedicines. 2022 Sep 14;10(9):2276. DOI: 10.3390/biomedicines10092276
  14. Di Donato I. POLR3A variants in hereditary spastic paraparesis and ataxia: clinical, genetic, and neuroradiological findings in a cohort of Italian patients. Neurol Sci. 2022 Feb;43(2):10711077. DOI: 10.1007/s10072-021-05462-1
  15. Mirchi A. Craniofacial features of POLR3-related leukodystrophy caused by biallelic variants in POLR3A, POLR3B and POLR1C. J Med Genet. 2023 Oct;60(10):10261034. DOI: 10.1136/jmg-2023-109223
  16. Rydning SL, Koht J, Sheng Y, et al. Biallelic POLR3A variants confirmed as a frequent cause of hereditary ataxia and spastic paraparesis. Brain. 2019;142:e12. DOI: 10.1093/brain/awz041
  17. Harting I. POLR3A variants with striatal involvement and extrapyramidal movement disorder. Neurogenetics. 2020 Apr;21(2):121133. DOI: 10.1007/s10048-019-00602-4
  18. Liu J. POLR3-related leukodystrophy caused by biallelic POLR3A and 1C pathogenic variants: a single-center experience. Front Neurol. 2024 Mar 14;15:1355484. DOI: 10.3389/fneur.2024.1355484
  19. Minnerop M, Kurzwelly D, Wagner H, Soehn A, et al. Hypomorphic mutations in POLR3A are frequent cause of sporadic and recessive spastic ataxia. Brain. 2017 Jun 1;140(6):1561-1578. DOI: 10.1093/brain/awx095
  20. Azmanov D, Siira S, Chamova T, et al. Transcriptome-wide effects of a POLR3A gene mutation in patients with an unusual phenotype of striatal involvement. Hum Mol Genet. 2016 Oct 1;25(19):43024314. DOI: 10.1093/hmg/ddw263
  21. Lata E. RNA Polymerase III Subunit Mutations in Genetic Diseases. Front Mol Biosci. 2021 Jul 30;8:696438. DOI: 10.3389/fmolb.2021.696438
  22. Dieci G, Fiorino G, Castelnuovo M, Teichmann M, Pagano A. The expanding RNA polymerase III transcriptome. Trends Genet. 2007 Dec;23(12):61422. DOI: 10.1016/j.tig.2007.09.001
  23. Sun L. A Chinese patient with POLR3A-related leukodystrophy: a case report and literature review. Front. Neurol. 27 October 2023;14. Sec. Dementia and Neurodegenerative Diseases. DOI: 10.3389/fneur.2023.1269237
  24. Perrier S. Expanding the phenotypic and molecular spectrum of RNA polymerase III-related leukodystrophy. Neurol Genet. 2020 May 11;6(3):e425. DOI: 10.1212/NXG.0000000000000425
  25. Infante J, Serrano-Cárdenas KM, Corral-Juan M, et al. POLR3A related spastic ataxia: new mutations and a look into the phenotype. J Neurol. 2020;267:324330. DOI: 10.1007/s00415-019-09574-9
  26. Cayami FK. 4H leukodystrophy: lessons from 3T imaging. Neuropediatrics. 2018;49:1127. DOI: 10.1055/s-0037-1608780
  27. Wolf NI, Harting I, Innes AM, Patzer S, Zeitler P, Schneider A, et al. Ataxia, delayed dentition and hypomyelination: a novel leukoencephalopathy. Neuropediatrics. 2007;38:6470. DOI: 10.1055/s-2007-985137
  28. Bernard G, Thiffault I, Tétreault M, Putorti ML, Bouchard I, Sylvain M, et al. Tremor-ataxia with central hypomyelination (TACH) leukodystrophy maps to chromosome 10q22.3-10q23.31. Neurogenetics. 2010;11:45764. DOI: 10.1007/s10048-010-0251-8
  29. Atrouni S, Darazé A, Tamraz J, Cassia A, Caillaud C, Mégarbané A. Leukodystrophy associated with oligodontia in a large inbred family: fortuitous association or new entity? Am J Med Genet A. 2003;118A:7681. DOI: 10.1002/ajmg.a.10019
  30. Sasaki M, Takanashi J, Tada H, Sakuma H, Furushima W, Sato N. Diffuse cerebral hypomyelination with cerebellar atrophy and hypoplasia of the corpus callosum. Brain Dev. 2009;31:5827. DOI: 10.1016/j.braindev.2008.09.003
  31. Bernard G, Vanderver A. POLR3-Related Leukodystrophy. 2012 Aug 2 [Updated 2017 May 11]. In: Adam MP, Ardinger HH, Pagon RA, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 19932018.
  32. Paolacci S. Wiedemann – Rautenstrauch syndrome: A phenotype analysis. Am J Med Genet A. 2017 Jul;173(7):17631772. DOI: 10.1002/ajmg.a.38246
  33. Rydning SL, Koht J, Sheng Y, et al. Biallelic POLR3A variants confirmed as a frequent cause of hereditary ataxia and spastic paraparesis. Brain. 2019;142:e12. DOI: 10.1093/brain/awz041
  34. La Piana R. Brain magnetic resonance imaging (MRI) pattern recognition in Pol III-related leukodystrophies. J Child Neurol. 2014 Feb;29(2):21420. DOI: 10.1177/0883073813503902
  35. Al Yazidi G. Dystonia in RNA Polymerase III-Related Leukodystrophy. Mov Disord Clin Pract. 2019 Jan 9;6(2):155159. DOI: 10.1002/mdc3.12715
  36. Kyle K. Adult onset POLR3A leukodystrophy presenting with parkinsonism treated with pallidal deep brain stimulation. Parkinsonism Relat Disord. 2021 Apr;85:2325. DOI: 10.1016/j.parkreldis.2021.02.018
  37. Koeglsperger T, Palleis C, Hell F, Mehrkens J, et al. Deep Brain Stimulation Programming for Movement Disorders: Current Concepts and Evidence-Based Strategies. Front. Neurol. 10:410. DOI: 10.3389/fneur.2019.00410
  38. Larson P. Deep Brain Stimulation for Movement Disorders. Neurotherapeutics. 2014 Jul;11(3):46574. DOI: 10.1007/s13311-014-0274-1
  39. Paoli D, Mills R, Brechany U, Pavese N, et al. DBS in tremor with dystonia: VIM, Gpi or both? A review of the literature and considerations from a single-center experience. J Neurol. 2023 Apr;270(4):22172229. DOI: 10.1007/s00415-023-11569-6
DOI: https://doi.org/10.5334/tohm.1000 | Journal eISSN: 2160-8288
Language: English
Submitted on: Jan 24, 2025
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Accepted on: Jan 24, 2025
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Published on: Sep 5, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Edgar Javier Sánchez-Román, Leonel Villa-Villegas, Roberto Leal-Ortega, Luz Gabriela Lira-Jaime, Francisco Rivas-Ruvalcaba, Karely Díaz-Ramírez, Carlos Eduardo Piña-Avilés, Rodrigo Mercado-Pimentel, Carlos Zúñiga-Ramírez, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.