Neuropediatrics 2012; 43(05): 283-288
DOI: 10.1055/s-0032-1325116
Short Communication
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

COL4A1-Related Disease: Raised Creatine Kinase and Cerebral Calcification as Useful Pointers

Davide Tonduti
1   Child Neurology and Psychiatry Unit, C. Mondino National Institute of Neurology Foundation, IRCCS, Pavia, Italy
,
Anna Pichiecchio
2   Neuroradiology Unit, C. Mondino National Institute of Neurology Foundation, IRCCS, Pavia, Italy
,
Roberta La Piana
3   Department of Neuroradiology, Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
,
John H. Livingston
4   Department of Paediatric Neurology, Leeds General Infirmary, Leeds, United Kingdom
,
Daniel A. Doherty
5   Department of Paediatrics, University of Washington, Seattle Children's Hospital, Seattle, Washington, United States
,
Anirban Majumdar
6   Department of Paediatric Neurology, Bristol Children's Hospital, Bristol, United Kingdom
,
Susan Tomkins
7   Department of Clinical Genetics, St Michael's Hospital, Bristol, United Kingdom
,
Manuele Mine
8   Laboratoire de Génétique Neurovasculaire, Groupe hospitalier Lariboisière - Fernand Widal, Hôpital Lariboisière, Paris, France
,
Mauro Ceroni
9   Department of Clinical Neurology, C. Mondino National Institute of Neurology Foundation, IRCCS, Pavia, Italy
,
Ivana Ricca
9   Department of Clinical Neurology, C. Mondino National Institute of Neurology Foundation, IRCCS, Pavia, Italy
,
Umberto Balottin
1   Child Neurology and Psychiatry Unit, C. Mondino National Institute of Neurology Foundation, IRCCS, Pavia, Italy
10   Department of Public Health, Neuroscience, Experimental and Forensic Medicine, Unit of Child Neurology and Psychiatry, University of Pavia, Italy
,
Simona Orcesi
1   Child Neurology and Psychiatry Unit, C. Mondino National Institute of Neurology Foundation, IRCCS, Pavia, Italy
› Author Affiliations
Further Information

Publication History

26 May 2012

28 July 2012

Publication Date:
29 August 2012 (online)

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Abstract

Background Mutations in COL4A1 are responsible for a spectrum of clinical phenotypes characterized by neurological, ocular, and renal involvement. Neurological features are the most prominent but as such are rather nonspecific.

Case Presentation Here, we report three new cases that, like five patients we previously described, show the novel common finding of raised creatine kinase (CK) concentration.

Conclusion Raised CK concentration, in addition to intracranial calcification, is to be considered another useful pointer to a final diagnosis of COL4A1-related disease.