Journal of Pediatric Neurosciences
CASE REPORT
Year
: 2021  |  Volume : 16  |  Issue : 1  |  Page : 71--74

Spastic paraplegia-56 due to a novel CYP2U1 truncating mutation in an Indian boy: A new report and literature review


Indar K Sharawat1, Prateek Kumar Panda1, Lesa Dawman2 
1 Pediatric Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
2 Department of Pediatrics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

Correspondence Address:
Dr. Prateek Kumar Panda
Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Rishikesh 249203, Uttarakhand.
India

Spastic paraplegia-56 is a rare autosomal recessive disorder, caused by homozygous or compound heterozygous mutations in the CYP2U1 gene, located on chromosome 4. Till date, only 28 patients with this disorder have been reported in the literature. We report a new case of CYP2U1-related spastic paraplegia-56. We also reviewed previously published patients with this condition from various databases. Next-generation sequencing in the index child detected a novel homozygous two base pair deletion in exon 2 of the CYP2U1 gene that results in a frameshift and premature truncation of the protein 19 amino-acid downstream to codon 361. Together with the presented case, 29 were available for analysis. The mean age at the diagnosis was 17.84 ± 6.86 years. Intellectual disability/cognitive dysfunction and delayed walking or gait disturbance were the most common presenting features. Around half of the patients had neuroregression in between 1 and 2 years. It is clinically imperative to suspect this disease in children with early-onset spastic paraparesis, especially in cases accompanied by baseline development delay or cognitive impairment and consanguinity.


How to cite this article:
Sharawat IK, Panda PK, Dawman L. Spastic paraplegia-56 due to a novel CYP2U1 truncating mutation in an Indian boy: A new report and literature review.J Pediatr Neurosci 2021;16:71-74


How to cite this URL:
Sharawat IK, Panda PK, Dawman L. Spastic paraplegia-56 due to a novel CYP2U1 truncating mutation in an Indian boy: A new report and literature review. J Pediatr Neurosci [serial online] 2021 [cited 2021 Sep 20 ];16:71-74
Available from: https://www.pediatricneurosciences.com/article.asp?issn=1817-1745;year=2021;volume=16;issue=1;spage=71;epage=74;aulast=Sharawat;type=0