Conditions / Genetic

dopa-responsive dystonia

info · Genetic · ICD-10: G24.1

A dystonia characterized by generalized dystonia, diurnal fluctuation of symptoms, and a dramatic therapeutic response to L-dopa that has_material_basis_in heterozygous mutation in the GCH1 gene on chromosome 14q13.

Signs and symptoms

  • Gaze-evoked horizontal nystagmus
  • Dystonia
  • Hyperreflexia
  • Parkinsonism with favorable response to dopaminergic medication
  • Torticollis
  • Babinski sign
  • Bradykinesia
  • Gait ataxia
  • Transient hyperphenylalaninemia
  • Incoordination

Also known as: Autosomal dominant Segawa syndrome; DOPA-RESPONSIVE DYSTONIA, AUTOSOMAL DOMINANT; DYSTONIA, DOPA-RESPONSIVE, AUTOSOMAL DOMINANT; DYSTONIA-PARKINSONISM WITH DIURNAL FLUCTUATION; GTPCH1-deficient DRD