Chapter 4

Molecular Diagnosis of Neurogenetic Disorders: General Issues, Huntington's Disease, Parkinson's Disease and Dystonias

H. F. Harbo

H. F. Harbo

Oslo University Hospital, and University of Oslo, Oslo, Norway

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J. Finsterer

J. Finsterer

Rudolfstiftung and Danube University, Krems, Vienna, Austria

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J. Baets

J. Baets

University Hospital of Antwerp, Antwerp, Belgium

Institute Born-Bunge and University of Antwerp, Antwerp, Belgium

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C. Van Broeckhoven

C. Van Broeckhoven

Institute Born-Bunge and University of Antwerp, Antwerp, Belgium

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S. Di Donato

S. Di Donato

IRCCS Foundation Neurological Institute Carlo Besta, Milan, Italy

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B. Fontaine

B. Fontaine

Assistance Publique-Hôpitaux de Paris, Centre de référence des canalopathies musculaires, Groupe Hospitalier Pitié-Salpêtriére, Paris, France

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P. De Jonghe

P. De Jonghe

University Hospital of Antwerp, Antwerp, Belgium

Institute Born-Bunge and University of Antwerp, Antwerp, Belgium

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A. Lossos

A. Lossos

Hadassah University Hospital, Jerusalem, Israel

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T. Lynch

T. Lynch

Mater Misericordiae University, Beaumont & Mater Private Hospitals, Dublin, Ireland

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C. Mariotti

C. Mariotti

IRCCS Foundation Neurological Institute Carlo Besta, Milan, Italy

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L. Schöls

L. Schöls

University of Tübingen, Tübingen, Germany

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A. Spinazzola

A. Spinazzola

IRCCS Foundation Neurological Institute Carlo Besta, Milan, Italy

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Z. Szolnoki

Z. Szolnoki

Pandy County Hospital, Gyula, Hungary

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S. J. Tabrizi

S. J. Tabrizi

Institute of Neurology and National Hospital for Neurology and Neurosurgery, Queen Square, London, UK

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C. Tallaksen

C. Tallaksen

Oslo University Hospital, and University of Oslo, Oslo, Norway

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M. Zeviani

M. Zeviani

IRCCS Foundation Neurological Institute Carlo Besta, Milan, Italy

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J-M. Burgunder

J-M. Burgunder

University of Bern, Bern, Switzerland

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T. Gasser

T. Gasser

University of Tübingen, Tübingen, Germany

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First published: 21 September 2011

Summary

These EFNS guidelines on the molecular diagnosis of neurogenetic disorders are designed to provide practical help for the general neurologist to make appropriate use of molecular genetics in diagnosing neurogenetic disorders. Since the publication of the first two EFNS guideline papers on the molecular diagnosis of neurological diseases in 2001, rapid progress has been made in this field, necessitating an updated series of guidelines. This chapter provides updated guidelines for molecular diagnosis of Huntington's disease, Parkinson disease and dystonias, as well as a general introduction to the topic. Possibilities and limitations of molecular genetic diagnosis of these disorders are evaluated and recommendations are provided.

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