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Occurrence in Cerebellar Ataxia With Myoclonus Epilepsy and Macular Cherry-Red Spot— A New Variant of GM1-Gangliosidosis?

Akira Yamamoto, MD; Susumu Adachi, MD; Shuji Kawamura, MD; Mitsuo Takahashi, MD; Teruo Kitani, MD; Toshifumi Ohtori, MD; Yoshitake Shinji, MD; Mitsuo Nishikawa, MD

Arch Intern Med. 1974;134(4):627-634.

Abstract
A 20-year-old man showed myoclonus epilepsy, cerebellar ataxia, and macular cherry-red spot. Assay of lysosomal enzymes demonstrated that the liver, leukocytes, and blood plasma were severely deficient in acid β-galactosidase. Partial deficiency of β-galactosidase activity was shown in kidney tissue. The plasma and leukocytes were also moderately deficient in β-galactosidase. There was an increase in the less acidic mucopolysaccharides in the patient's urine. A coarse face and the deformity of lumbar vertebrae also suggested a disturbance of mucopolysaccharide metabolism.

The case resembles the ones reported recently from two laboratories, but the localization of the enzyme deficiency was different in each. These cases seem to be in a series of G_M1-gangliosidosis variants caused by a localized deficiency of β-galactosidase.

Author Affiliations
From the Second Department of Internal Medicine (Drs. Yamamoto, Adachi, Kawamura, Takahashi, Kitani, Shinji, and Nishikawa) and the Department of Ophthalmology (Dr. Ohtori), Osaka University Medical School, Osaka, Japan.

Footnotes
Received for publication Oct 10,1973; accepted Nov2.

Reprint requests to the Second Department of Internal Medicine, Osaka University Hospital, Fukushima-ku, Osaka 553, Japan (Dr. Yamamoto).

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