J Am Acad Audiol 2022; 33(06): 324-329
DOI: 10.1055/a-1877-2546
Research Article

Audiological Findings in Children with PLA2G6-Associated Neurodegeneration

Valiyaparambath Purushothaman Vandana
1   Department of Speech Pathology and Audiology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
,
Jeevendra Kumar Darshini
1   Department of Speech Pathology and Audiology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
,
Bindu Parayil Sankaran
2   Department of Biochemical Genetics and Genetic Metabolic Disorders Service, The Children's Hospital at Westmead, Westmead, NSW, Australia
3   The Children's Hospital at Westmead Clinical School, Faculty of Medicineand Health, University of Sydney, Sydney, NSW, Australia
› Author Affiliations

Abstract

Background Audiological manifestations of patients with PLA2G6-associated neurodegeneration are limited.

Objective To analyze the audiological findings in a cohort of 13 children with infantile neuroaxonal dystrophy (INAD).

Method Patients underwent a battery of audiological tests including tympanometry, distortion product otoacoustic emissions, impedance audiometry, and Brainstem Auditory Evoked Potentials (BAEPs).

Results Audiological studies of 13 children indicated sensorineural hearing loss in six children and auditory neuropathy spectrum disorder in four children.

Conclusion This study may extend the auditory findings for INAD. Additional studies on quality of life and cognitive-brain degeneration related to this disease are required before making appropriate recommendations for aural rehabilitation.

Disclaimer

Any mention of a product, service, or procedure in the Journal of the American Academy of Audiology does not constitute an endorsement of the product, service, or procedure by the American Academy of Audiology.




Publication History

Received: 18 February 2022

Accepted: 12 June 2022

Accepted Manuscript online:
15 June 2022

Article published online:
29 November 2022

© 2022. American Academy of Audiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Guo YP, Tang BS, Guo JF. PLA2G6-associated neurodegeneration (PLAN): review of clinical phenotypes and genotypes. Front Neurol 2018; 9: 1100
  • 2 Gregory A, Kurian MA, Maher ER, Hogarth P, Hayflick SJ. PLA2G6-Associated Neurodegeneration. . 2008. In: Gene Reviews®. Seattle, WA: University of Washington; , Seattle; 1993–2022. 2008 Jun 19
  • 3 Kapoor S, Shah MH, Singh N. et al. Genetic analysis of PLA2G6 in 22 Indian families with infantile neuroaxonal dystrophy, atypical late-onset neuroaxonal dystrophy and dystonia parkinsonism complex. PLoS One 2016; 11 (05) e0155605
  • 4 Aicardi J, Castelein P. Infantile neuroaxonal dystrophy. Brain 1979; 102 (04) 727-748
  • 5 Seven M, Ozkiliç A, Yüksel A. Dysmorphic face in two siblings with infantile neuroaxonal dystrophy. Genet Couns 2002; 13 (04) 465-473
  • 6 Wisniewski KE, Laure-Kamionowska M, Sher J, Pitter J. Infantile neuroaxonal dystrophy in an albino girl. A cliniconeuropathologic study. Acta Neuropathol 1985; 66 (01) 68-71
  • 7 Itoh K, Kawai S, Nishino M, Lee Y, Negishi H, Itoh H. [The clinical and pathological features of siblings with infantile neuroaxonal dystrophy–early neurological, radiological, neuroelectrophysiological and neuropathological characteristics]. No To Hattatsu 1992; 24 (03) 283-288
  • 8 Kulkarni SD, Garg M, Sayed R, Patil VA. Two unusual cases of PLA2G6-associated neurodegeneration from India. Ann Indian Acad Neurol 2016; 19 (01) 115-118
  • 9 Iannello G, Graziano C, Cenacchi G. et al. A new PLA2G6 mutation in a family with infantile neuroaxonal dystrophy. J Neurol Sci 2017; 381: 209-212
  • 10 Wang B, Wu D, Tang J. Infantile neuroaxonal dystrophy caused by PLA2G6 gene mutation in a Chinese patient: a case report. Exp Ther Med 2018; 16 (02) 1290-1294
  • 11 Carhart R, Jerger JF. Preferred method for clinical determination of pure-tone thresholds. J Speech Hear Disord 1959; 24 (04) 330-345
  • 12 Joint Committee of the American Speech-Language-Hearing Association and the Council on Education of the Deaf. Hearing loss: terminology and classification. ASHA Suppl 1998; 40 (2, suppl 18): 22-23
  • 13 Cohen M, Prasher D. The value of combining auditory brainstem responses and acoustic reflex threshold measurements in neuro-otological diagnosis. Scand Audiol 1988; 17 (03) 153-162
  • 14 Jellinger K. Neuroaxonal dystrophy: its natural history and related disorders. Progress Neuropathol 1973; 2: 129-180
  • 15 Seitelberger F. Neuroaxonal dystrophy: its relation to ageing and neurological diseases. In: Vinken PJ, Bruyn GW, Klawans HL. eds. Handbook of Clinical Neurology, vol. 49. Amsterdam: Elsevier; 1986: 391-415
  • 16 Shinzawa K, Sumi H, Ikawa M. et al. Neuroaxonal dystrophy caused by group VIA phospholipase A2 deficiency in mice: a model of human neurodegenerative disease. J Neurosci 2008; 28 (09) 2212-2220
  • 17 Morgan NV, Westaway SK, Morton JEV. et al. PLA2G6, encoding a phospholipase A2, is mutated in neurodegenerative disorders with high brain iron. Nat Genet 2006; 38 (07) 752-754
  • 18 Carrilho I, Santos M, Guimarães A. et al. Infantile neuroaxonal dystrophy: what's most important for the diagnosis?. Eur J Paediatr Neurol 2008; 12 (06) 491-500
  • 19 Sumi-Akamaru H, Beck G, Kato S, Mochizuki H. Neuroaxonal dystrophy in PLA2G6 knockout mice. Neuropathology 2015; 35 (03) 289-302
  • 20 Kinghorn KJ, Castillo-Quan JI, Bartolome F. et al. Loss of PLA2G6 leads to elevated mitochondrial lipid peroxidation and mitochondrial dysfunction. Brain 2015; 138 (Pt 7): 1801-1816
  • 21 Iodice A, Spagnoli C, Salerno GG. et al. Infantile neuroaxonal dystrophy and PLA2G6-associated neurodegeneration: an update for the diagnosis. Brain Dev 2017; 39 (02) 93-100
  • 22 Gitiaux C, Kaminska A, Boddaert N. et al. PLA2G6-associated neurodegeneration: lessons from neurophysiological findings. Eur J Paediatr Neurol 2018; 22 (05) 854-861
  • 23 Reid FM, Vernham GA, Jacobs HT. A novel mitochondrial point mutation in a maternal pedigree with sensorineural deafness. Hum Mutat 1994; 3 (03) 243-247
  • 24 Oshima T, Ikeda K, Ueda N, Takasaka T. Sensorineural hearing loss with a mitochondrial gene point mutation is highly prevalent in Japan. Assoc Res Otolaryngol 1999;11;
  • 25 DiMauro S, Bonilla E. Mitochondrial encephalomyopathies. In: Rosenberg RN, Prusiner SB, DiMauro S, Barchi RL. eds. The Molecular and Genetic Bases of Neurological Disease. Butterworth-Heinemann, II Ed. 1997: 201-236
  • 26 Ammann-Schnell L, Groeschel S, Kehrer C, Frölich S, Krägeloh-Mann I. The impact of severe rare chronic neurological disease in childhood on the quality of life of families-a study on MLD and PCH2. Orphanet J Rare Dis 2021; 16 (01) 211