Chorea acanthocytosis (CHAC)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Chorea acanthocytosis (CHAC). This is caused by mutations in the VPS13A gene. The gene encodes chorein. Fully referenced neurology checklist.

Genetics

  • This is caused by mutations in the VPS13A gene
  • The gene encodes chorein
  • The transmission is autosomal recessive

Central clinical features

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Clinical differential diagnosis

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Differential diagnosis: disorders associated with acanthocytes

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Differential diagnosis: disorders associated with occasional acanthocytes

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References

  1. Walker S, Dad R, Thiruvahindrapuram B, et al. Chorea-acanthocytosis: Homozygous 1-kb deletion in VPS13A detected by whole-genome sequencing. Neurol Genet. 2018; 4:e242.
  2. Kobal J, Dobson-Stone C, Danek A, Fidler V, Zvan B, Zaletel M. Chorea-acanthocytosis presenting as dystonia. Acta Clin Croat 2014; 53:107-112.
  3. Benninger F, Afawi Z, Korczyn AD, et al. Seizures as presenting and prominent symptom in chorea-acanthocytosis with c.2343del VPS13A gene mutation. Epilepsia 2016; 57:549-556.
  4. Al-Asmi A, Jansen AC, Badhwar A, et al. Familial temporal lobe epilepsy as a presenting feature of choreoacanthocytosis. Epilepsia 2005; 46:1256-1263.
  5. Weber J, Frings L, Rijntjes M, et al. Chorea-acanthocytosis presenting as autosomal recessive epilepsy in a family with a novel VPS13A mutation. Front Neurol 2019; 9:1168. 
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