J Am Acad Audiol
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 revealed abnormal findings in 10 out of 13 children (77%). The findings indicated sensorineural hearing loss in six 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