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Published 23 January 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.08.2008.0632]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

G2019S LRRK2 mutation causing Parkinson’s disease without Lewy bodies

Carles Gaig1, María José Martí1, Mario Ezquerra1, Adriana Cardozo2, Maria Jesus Rey2, Eduardo Tolosa1

1 Hospital Clínic i Universitari de Barcelona, Movement disorders Unit. Neurology Service, Villarroel 170, Barcelona, 08036, Spain
2 Universitat de Barcelona, Branc de Teixits Neurologics, Villarroel 170, Barcelona, 08036, Spain

Correspondence to:
mjmarti{at}clinic.ub.es

SUMMARY

The G2019S leucine-rich repeat kinase 2 gene (LRRK2) mutation has been identified in a significant proportion of familial and sporadic cases of Parkinson’s disease (PD). Until now, information on the neuropathological changes associated with the G2019S LRRK2 mutation has been sparse. We report a 77-year-old patient who presented with a 14 year history of PD but, unexpectedly, histopathological examination disclosed mild neuronal loss in the substantia nigra without {alpha}-synuclein, tau or ubiquitin cytoplasmic inclusions. A G2019S LRRK2 mutation was eventually detected. The present case confirms that clinical PD caused by G2019S mutations can be associated with non-specific nigral degeneration without Lewy


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