Main clinical features
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is a genetically heterogeneous disorder characterized by progressive iron accumulation in the basal ganglia and other regions of the brain, resulting in extrapyramidal movements, such as parkinsonism and dystonia; age at onset, cognitive involvement, and mode of inheritance is variable
progressive potentially treatable adult-onset movement disorder
typically presented with involuntary movements at 40 to 55 years of age; symptoms of extrapyramidal dysfunction included choreoathetosis, dystonia, spasticity, and rigidity, sometimes showing acute progression but not associated with significant cognitive decline or cerebellar involvement
MRI scan showed cavitation of the basal ganglia confirmed by brain pathology |