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Abstract Details

PINK1 Parkinson’s Disease in New Zealand: An Overview
Movement Disorders
P3 - Poster Session 3 (11:45 AM-12:45 PM)
5-019

To document the demographic and clinical features in a cohort of PINK1 Parkinson’s patients living in New Zealand.

PINK1 Parkinson’s disease has been described in Polynesian populations, however, the clinical phenotype of this condition has not been well elucidated.

We performed a retrospective chart review of demographic and clinical factors including age of onset of symptoms, years since onset, levodopa daily dose at time of assessment, and additional Parkinson’s disease medications.

Amongst 27 patients with genetically confirmed PINK1 Parkinson’s disease, 10 were female, the median age was 56 (range 30-70), the median age of onset was 35 (range 12- 54) and the median body mass index was 31.4 (range 27 to 39). In terms of ethnicity, 15 were Samoan, 8 Tongan, 3 Tokelauan and 1 was Filipino. At the time of latest assessment, a median of 17 years (range 2 to 40) had elapsed since onset of symptoms. At this time, medication information was available on 25 of the 27 patients. 23 were on levodopa (11 monotherapy, 12 in combination with other treatments). The most common other treatments were apomorphine (n=7) and amantadine (n=5). The median levodopa daily dose (at median of 17 years since onset) was 600mg (interquartile range 350mg to 1000mg).

The cohort of PINK1 patients in New Zealand are of almost exclusive western Polynesian ethnicity. The onset of symptoms was largely before age 50 and the patients remained on relatively low daily levodopa doses 17 years after first symptoms. This may indicate a prolonged treatment responsiveness of PINK1 Parkinson's disease.

Authors/Disclosures
Shilpan G. Patel, MBChB
PRESENTER
Dr. Patel has nothing to disclose.
Joseph Donnelly, MBChB Dr. Donnelly has nothing to disclose.
Christina M. Buchanan, PhD The institution of Dr. Buchanan has received research support from Health Research Council. Dr. Buchanan has received personal compensation in the range of $0-$499 for serving as a Enroll-HD Investigator Meeting Attendee with CHDI. Dr. Buchanan has a non-compensated relationship as a Awards Committee Member with Neurological Foundation New Zealand that is relevant to AAN interests or activities.
Garcia S. Vailahi, MSc Mr. Vailahi has nothing to disclose.
Satupaitea Viali, MBBS, FRACP Prof. Viali has nothing to disclose.
Chris Puliuvea, PhD Dr. Puliuvea has nothing to disclose.
Viswas V. Dayal, MD (Auckland Hospital (ADHB)- NEUROLOGY DEPT) Dr. Dayal has nothing to disclose.
Richard Roxburgh, MD, PhD, FRACP (Auckland Hospital) Dr. Roxburgh has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Roche. Dr. Roxburgh has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for CHDI. The institution of Dr. Roxburgh has received research support from Biogen. The institution of Dr. Roxburgh has received research support from Roche.