Defects in gene SEPSECS are the main cause of pontocerebellar hypoplasia type 2D.
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Treatment of PCH2D is symptomatic and palliative, while prognosis is guarded.
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The present case of PCH2D has consisting myopathy with mild mitochondrial abnormalities and optic nerve atrophy, never before been reported.
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These findings suggest a shared genetic background between PCH2D and optic nerve atrophy.
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Also it is stressed the biological importance of selenoproteins in the regulation of neuronal and metabolic homeostasis.
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