Test Detail
Paroxysmal dyskinesia (PxD) of the Soft Coated Wheaten Terrier
Neurological · Dog
Paroxysmal movement disorder of the Soft Coated Wheaten Terrier, phenotypically close to human paroxysmal non-kinesigenic dyskinesia (PNKD). The episodes combine hyperkinesia and dystonia lasting from minutes to several hours, with preserved consciousness, not induced by intense exercise and sometimes triggered by excitement. It is inherited in an autosomal recessive manner and is associated with a missense mutation in the PIGN gene, involved in GPI anchor biosynthesis.
Incidence
Affected breed: Soft Coated Wheaten Terrier. No reliable large-scale carrier frequencies are published for the general population; the disease is rare but known in the breed.
Breeder management
- Test breeding animals with the PIGN test before mating
- Do not mate two carriers: 25% risk of affected homozygotes
- A carrier may be mated to a clear animal; offspring intended for breeding must be tested
- Exclude affected homozygous animals from breeding
- Consider acetazolamide as a clinical management tool, without it replacing genetic prevention
- Do not mate two carriers: 25% risk of affected homozygotes
- A carrier may be mated to a clear animal; offspring intended for breeding must be tested
- Exclude affected homozygous animals from breeding
- Consider acetazolamide as a clinical management tool, without it replacing genetic prevention
Specialist notes
Differential diagnosis with other canine paroxysmal dyskinesias (PED of the Sheltie, episodic falling of the CKCS due to BCAN, focal epilepsy) and with toxic/metabolic myoclonus. Video of the episode is key to classifying the phenotype. Partial response to acetazolamide has been described in some cases. In humans, PIGN mutations cause MCAHS1 syndrome, suggesting comparable pathogenic pathways.
References
1. Kolicheski AL et al. (2017). A homozygous PIGN missense mutation in Soft-Coated Wheaten Terriers with a canine paroxysmal dyskinesia. Neurogenetics 18(1):39-47. PMID: 27891564
2. OMIA:002084-9615. Dyskinesia, paroxysmal, PIGN-related in Canis lupus familiaris (dog).
2. OMIA:002084-9615. Dyskinesia, paroxysmal, PIGN-related in Canis lupus familiaris (dog).