M. Schuelke et al., Treatment of ataxia in isolated vitamin E deficiency caused by alpha-tocopherol transfer protein deficiency, J PEDIAT, 134(2), 1999, pp. 240-244
Dysfunction of the alpha-tocopherol transfer protein causes ataxia with iso
lated vitamin E deficiency. A 14-year-old male patient presented with ataxi
a and mental symptoms caused by a homozygous (552G-->A) alpha-tocopherol tr
ansfer protein mutation. After initiation of high-dosage alpha-tocopherol t
herapy, the organic mental syndrome disappeared and cognitive function impr
oved rapidly. Neurologic recovery, however, was slow and incomplete.