We detected a missense mutation in exon 10 of tau that causes a substitutio
n at codon 279 (N279K)in a Japanese patient with a familial background of p
arkinsonism and dementia originally described as pallido-nigro-luysian dege
neration. This mutation is the same as one seen in a Caucasian family with
pallido-ponto-nigral degeneration. The similarities between these two famil
ies suggest a common genetic mechanism that may account for the peculiar di
stribution of neuroglial degeneration with tauopathy.