Movement Disorders (revue)

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Parkinsonism and nigrostriatal dysfunction are associated with spinocerebellar ataxia type 6 (SCA6)

Identifieur interne : 003280 ( Istex/Corpus ); précédent : 003279; suivant : 003281

Parkinsonism and nigrostriatal dysfunction are associated with spinocerebellar ataxia type 6 (SCA6)

Auteurs : Naheed L. Khan ; Paola Giunti ; Mary G. Sweeney ; Christoph Scherfler ; Michael O. Brien ; Paola Piccini ; Nicholas W. Wood ; Andrew J. Lees

Source :

RBID : ISTEX:97B5EC4B92FBD267222DBD8DEEB9FDE6296A20DE

English descriptors

Abstract

SCA6 is a slowly progressive, late‐onset cerebellar ataxia due to a trinucleotide expansion in the CACNA1A gene. We describe two unrelated cases that presented with Parkinsonism and cerebellar ataxia. One case was L‐dopa–responsive with a pattern of 18F‐dopa uptake similar to Parkinson's disease, and the second case was not L‐dopa–responsive and had an atypical pattern of nigrostriatal dysfunction. We suggest that SCA6, in common with SCA2 and SCA3, may be associated with Parkinsonism attributable to nigral loss and dopaminergic dysfunction. Moreover, isolated cases may be confused with multiple system atrophy. © 2005 Movement Disorder Society

Url:
DOI: 10.1002/mds.20564

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ISTEX:97B5EC4B92FBD267222DBD8DEEB9FDE6296A20DE

Le document en format XML

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<title type="main" xml:lang="en">Parkinsonism and nigrostriatal dysfunction are associated with spinocerebellar ataxia type 6 (SCA6)</title>
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<p> This article includes Supplementary Video, available online at
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<caption> Subject III.6 (Family 2) shows facial hypomimia and a mixed cerebellar and parkinsonian dysarthrophonia with bilateral bradykinesia. Gait is broad‐based and there is poor arm swing. This video presentation has been abbreviated. The full version will appear on theMovementDisorders DVD Supplement, which is issued bi‐annually. </caption>
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<abstract lang="en">SCA6 is a slowly progressive, late‐onset cerebellar ataxia due to a trinucleotide expansion in the CACNA1A gene. We describe two unrelated cases that presented with Parkinsonism and cerebellar ataxia. One case was L‐dopa–responsive with a pattern of 18F‐dopa uptake similar to Parkinson's disease, and the second case was not L‐dopa–responsive and had an atypical pattern of nigrostriatal dysfunction. We suggest that SCA6, in common with SCA2 and SCA3, may be associated with Parkinsonism attributable to nigral loss and dopaminergic dysfunction. Moreover, isolated cases may be confused with multiple system atrophy. © 2005 Movement Disorder Society</abstract>
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