Movement Disorders (revue)

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Movement disorders in spinocerebellar ataxias

Identifieur interne : 001532 ( Main/Exploration ); précédent : 001531; suivant : 001533

Movement disorders in spinocerebellar ataxias

Auteurs : Judith Van Gaalen [Pays-Bas] ; Paola Giunti [Royaume-Uni] ; Bart P. Van De Warrenburg [Pays-Bas]

Source :

RBID : ISTEX:D3054452C4525607ABA28AF7A07E577B0E16B160

Descripteurs français

English descriptors

Abstract

Autosomal dominant spinocerebellar ataxias (SCAs) can present with a large variety of noncerebellar symptoms, including movement disorders. In fact, movement disorders are frequent in many of the various SCA subtypes, and they can be the presenting, dominant, or even isolated disease feature. When combined with cerebellar ataxia, the occurrence of a specific movement disorder can provide a clue toward the underlying genotype. There are reasons to believe that for some coexisting movement disorders, the cerebellar pathology itself is the culprit, for example, in the case of cortical myoclonus and perhaps dystonia. However, movement disorders in SCAs are more likely related to extracerebellar pathology, and imaging and neuropathological data indeed show involvement of other parts of the motor system (substantia nigra, striatum, pallidum, motor cortex) in some SCA subtypes. When confronted with a patient with an isolated movement disorder, that is, without ataxia, there is currently no reason to routinely screen for SCA gene mutations, the only exceptions being SCA2 in autosomal dominant parkinsonism (particularly in Asian patients) and SCA17 in the case of a Huntington's disease–like presentation without an HTT mutation. © 2011 Movement Disorder Society

Url:
DOI: 10.1002/mds.23584


Affiliations:


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