Movement Disorders (revue)

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Machado‐Joseph disease in New England: Clinical description and distinction from the olivopontocerebellar atrophies

Identifieur interne : 005F95 ( Main/Exploration ); précédent : 005F94; suivant : 005F96

Machado‐Joseph disease in New England: Clinical description and distinction from the olivopontocerebellar atrophies

Auteurs : Sudarsky [États-Unis] ; Lee Corwin [États-Unis] ; David M. Dawson [États-Unis]

Source :

RBID : ISTEX:AB45BEC78DDF7D24F880F16D691639D4CED9B1CF

English descriptors

Abstract

Experience is described in 25 patients from southern New England with Machado‐Joseph Disease, examined serially at annual screening clinics. The disorder is dominantly inherited, with a wide range of phenotypic variation. Core clinical features described include ataxia, nystagmus, dysarthria, facial fasciculations, and lid retraction, producing a characteristic staring expression. In addition, young onset patients have spasticity, extrapyramidal rigidity, and dystonic manifestations. Late onset patients often have distal atrophy and sensory loss. Postural instability is often an early feature. We discuss the distinction of this entity from the olivopontocerebellar atrophies.

Url:
DOI: 10.1002/mds.870070303


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Experience is described in 25 patients from southern New England with Machado‐Joseph Disease, examined serially at annual screening clinics. The disorder is dominantly inherited, with a wide range of phenotypic variation. Core clinical features described include ataxia, nystagmus, dysarthria, facial fasciculations, and lid retraction, producing a characteristic staring expression. In addition, young onset patients have spasticity, extrapyramidal rigidity, and dystonic manifestations. Late onset patients often have distal atrophy and sensory loss. Postural instability is often an early feature. We discuss the distinction of this entity from the olivopontocerebellar atrophies.</div>
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