Movement Disorders (revue)

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Movement Disorders in Spinocerebellar Ataxias

Identifieur interne : 002703 ( PascalFrancis/Curation ); précédent : 002702; suivant : 002704

Movement Disorders in Spinocerebellar Ataxias

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

Source :

RBID : Pascal:11-0228422

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.
pA  
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A11 01  1    @1 VAN GAALEN (Judith)
A11 02  1    @1 GIUNTI (Paola)
A11 03  1    @1 VAN DE WARRENBURG (Bart P.)
A14 01      @1 Department of Neurology, Donders Institute of Brain, Cognition and Behaviour, Centre for Neuroscience, Radboud University Nijmegen Medical Centre @2 Nijmegen @3 NLD @Z 1 aut. @Z 3 aut.
A14 02      @1 Department of Molecular Neuroscience, Institute of Neurology, Queen Square @2 London @3 GBR @Z 2 aut.
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C01 01    ENG  @0 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.
C02 01  X    @0 002B17
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C03 01  X  FRE  @0 Pathologie du système nerveux @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Ataxie spinocérébelleuse @2 NM @5 09
C03 02  X  ENG  @0 Spinocerebellar ataxia @2 NM @5 09
C03 02  X  SPA  @0 Ataxia spinocerebelosa @2 NM @5 09
C03 03  X  FRE  @0 Ataxie cérébelleuse @2 NM @5 10
C03 03  X  ENG  @0 Cerebellar ataxia @2 NM @5 10
C03 03  X  SPA  @0 Ataxia cerebelosa @2 NM @5 10
C03 04  X  FRE  @0 Noyau gris central @5 11
C03 04  X  ENG  @0 Basal ganglion @5 11
C03 04  X  SPA  @0 Núcleo basal @5 11
C07 01  X  FRE  @0 Maladie dégénérative @5 37
C07 01  X  ENG  @0 Degenerative disease @5 37
C07 01  X  SPA  @0 Enfermedad degenerativa @5 37
C07 02  X  FRE  @0 Maladie héréditaire @5 38
C07 02  X  ENG  @0 Genetic disease @5 38
C07 02  X  SPA  @0 Enfermedad hereditaria @5 38
C07 03  X  FRE  @0 Pathologie du système nerveux central @5 39
C07 03  X  ENG  @0 Central nervous system disease @5 39
C07 03  X  SPA  @0 Sistema nervosio central patología @5 39
C07 04  X  FRE  @0 Encéphale @5 41
C07 04  X  ENG  @0 Encephalon @5 41
C07 04  X  SPA  @0 Encéfalo @5 41
C07 05  X  FRE  @0 Système nerveux central @5 42
C07 05  X  ENG  @0 Central nervous system @5 42
C07 05  X  SPA  @0 Sistema nervioso central @5 42
N21       @1 150
N44 01      @1 OTO
N82       @1 OTO

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Pascal:11-0228422

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