## Abstract We report on a 39‐year‐old man who presented initially with marked blepharospasm, oromandibular dystonia and retrocollis and one year later developed mild ataxia. Our findings suggest that dystonia can be a disabling presenting sign of SCA1 and support the clinical heterogeneity of SCA1
Focal dystonia as a presenting sign of spinocerebellar ataxia 17
✍ Scribed by Johann M. Hagenah; Christine Zühlke; Yorck Hellenbroich; Wolfgang Heide; Christine Klein
- Publisher
- John Wiley and Sons
- Year
- 2004
- Tongue
- English
- Weight
- 542 KB
- Volume
- 19
- Category
- Article
- ISSN
- 0885-3185
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✦ Synopsis
We report on the clinical manifestation of spinocerebellar ataxia 17 (SCA17) in 3 members of a German family, in whom the pathological repeat expansion in the TATA-binding protein gene ranged from 53 to 55 repeats (normal: 29-42). The main clinical features were focal dystonia as presenting sign, followed by cerebellar ataxia, and, in the later course of one case, dementia and marked spasticity with signs of cerebellar and cerebral atrophy on brain computed tomography (CT) scan. In conclusion, SCA17 mutations should be considered in the differential diagnosis of focal dystonia.
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