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Motor evoked potentials in the spinocerebellar ataxias type 1 and type 3

✍ Scribed by Ludger Schöls; Georgios Amoiridis; Mathias Langkafel; Stephan Schöls; Horst Przuntek


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
45 KB
Volume
20
Category
Article
ISSN
0148-639X

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✦ Synopsis


Autosomal dominant cerebellar ataxias (ADCA) are a clinically and genetically heterogeneous group of neurodegenerative disorders characterized by progressive cerebellar ataxia and a varying combination of pyramidal and extrapyramidal signs, peripheral neuropathy, external ophthalmoplegia, and dysphagia. Electrophysiological evaluation of ADCA resulted in contrary results similar to the large clinical variability of these diseases. Above all, motor evoked potentials (MEP) were inhomogeneous in hitherto defined subgroups and were not related to disease duration or other known factors. Recently, several gene loci responsible for ADCA have been described. For two genetically defined subtypes, spinocerebellar ataxia type 1 (SCA1) 9 and spinocerebellar ataxia type 3 (SCA3), 6,13 the diseasecausing mutations have been characterized as expanded trinucleotide (CAG) n repeats. SCA3 has been shown to be genetically identical to Machado-Joseph disease despite clinical differences. 11 However, SCA1 is clinically indistinguishable from SCA3, and affection of peripheral and central motor pathways is frequently found in both diseases. We investigated MEP in 7 SCA1 and 31 SCA3 patients and correlated MEP results with clinical and genetic data.


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