Reviewing the genetic causes of spastic-ataxias

被引:56
作者
de Bot, Susanne T. [1 ]
Willemsen, Michel A. A. P. [2 ]
Vermeer, Sascha [3 ]
Kremer, Hubertus P. H. [4 ]
van de Warrenburg, Bart P. C. [1 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Donders Inst Brain Cognit & Behav, Dept Neurol, NL-6525 ED Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, Dept Paediat Neurol, NL-6525 ED Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Dept Human Genet, NL-6525 ED Nijmegen, Netherlands
[4] Univ Groningen, Univ Med Ctr Groningen, Dept Neurol, Groningen, Netherlands
关键词
ONSET ALEXANDER-DISEASE; OF-THE-LITERATURE; FRIEDREICHS-ATAXIA; INBORN-ERRORS; CHARLEVOIX-SAGUENAY; DIAGNOSTIC-APPROACH; PARAPARESIS; MUTATIONS; PARAPLEGIA; METABOLISM;
D O I
10.1212/WNL.0b013e31826d5fb0
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Although the combined presence of ataxia and pyramidal features has a long differential, the presence of a true spastic-ataxia as the predominant clinical syndrome has a rather limited differential diagnosis. Autosomal recessive ataxia of Charlevoix-Saguenay, late-onset Friedreich ataxia, and hereditary spastic paraplegia type 7 are examples of genetic diseases with such a prominent spastic-ataxic syndrome as the clinical hallmark. We review the various causes of spastic-ataxic syndromes with a focus on the genetic disorders, and provide a clinical framework, based on age at onset, mode of inheritance, and additional clinical features and neuroimaging signs, that could serve the diagnostic workup. Neurology (R) 2012;79:1507-1514
引用
收藏
页码:1507 / 1514
页数:8
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