Table 5.
Notable autosomal dominant cerebellar ataxia syndromes
Genetic Disorder | Mutation | Other Movement Disorder Features | Neurologic Features |
---|---|---|---|
SCA1 | CAG expansion ATXN1 |
Early bulbar symptoms Dysarthria, dysphagia Hypermetric saccades |
|
SCA2 | CAG expansion ATXN2 |
Parkinsonism Truncal titubation Postural & rest tremors |
Slowed saccades Ophthalmoplegia Hyporeflexia Motor neuron disease |
SCA3 (Machado-Joseph disease) | CAG expansion ATXN3 |
Parkinsonism Dystonia Restless leg syndrome |
Fasciculations Bulging eyes Ophthalmoplegia |
SCA6 | CAG expansion CACN1A |
Pure cerebellar syndrome | Downbeating nystagmus |
SCA7 | CAG expansion ATXN7 |
Pigmentary retinal macular degeneration Slowed saccades Spasticity |
|
SCA17 (Huntington disease-like) | CAG expansion TBP |
Parkinsonism Chorea |
Early dysarthria Early dementia Psychiatric disorder |
Abbreviation: SCA, spinocerebellar ataxia.