TABLE 1.
Clinical presentation summary of ataxia cohort.
Cohort | ID #1 | ID #2 | ID #3 | ID #4 | ID #5 | ID #6 | ID #7 | ID #8 |
---|---|---|---|---|---|---|---|---|
Gender | M | F | M | M | M | M | F | M |
Age (current) | 71 | 84 | 79 | 83 | 76 | 45 | 49 | 86 |
Age (onset) | 56 | 73 | 61 | 75 | 61 | 30 | 43 | 71 |
Ethnicity | French/Egypt | Italian | French Canadian | Czech | French Canadian | French Canadian | French Canadian | Polish |
SARA score (at evaluation) | 12.5 a | 7.5 a | 9.0 a | 18.0 a | 6.0 a | 1.0 a | 0 a | 22.0 |
Episodes | Weekly | Infrequent | Daily | Monthly | 3-4x/week | Daily | 1-2x/month | Almost daily |
Duration | Unknown | 15 min | 15 min–1 h | 30 min | ≤15 min | 30 min–1 h | 30 min | 1–2 h |
Triggers | Unknown | Unknown | Fatigue Exercises Coffee Hot drinks | Reading | Stress Fatigue | Stress Exercises Alcohol Sudden head movements | Stress Exercises | Fatigue Exercises |
Progression | X | X | X | X | X | - b | X | X |
Atrophy | Cerebellar Cervical | Cerebellar Bil. Temporal | - | - | - | Cervical (osteophytes) | - | Cerebellar (angioma) |
Vertigo | X | - | - | X | - | - | X | - |
Eye phenotypes | Smooth pursuit ↓NystagmusOphtalmoparesia | Smooth pursuit ↓ Nystagmus | Smooth pursuit ↓ Nystagmus | Smooth pursuit ↓ NystagmusSaccades (hyper) | Smooth pursuit ↓Nystagmus Saccades (hyper) | Smooth pursuit ↓ Nystagmus Ophtalmoparesia | Smooth pursuit ↓ Nystagmus | Smooth pursuit ↓ Nystagmus |
Diplopia | Moderate | Mild | Mild | - | Mild | Mild | - | Mild |
Dysarthria | Mild-Moderate | Moderate | Mild | Moderate | Mild | - | - | Mild-Moderate |
Dysphagia | - | - | Mild | Mild | - | - | - | Mild |
Dysmetria | Mild | Mild | Mild | Mild | Mild | - | - | Mild-Moderate |
Reflexes | Hyper | Hyper | Hypo | Hypo | Hyper | - | Hyper | - |
Impaired sensory system | Mild-severe auditory | Mild vibratory | Mild vibratory | Severe multiple | Moderate vibratory | - | - | Severe vibratory |
Tremor | - | Intention | Mild action | - | Mild postural | - | - | - |
Muscle weakness | - | - | X | Lower limb | - | - | - | X |
Spasticity | Lower limb (Moderate) | - | - | - | Lower limb (Mild) | - | - | - |
Treatment responses | - | - | Acetazolamide ± (stopped) | Acetazolamide ± (stopped) | - | - | Gabapentin ± | Acetazolamide – (stopped) |
Erenumab + | ||||||||
Others | Babinski sign Dyslipidemia ↑ Vitamin E Hearing loss | Lypothymia Cataracts | Falls | Migraines Diabetes | Urinary dysfunction Peritonitis | Headaches Falls | Migraines Ocular pain Endometriosis Asthma | Arythmia Dyslipidemia |
Family history | Sister (balance) | - | Father (similar) | - | Son (ID#6) Brother (similar) | Father (ID#5) | Sister (Spastic paraplegia) | - |
Gene panel | Mitome-DG e 163 genes (2014) Targeted POLG SCA1-8 (2014) | NGS431 e , d 530 genes (2019) NGS420 g c 531 genes (2021) | NGS324 g 361 genes (2019) NGS431 g c 530 genes (2022) | Ataxia&DD f 197 genes (2018) | Ataxia h 150 genes (2018) | NDD14 f 108 genes (2018) Ataxia&DD f 96 genes (2018) | NGS408 g 362 genes (2019) | NGS324.6 g 113 genes (2015) Targeted KCNA1 CACNA1A (2015) |
Negative hits | 167 genes | 528 genes | 530 genes | 191 genes | 148 genes | 200 genes | 361 genes | 113 genes |
Positive hits(Report VUS) | MTO1PCCB CYTB | MTOR c NAGLU c ELOVL4 c | - | RPGRIP1LSCYL1GBA2 DMXL2ACO2PEX2 | WFS1RPGRIP1L | WFS1SPG7 SYNE1 (2)MTTP | ITPR1 | TTBK2 SYNE1 |
Recorded outside EA spells.
No recent progression.
Ordered for diagnosis confirmation testing.
Results unavailable.
GeneDx™.
CeGaT™.
MNG, Laboratories™.
Fulgent genetics.