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. 2010 Jan 18;2:4. doi: 10.3410/B2-4

Table 1. Mutations in CACNA1A underlie three allelic disorders: EA2, FHM and SCA6.

Disease Core clinical features Additional features Inheritance Mutations Functional consequences
Episodic ataxia type 2 (EA2) Attacks of ataxia, vomiting, vertigo, oscillopsia lasting hours to days, and interictal nystagmus Epilepsy, migraine, and progressive cerebellar syndrome Autosomal dominant Nonsense and missense mutations, small deletions and insertions, and large deletions Loss of function
Familial hemiplegic migraine type 1 (FHM1) Rare subtype of MA: attacks of hemiparesis and hemisensory disturbance lasting hours to days Confusion, encephalopathy, ataxia, coma, and seizures Autosomal dominant Missense mutations Gain of function
Spinocerebellar ataxia type 6 (SCA6) Late-onset progressive cerebellar ataxia Autosomal dominant CAG expansion in C-terminus Alteration of CaV2.1 channel kinetics; polyglutamine cytotoxicity?

The clinical and genetic features of each disorder are described. The effect of mutations on CaV2.1 channel function is stated. MA, migraine with aura.