Table 1.
SCA | Gene/locus | Mutation type | Key symptoms in addition to cerebellar ataxia | MRI characteristics (atrophy) |
|||||
---|---|---|---|---|---|---|---|---|---|
Brainstem | Pons | Cerebellar hemispheres | Vermis | Basal ganglia | Cortical areas | ||||
1 | ATXN1/6p22.3 | CAG repeat | Dysphagia | ++ | ++ | ++ | ++ | ++ | + |
2 | ATXN2/12q24.12 | CAG repeat | Oculomotor symptoms | ++ | +++ | ++ | ++ | (+) | ++ |
3 | ATXN3/14q32.12 | CAG repeat | Dystonia, parkinsonism, neuropathy | ++ | + | ++ | ++ | + | |
4 | /16q21.1 | Unknown | Sensory neuropathy | + | + | ||||
5 | SPTBN2/11q13.2 | Missense, n-frame deletion | Nystagmus | − | − | ++ | ++ | − | − |
6 | CACNA1A/19p13.2 | CAG repeat | + | + | +++ | +++ | + | (+) | |
7 | ATNX7/3p14.1 | CAG repeat | Visual loss | +++ | ++ | ++ | + | ||
8 | ATXN8OS/13q21 | CTG repeat | Sensory neuropathy, spasticity | − | − | ++ | ++ | − | |
9 | Unknown | Unknown | Ophthalmoplegia, pyramidal and extrapyramidal signs | ||||||
10 | ATXN10/22q13.31 | ATTCT | Epilepsy | − | ++ | ++ | |||
11 | TTBK-2/15q15.2 | Frameshift | Nystagmus | + | + | ||||
12 | PPP2R2B/5q32 | CAG repeat | Tremor | − | − | + | + | − | + |
13 | KCNC3/19q13.33 | Point mutation | Mental retardation | + | + | + | |||
14 | PRKCG/19q13.42 | Missense, deletion | Myoclonus | (+) | ++ | ++ | − | − | |
15/16 | ITPR1/3p26.1 | Missense, frameshift | Tremor | − | − | + | ++ | ||
17 | TBP/6q27 | CAG repeat | Dementia, psychiatric disorders | +++ | ++ | ++ | ++ | ||
18 | /7q22-32 | Unknown | Sensory neuropathy, muscle atrophy | + | + | (+) | |||
19/22 | KCND3/1p21-q21 | Unknown | Mental retardation | + | + | (+) | |||
20a | /11q12 | 260 kb duplication | Dysphonia, myoclonus | ++ | ++ | ||||
21 | /7p21.3-p15.1 | Unknown | Mental retardation | + | + | ||||
23 | PDYN/20p13 | Missense mutation | Sensory neuropathy, pyramidal signs | + | + | ||||
24 | /1p36 | Unknown | Pyramidal signs, axonal polyneuropathy | ||||||
25 | /2p21-13 | Unknown | Sensory neuropathy, gastrointestinal features | − | − | ++ | ++ | ||
26 | /19p13.3 | Unknown | − | − | ++ | ++ | |||
27 | FGF14/13q33.1 | Point mutation | Dyskinesia, metal retardation | − | − | ++ | ++ | − | − |
28 | AFG3L2/18p11.21 | Missense mutation | Oculomotor symptoms | − | − | ++ | ++ | − | |
29 | ITPR1/3p26 | Missense mutation | Cognitive impairment | ||||||
30 | /4q34.3-q35.1 | Unknown | |||||||
31 | TK2, BEAN/ 16q21 | TGGAA repeat | Muscular hypotonia, auditory dysfunction | ||||||
32 | /7q32-q33 | Unknown | |||||||
34 | /16p12.3-q16.2 | Unknown | Cutaneous plaques | ||||||
35 | TGM6/20p13 | Missense mutation | Oculomotor symptoms | ||||||
36 | NOP56/20q13 | Repeat expansion | Mus spasticity, fasciculations, atrophy of tongue and skeletal muscles |
AFG3L2 ATPase family gene 3 like 2, ATXN ataxin, BEAN brain expressed associated with NEDD-4, CACNA1A calcium channel voltage-dependent P/Q type alpha 1A subunit, FGF14 fibroblast growth factor 14, ITPR1 inositol triphosphate receptor type 1, KCNC3 potassium voltage-gated channel Shaw-related subfamily member 3, KCND3 potassium voltage-gated channel subfamily D member 3, NOP56 ribonucleoprotein, PDYN prodynorphin, PPP2R2B serine/threonine-protein phosphotase 2A, PRKCG protein kinase C gamma type, SPTBN2 beta-III-spectrin, TBP TATA-box binding protein, TK2 thymidine kinase 2, TGM6 transglutaminase 6, TTBK2 tau tubulin kinase 2, − no atrophy, (+) mild/inconsistently reported, + mild atrophy, ++ moderate atrophy, +++ severe atrophy, blank not reported/unknown
Calcifications of dentate nucleus