Table 1.
P III3 | P III4 | |
---|---|---|
Sex | F | M |
Age at onset | 30 | 20 |
Age at exam | 66 | 64 |
Cognitive deficits | + | + |
Pyramidal system | ||
UL/LL spasticity | −/+ | −/+ |
UL/LL tendon reflexes | N | N |
Babinski | + | + |
Peripheral motor system | ||
UL/LL weakness | N | N |
Muscle atrophy | − | − |
Cerebellar system | ||
Saccadic pursuit | − | − |
Dysartria | − | − |
Tremor | − | − |
Ataxia | − | − |
Vibration/surface sensitive | D | D |
Urinary/fecal urgency | N | N |
Dentation abnormalities | − | − |
SPRS score | 39 | 28 |
Neurophysiology | ||
Abnormal nerve conduction | − | − |
Abnormal MEPs | + | + |
Abnormal SEPs | + | + |
Abnormal VEPs | + | + |
Abnormal BAEPs | + | + |
MRI | ||
Spinal cord atrophy | n.d | + |
Cerebellar atrophy | − | − |
TCC | − | − |
SCP hyperintensity (FLAIR) | + | + |
Hypomyelination | − | − |
BAEPs, Brainstem Auditory Evoked Potential; D, decrease of clinical sign; I, increase of clinical sign; F, female; LL, lower limb; M, male; MEP, motor evoked potential; n.d., not done; N, normal/unchanged findings; SCP, superior cerebellar peduncle; SEP, cortical latencies of somatosensory evoked potentials; SPRS: spastic paraplegia rating scale; TCC, thin corpus callosum; UL, upper limb; VEP, cortical latencies of visual evoked potentials. +, clinical sign is present; −, clinical sign is absent.