The Cerebellum

, Volume 15, Issue 1, pp 26–29 | Cite as

Non-Ataxic Presenting Symptoms of Dominant Ataxias

Review

Abstract

While the onset of a dominantly inherited ataxia is typically taken to be the onset of gait ataxia, a wide range of other symptoms related to central and/or peripheral nervous system impairment, or even to non-neurological involvement, can be the presenting feature. Knowledge of these is fairly robust for the commonest spinocerebellar ataxias (SCAs 1, 2, 3 and 6) and for those where a striking non-ataxic presentation is the norm (SCAs 7 and 12), but the literature is potentially misleading in the rarer dominant ataxias. This review summarises what is currently known of these non-ataxic presentations and outlines and explains the difficulties associated with determining non-ataxic presentations of dominant ataxias. The relevant literature was surveyed, including systematic reviews (where available) and case reports. Non-ataxic presentations of dominant ataxias are classified by symptom.

Keywords

Spinocerebellar ataxias SCAs Dominant ataxias Clinical presentation 

Notes

Conflict of Interest

The author declares no conflict of interest for this submission.

References

  1. 1.
    Klockgether T, Ludtke R, Kramer B, Abele M, Burk K, Schols L, et al. The natural history of degenerative ataxia: a retrospective study in 466 patients. Brain. 1998;121:589–600.CrossRefPubMedGoogle Scholar
  2. 2.
    Jacobi H, Reetz K, Tezenas du Montcel S, Bauer P, Mariotti C, Nanetti L, et al. Biological and clinical characteristics of individuals at risk for spinocerebellar ataxia types 1, 2, 3, and 6 in the longitudinal RISCA study: analysis of baseline data. Lancet Neurol. 2013;12:650–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Globas C, Tezenas du Montcel S, Baliko L, Boesch S, Depondt C, DiDonato S, et al. Early symptoms in spinocerebellar ataxia type 1, 2, 3, and 6. Movement Disord. 2008;23:2232–8.CrossRefPubMedGoogle Scholar
  4. 4.
    Waters MF, Minassian NA, Stevanin G, Figueroa KP, Bannister JP, Nolte D, et al. Mutations in voltage-gated potassium channel KCNC3 cause degenerative and developmental central nervous system phenotypes. Nat Genet. 2006;38:447–51.CrossRefPubMedGoogle Scholar
  5. 5.
    Cagnoli C, Stevanin G, Brussino A, Barberis M, Mancini C, Margolis RL, et al. Missense mutations in the AFG3L2 proteolytic domain account for ~1.5% of European autosomal dominant cerebellar ataxias. Hum Mutat. 2010;31:1117–24.CrossRefPubMedGoogle Scholar
  6. 6.
    Rossi M, Perez-Lioret S, Doldan L, Cerquetti D, Balej J, Millar Vernetti P, et al. Autosomal dominant cerebellar ataxias: a systematic review of clinical features. Eur J Neurol. 2014;21:607–15.CrossRefPubMedGoogle Scholar
  7. 7.
    Rossi M, Perez-Lioret S, Cerquetti D, Merello M. Movement disorders in autosomal dominant cerebellar ataxias: a systematic review. Movement Disord. 2014;1:154–60.CrossRefGoogle Scholar
  8. 8.
    Jacobi H, Rakowicz M, Rola R, Fancellu R, Marlotti C, Charles P, et al. Inventory of non-ataxia signs (INAS): validation of a new clinical assessment instrument. Cerebellum. 2013;12:418–28.CrossRefPubMedGoogle Scholar
  9. 9.
    Martin JJ. Spinocerebellar ataxia type 7. Handbook of Clinical Neurology. 2012;103:475–91.CrossRefPubMedGoogle Scholar
  10. 10.
    Ohyagi Y, Yamada T, Okayama A, Sakae N, Yamasaki T, Ohshima T, et al. Vergence disorders in patients with spinocerebellar ataxia 3/Machado-Joseph disease: a synoptophore study. J Neurol Sci. 2000;173:120–3.CrossRefPubMedGoogle Scholar
  11. 11.
    Garcia-Murias M, Quintans B, Arias M, Seixas AI, Cacheiro P, Tarrio R, et al. ‘Costa da Morte’ ataxia is spinocerebellar ataxia 36: clinical and genetic characterization. Brain. 2012;135:1423–35.PubMedCentralCrossRefPubMedGoogle Scholar
  12. 12.
    Ouyang Y, Sakoe K, Shimazaki H, Namekawa M, Ogawa T, Ando Y, et al. 16q-linked autosomal dominant cerebellar ataxia: a clinical and genetic study. J Neurol Sci. 2006;247:180–6.CrossRefPubMedGoogle Scholar
  13. 13.
    Flanigan K, Gardner K, Alderson K, Galster B, Otterud B, Leppert MF, et al. Autosomal dominant spinocerebellar ataxia with sensory axonal neuropathy (SCA4): clinical description and genetic localization to chromosome 16q22.1. Am J Hum Genet. 1996;59:392–9.PubMedCentralPubMedGoogle Scholar
  14. 14.
    Brkanac Z, Fernandez M, Matsushita M, Lipe H, Wolff J, Bird TD, et al. Autosomal dominant sensory/motor neuropathy with ataxia (SMNA): linkage to chromosome 7q22-q32. Am J Med Genet. 2002;114:450–7.CrossRefPubMedGoogle Scholar
  15. 15.
    Webb TEF, Poulter M, Beck J, Uphill J, Adamson G, Campbell T, et al. Phenotypic heterogeneity and genetic modification of P102L inherited prion disease in an international series. Brain. 2008;131:2632–46.PubMedCentralCrossRefPubMedGoogle Scholar
  16. 16.
    Pedroso JL, Franca MC, Braga-Neto P, D’Abreu A, Saraiva-Pereira ML, Saute JA, et al. Nonmotor and extracerebellar features in Machado-Joseph disease: a review. Movement Disord. 2013;28:1200–8.CrossRefPubMedGoogle Scholar
  17. 17.
    Stevanin G, Bouslam N, Thobois S, Azzedine H, Ravaux L, Boland A, et al. Spinocerebellar ataxia with sensory neuropathy (SCA25) maps to chromosome 2p. Ann Neurol. 2004;55:97–104.CrossRefPubMedGoogle Scholar
  18. 18.
    van Gaalen J, Giunti P, van de Warrenburg BP. Movement disorders in spinocerebellar ataxias. Movement Disord. 2011;26:792–800.CrossRefPubMedGoogle Scholar
  19. 19.
    Brusse E, de Koning I, Maat-Kievit A, Oostra BA, Heutink P, van Swieten JC. Spinocerebellar ataxia associated with a mutation in the fibroblast growth factor 14 gene (SCA27): a new phenotype. Movement Disord. 2006;21:396–401.CrossRefPubMedGoogle Scholar
  20. 20.
    Ikeda Y, Ranum LPW, Day JW. Clinical and genetic features of spinocerebellar ataxia type 8. Handbook of Clinical Neurology. 2012;103:493–505.CrossRefPubMedGoogle Scholar
  21. 21.
    Schelhaas HJ, van de Warrenburg BPC. Clinical, psychological, and genetic characteristics of spinocerebellar ataxia type 19 (SCA19). Cerebellum. 2005;4:51–4.CrossRefPubMedGoogle Scholar
  22. 22.
    Bauer P, Laccone F, Rolfs A, Wullner U, Bosch S, Peters H, et al. Trinucleotide repeat expansion in SCA 17/TBP in white patients with Huntington’s disease-like phenotype. J Med Genet. 2004;41:230232.CrossRefGoogle Scholar
  23. 23.
    Tsuji S. Dentatorubral-pallidoluysian atrophy. Handbook of Clinical Neurology. 2012;103:587–94.CrossRefPubMedGoogle Scholar
  24. 24.
    Hagenah JM, Zuhlke C, Hellenbroich Y, Heide W, Klein C. Focal dystonia as a presenting sign of spinocerebellar ataxia 17. Movement Disord. 2004;19:217–20.CrossRefPubMedGoogle Scholar
  25. 25.
    Paulson H. Machado-Joseph disease/spinocerebellar ataxia type 3. Handbook of Clinical Neurology. 2012;103:437–49.PubMedCentralCrossRefPubMedGoogle Scholar
  26. 26.
    Kim J-Y, Kim SY, Kim J-M, Kim YK, Yoon K-Y, Kim JY, et al. Spinocerebellar ataxia type 17 mutation as a causative and susceptibility gene in parkinsonism. Neurology. 2009;72:1385–9.CrossRefPubMedGoogle Scholar
  27. 27.
    Grewal RP, Achari M, Matsuura T, Durazo A, Tayag E, Zu L, et al. Clinical features and ATTCT repeat expansion in spinocerebellar ataxia type 10. Arch Neurol. 2002;59:1285–90.CrossRefPubMedGoogle Scholar
  28. 28.
    McFarland KN, Liu J, Landrian I, Zeng D, Raskin S, Moscovich M, et al. Repeat interruptions in spinocerebellar ataxia type 10 expansions are strongly associated with epileptic seizures. Neurogenetics. 2014;15:59–64.PubMedCentralCrossRefPubMedGoogle Scholar
  29. 29.
    Rolfs A, Koeppen AH, Bauer I, Bauer P, Buhlmann S, Topka H, et al. Clinical features and neuropathology of autosomal dominant spinocerebellar ataxia (SCA17). Ann Neurol. 2003;54:367–75.CrossRefPubMedGoogle Scholar
  30. 30.
    Jiang H, Yi J-P, Tang B-S. Protective effect of valproate on SCA3/MJD transgenic cell and drosophila models. Movement Disord. 2010;25 Suppl 2:S192.Google Scholar
  31. 31.
    Cadieux-Dion M, Turcotte-Gauthier M, Noreau A, Martin C, Meloche C, Gravel M, et al. Expanding the clinical phenotype associated with ELOVL4 mutation: study of a large French-Canadian family with autosomal dominant spinocerebellar ataxia and erythrokeratodermia. JAMA Neurol. 2014;71:470–5.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Medicine (Neuroscience)Monash UniversityMelbourneAustralia
  2. 2.Department of NeuroscienceAlfred HospitalMelbourneAustralia

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