Parkinsonism and nigrostriatal dysfunction are associated with spinocerebellar ataxia type 6 (SCA6)

被引:35
作者
Khan, NL
Giunti, P
Sweeney, MG
Scherfler, C
Brien, MO
Piccini, P
Wood, NW
Lees, AJ
机构
[1] Royal Free Hosp, Reta Lila Weston Inst Neurol Studies, London W1P 6DB, England
[2] Inst Neurol, Dept Mol Neurosci, London WC1N 3BG, England
[3] Hammersmith Hosp, Imperial Coll, Fac Med, MRC,Clin Sci Ctr, London, England
[4] Hammersmith Hosp, Imperial Coll, Fac Med, Div Neurosci, London, England
[5] Guys Hosp, Dept Neurol, London SE1 9RT, England
[6] UCL, Sch Med, London W1P 6DB, England
基金
英国医学研究理事会;
关键词
SCA6; cerebellar ataxia; CACNA1Al (18)F dopa PET; parkinsonism;
D O I
10.1002/mds.20564
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
SCA6 is a slowly progressive, late-onset cerebellar ataxia due to a trinucleotide expansion in the CACNA1A gene. We describe two unrelated cases that presented with Parkinsonism and cerebellar ataxia. One case was L-dopa-responsive with a pattern of (18)F-dopa uptake similar to Parkinson's disease, and the second case was not L-dopa-responsive and had an atypical pattern of nigrostriatal dysfunction. We suggest that SCA6, in common with SCA2 and SCA3, may be associated with Parkinsonism attributable to nigral loss and dopaminergic dysfunction. Moreover, isolated cases may be confused with multiple system atrophy. (C) 2005 Movement Disorder Society.
引用
收藏
页码:1115 / 1119
页数:5
相关论文
共 21 条
[1]   Molecular epidemiology of spinocerebellar ataxia type 6 [J].
Craig, K ;
Keers, SM ;
Archibald, K ;
Curtis, A ;
Chinnery, PF .
ANNALS OF NEUROLOGY, 2004, 55 (05) :752-755
[2]   Dystonia and cerebellar atrophy in Cacna1a null mice lacking P/Q calcium channel activity [J].
Fletcher, CF ;
Tottene, A ;
Lennon, VA ;
Wilson, SM ;
Dubel, SJ ;
Paylor, R ;
Hosford, DA ;
Tessarollo, L ;
Tessarollo, L ;
McEnery, MW ;
Pietrobon, D ;
Copeland, NG ;
Jenkins, NA .
FASEB JOURNAL, 2001, 15 (07) :1288-1290
[3]   Spinocerebellar ataxia type 6 - Frequency of the mutation and genotype-phenotype correlations [J].
Geschwind, DH ;
Perlman, S ;
Figueroa, KP ;
Karrim, J ;
Baloh, RW ;
Pulst, SM .
NEUROLOGY, 1997, 49 (05) :1247-1251
[4]   Spinocerebellar ataxia type 2 with parkinsonism in ethnic Chinese [J].
Gwinn-Hardy, K ;
Chen, JY ;
Liu, HC ;
Liu, TY ;
Boss, M ;
Seltzer, W ;
Adam, A ;
Singleton, A ;
Koroshetz, W ;
Waters, C ;
Hardy, J ;
Farrer, M .
NEUROLOGY, 2000, 55 (06) :800-805
[5]  
Harding A.E., 1984, HEREDITARY ATAXIAS R
[6]   Spinocerebellar ataxia type 6:: CAG repeat expansion in α1A voltage-dependent calcium channel gene and clinical variations in Japanese population [J].
Ikeuchi, T ;
Takano, H ;
Koide, R ;
Horikawa, Y ;
Honma, Y ;
Onishi, Y ;
Igarashi, S ;
Tanaka, H ;
Nakao, N ;
Sahashi, K ;
Tsukagoshi, H ;
Inoue, K ;
Takahashi, H ;
Tsuji, S .
ANNALS OF NEUROLOGY, 1997, 42 (06) :879-884
[7]   Abundant expression and cytoplasmic aggregations of α1A voltage-dependent calcium channel protein associated with neurodegeneration in spinocerebellar ataxia type 6 [J].
Ishikawa, K ;
Fujigasaki, H ;
Saegusa, H ;
Ohwada, K ;
Fujita, T ;
Iwamoto, H ;
Komatsuzaki, Y ;
Toru, S ;
Toriyama, H ;
Watanabe, M ;
Ohkoshi, N ;
Shoji, S ;
Kanazawa, I ;
Tanabe, T ;
Mizusawa, H .
HUMAN MOLECULAR GENETICS, 1999, 8 (07) :1185-1193
[8]   Episodic ataxia type 2 (EA2) and spinocerebellar ataxia type 6 (SCA6) due to CAG repeat expansion in the CACNA1A gene on chromosome 19p [J].
Jodice, C ;
Mantuano, E ;
Veneziano, L ;
Trettel, F ;
Sabbadini, G ;
Calandriello, L ;
Francia, A ;
Spadaro, M ;
Pierelli, F ;
Salvi, F ;
Ophoff, RA ;
Frants, RR ;
Frontali, M .
HUMAN MOLECULAR GENETICS, 1997, 6 (11) :1973-1978
[9]   Clinical and subclinical dopaminergic dysfunction in PARK6-linked parkinsonism:: An 18F-dopa PET study [J].
Khan, NL ;
Valente, EM ;
Bentivoglio, AR ;
Wood, NW ;
Albanese, A ;
Brooks, DJ ;
Piccini, P .
ANNALS OF NEUROLOGY, 2002, 52 (06) :849-853
[10]  
Kohira I, 2001, No To Shinkei, V53, P1119