Joseph's disease: Clinical and pathological studies in a Japanese family

Joseph's disease is a hereditary ataxia found among descendants of Portuguese from the Azores Islands. We describe the clinical and pathological features of 4 members of a Japanese family who were diagnosed as having Joseph's disease. The illness began with cerebellar ataxia between the ag...

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Veröffentlicht in:Annals of neurology 1986-02, Vol.19 (2), p.152-157
Hauptverfasser: Yuasa, Tatsuhiko, Ohama, Eisaku, Harayama, Hiromi, Yamada, Mitsunori, Kawase, Yasuhiro, Wakabayashi, Masatoshi, Atsumi, Tetsushi, Miyatake, Tadashi
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container_end_page 157
container_issue 2
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container_title Annals of neurology
container_volume 19
creator Yuasa, Tatsuhiko
Ohama, Eisaku
Harayama, Hiromi
Yamada, Mitsunori
Kawase, Yasuhiro
Wakabayashi, Masatoshi
Atsumi, Tetsushi
Miyatake, Tadashi
description Joseph's disease is a hereditary ataxia found among descendants of Portuguese from the Azores Islands. We describe the clinical and pathological features of 4 members of a Japanese family who were diagnosed as having Joseph's disease. The illness began with cerebellar ataxia between the ages of 18 and 45 years. Nystagmus, dysarthria, and pyramidal signs were early manifestations. External ophthalmoplegia, dystonia and/or athetotic movements, and muscular atrophy appeared in the late stages. Neuropathological findings in one patient revealed degeneration of the dentatorubral and pallidoluysian systems, substantia nigra, pontocerebellar system, Clarke's column and spinocerebellar tracts, and anterior horn cells, as well as the cranial nuclei in the brainstem. Neurons in the inferior olivary nuclei, Purkinje's and granule cells, the cerebral cortex, thalamus, and striatum were spared. Involvement of the dentatorubral and pallidoluysian systems seems to be a characteristic feature of this disease in Japan.
doi_str_mv 10.1002/ana.410190207
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We describe the clinical and pathological features of 4 members of a Japanese family who were diagnosed as having Joseph's disease. The illness began with cerebellar ataxia between the ages of 18 and 45 years. Nystagmus, dysarthria, and pyramidal signs were early manifestations. External ophthalmoplegia, dystonia and/or athetotic movements, and muscular atrophy appeared in the late stages. Neuropathological findings in one patient revealed degeneration of the dentatorubral and pallidoluysian systems, substantia nigra, pontocerebellar system, Clarke's column and spinocerebellar tracts, and anterior horn cells, as well as the cranial nuclei in the brainstem. Neurons in the inferior olivary nuclei, Purkinje's and granule cells, the cerebral cortex, thalamus, and striatum were spared. 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Prion diseases</subject><subject>Female</subject><subject>Genes, Dominant</subject><subject>Humans</subject><subject>Japan</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle Spasticity - genetics</subject><subject>Muscle Spasticity - pathology</subject><subject>Nervous System - pathology</subject><subject>Neurology</subject><subject>Pedigree</subject><subject>Syndrome</subject><issn>0364-5134</issn><issn>1531-8249</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9P2zAUx61pqOtgxx0n5TCxU8COfyW7lYpSUIELiKP1mjyv3tIk5LUa_e8xa1TtxMny9338_NWHsa-CnwnOs3No4EwJLgqecfuBjYWWIs0zVXxkYy6NSrWQ6hP7TPSbc14YwUdsJAsjrbZjNr9pCbvVD0qqQAiEP5NpHZpQQp1AUyUdbFZt3f76F9BmWwWkJDQJJDfQQYOEiYd1qHcn7MhDTfhlOI_Z4-zyYTpPF_dX19PJIi2VKWwKqsLK2qIsM7_Ecun1kuuYZFnmcw1CCwQfb6grI6XPYgRC6DzX3EpdVPKYne73dn37vEXauHWgEus6lmm35Kyxucq1imC6B8u-JerRu64Pa-h3TnD3Zs5Fc-5gLvLfhsXb5RqrAz2oivPvwxwoyvA9NGWgA5abQkjDI2b32N9Q4-79P93kbvJ_gaFwoA2-HF5C_8cZGyu4p7srdyvV9GG2uHAX8hXXY5Rd</recordid><startdate>198602</startdate><enddate>198602</enddate><creator>Yuasa, Tatsuhiko</creator><creator>Ohama, Eisaku</creator><creator>Harayama, Hiromi</creator><creator>Yamada, Mitsunori</creator><creator>Kawase, Yasuhiro</creator><creator>Wakabayashi, Masatoshi</creator><creator>Atsumi, Tetsushi</creator><creator>Miyatake, Tadashi</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Willey-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198602</creationdate><title>Joseph's disease: Clinical and pathological studies in a Japanese family</title><author>Yuasa, Tatsuhiko ; Ohama, Eisaku ; Harayama, Hiromi ; Yamada, Mitsunori ; Kawase, Yasuhiro ; Wakabayashi, Masatoshi ; Atsumi, Tetsushi ; Miyatake, Tadashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4697-a4ded779cc2fbecbf5b05ed7222f85a151eaf722e5d633f25a1a11588507359d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Cerebellar Ataxia - epidemiology</topic><topic>Cerebellar Ataxia - genetics</topic><topic>Cerebellar Ataxia - pathology</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. 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subjects Adolescent
Biological and medical sciences
Cerebellar Ataxia - epidemiology
Cerebellar Ataxia - genetics
Cerebellar Ataxia - pathology
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Female
Genes, Dominant
Humans
Japan
Male
Medical sciences
Middle Aged
Muscle Spasticity - genetics
Muscle Spasticity - pathology
Nervous System - pathology
Neurology
Pedigree
Syndrome
title Joseph's disease: Clinical and pathological studies in a Japanese family
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