Spinocerebellar ataxia 15: A phenotypic review and expansion

Spinocerebellar ataxia 15 (SCA15) is a clinically heterogeneous movement disorder characterized by the adult onset of slowly progressive cerebellar ataxia. ITPR1 is the SCA15 causative gene. However, despite numerous reports of genetically-confirmed SCA15, phenotypic uncertainty persists. We reviewe...

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Veröffentlicht in:Neurologia i neurochirurgia polska 2017-01, Vol.51 (1), p.86-91
Hauptverfasser: Tipton, Philip W., Guthrie, Kimberly, Strongosky, Audrey, Reimer, Ronald, Wszolek, Zbigniew K.
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container_title Neurologia i neurochirurgia polska
container_volume 51
creator Tipton, Philip W.
Guthrie, Kimberly
Strongosky, Audrey
Reimer, Ronald
Wszolek, Zbigniew K.
description Spinocerebellar ataxia 15 (SCA15) is a clinically heterogeneous movement disorder characterized by the adult onset of slowly progressive cerebellar ataxia. ITPR1 is the SCA15 causative gene. However, despite numerous reports of genetically-confirmed SCA15, phenotypic uncertainty persists. We reviewed the phenotypes of 60 patients for whom SCA15 was confirmed by the presence of a genetic deletion involving ITPR1. The most prevalent symptoms were gait ataxia (88.3%), dysarthria (75.0%), nystagmus (73.3%), and limb ataxia (71.7%). We also present a novel SCA15 phenotype in a woman with an ITPR1 variant found to have hydrocephalus that improved with ventriculoperitoneal shunting. This is the first reported case of hydrocephalus associated with SCA15. In this review, we analyzed previously reported SCA15 phenotypes and present a novel SCA15 phenotype. We also address important considerations for evaluating patients with complex hereditary movement disorders.
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subjects Ataxia
Autosomal dominant spinocerebellar ataxia
Complex hereditary movement disorder
Female
Humans
Hydrocephalus
Hydrocephalus - etiology
Middle Aged
Phenotype
Spinocerebellar ataxia type 15
Spinocerebellar Ataxias - complications
Spinocerebellar Ataxias - genetics
Spinocerebellar Ataxias - physiopathology
Whole exome sequencing
title Spinocerebellar ataxia 15: A phenotypic review and expansion
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