Eyelid retraction is not a pathognomonic sign of Machado-Joseph disease in the context of spinocerebellar ataxias.
نویسندگان
چکیده
We describe three patients with spinocerebellar ataxia (SCA) and marked eyelid retraction: A 33-year-old woman with ataxia, pyramidal signs and eyelid retraction; genetic test confirmed SCA1 (Figure A). A 41-year-old man with ataxia, ophthalmoplegia, neuropathy and eyelid retraction; genetic test confirmed SCA2 (Figure B). A 68-year-old man with ataxia, neuropathy, nystagmus and eyelid retraction; genetic test confirmed SCA3 or Machado-Joseph disease (MJD) (Figure C). Patients with SCA, other than MJD, in special SCA1, SCA2 and SCA10, may rarely present with eyelid retraction. This neurological feature presumes a more widespread degenerative process involving the midbrain. SCA patients with eyelid retraction and negative genetic test for MJD should be tested for other SCA subtypes, particularly SCA1, SCA2 and SCA10.
منابع مشابه
Spinocerebellar ataxias – genotype-phenotype correlations in 104 Brazilian families
OBJECTIVE Spinocerebellar ataxias are neurodegenerative disorders involving the cerebellum and its connections. There are more than 30 distinct subtypes, 16 of which are associated with an identified gene. The aim of the current study was to evaluate a large group of patients from 104 Brazilian families with spinocerebellar ataxias. METHODS We studied 150 patients from 104 families with spino...
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ورودعنوان ژورنال:
- Arquivos de neuro-psiquiatria
دوره 72 4 شماره
صفحات -
تاریخ انتشار 2014