Eyelid retraction is not a pathognomonic sign of Machado-Joseph disease in the context of spinocerebellar ataxias.

نویسندگان

  • José Luiz Pedroso
  • Paulo Victor Sgobbi de Souza
  • Wladimir Bocca Vieira de Rezende Pinto
  • Marcus Vinicius Cristino Albuquerque
  • Orlando G P Barsottini
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.

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عنوان ژورنال:
  • Arquivos de neuro-psiquiatria

دوره 72 4  شماره 

صفحات  -

تاریخ انتشار 2014