Should spinocerebellar ataxias be included in the differential diagnosis for Huntington's diseases-like syndromes?

Should spinocerebellar ataxias be included in the differential diagnosis for Huntington's diseases-like syndromes?

Author Pedroso, Jose Luiz Autor UNIFESP Google Scholar
Thomaz de Freitas, Maria Eliza Autor UNIFESP Google Scholar
Cristino Albuquerque, Marcus Vinicius Autor UNIFESP Google Scholar
Saraiva-Pereira, Maria Luiza Google Scholar
Jardim, Laura Bannach Google Scholar
Barsottini, Orlando G. P. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Hosp Clin Porto Alegre
Abstract In this article, we describe three patients with different spinocerebellar ataxia (SCA) subtypes presenting with unusual movement disorders predominantly characterized by choreoathetosis, which, together with their autosomal dominant pattern of inheritance, resembled the Huntington-like syndromes. From a large SCA cohort, we have observed chorea in 1/35 SCA2, 1/112 SCA3/MJD, and 1/30 SCA7 patients. Twenty-eight patients with SCA1, 11 patients with SCA6, and 3 patients with SCA10 were also evaluated, and none of them presented chorea. We provide a brief report of the three cases, with a video demonstrating chorea. Although a debate regarding the frequency of chorea in SCA patients is a fact, its occurrence, together with the autosomal dominant pattern of inheritance, clearly imposes SCA in the differentials of Huntington-like syndromes. There is some debate about what to include in a list of Huntington-like disorders, with several review articles about Huntington-like syndromes not including SCA in the differential diagnosis, except for SCA17. We believe that SCAs at least. SCA1, SCA2, SCA3/MJD, SCA7 and DRPLA should be thought in the diagnostic workout of at least the atypical cases, such as those presented in this report. (C) 2014 Elsevier B.V. All rights reserved.
Keywords Spinocerebellar ataxia
SCA
Autosomal dominant
Movement disorders
Chorea
Huntington-like syndromes
Language English
Date 2014-12-15
Published in Journal of the Neurological Sciences. Amsterdam: Elsevier B.V., v. 347, n. 1-2, p. 356-358, 2014.
ISSN 0022-510X (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 356-358
Origin http://dx.doi.org/10.1016/j.jns.2014.09.050
Access rights Closed access
Type Article
Web of Science ID WOS:000347576500059
URI http://repositorio.unifesp.br/handle/11600/38554

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