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â  slowly progressive cerebellar ataxia and cervical dystonia: clinical presentation of a new form of spinocerebellar ataxia? â  authors: address: national hospital for neurology and neurosurgery, institute of neurology, queen square, london, united kingdom. Journal: publication: abstract we describe 5 cases with a rare combination of young-onset, slowly progressive cerebellar ataxia and cervical dystonia. Two were sporadic, whereas the other 3 were familial, including 2 from one family. The age of onset of these cases was between 16 and 37 years. The presenting symptom was cervical dystonia and/or dystonic head tremor in 3 patients and hand or lower limb tremor in 2. In 2 cases, cervical dystonia and/or dystonic head tremor developed approximately 6 to 10 years before cerebellar dysfunction, and in three they developed at the same time. Apart from cervical dystonia, there was mild dystonic limb involvement in 2 cases, but generalized dystonia was not seen. Cerebellar ataxia was slowly progressive. A literature search showed 10 cases of cervical dystonia associated with genetically undetermined (n = 5) or genetically proven (n = 5) spinocerebellar ataxia (sca). When the genotype was known, these patients had either sca3, 6, 7, or 12. However, our 5 cases (or their first-degree relatives) tested negative for sca1, 2, 3, 6, and 7, and in the 4 cases (or their first-degree relatives) tested for sca12, the result was negative. We propose that this rare phenotype manifesting as a combination of cerebellar ataxia and cervical dystonia may represent one or more new, as yet uncharacterized, genotypes of inherited young-onset spinocerebellar ataxia. Copyright movement disorder society related articles review progressive ataxia and palatal tremor (papt): clinical and mri assessment with review of palatal tremors. Brain. 2004 review progressive ataxia and palatal tremor (papt): clinical and mri assessment with review of palatal tremors. Samuel m, torun n, tuite pj, sharpe ja, lang ae. Brain. 2004 jun; 127(pt 6):1252-68. Epub 2004 apr 16. Focal dystonia as a presenting sign of spinocerebellar ataxia 17. Mov disord. 2004focal dystonia as a presenting sign of spinocerebellar ataxia 17. Hagenah jm, zã¼hlke c, hellenbroich y, heide w, klein c. Mov disord. 2004 feb; 19(2):217-20. Visualization, quantification and correlation of brain atrophy with clinical symptoms in spinocerebellar ataxia types 1, 3 and 6. Neuroimage. 2010visualization, quantification and correlation of brain atrophy with clinical symptoms in spinocerebellar ataxia types 1, 3 and 6. Schulz jb, borkert j, wolf s, schmitz-hã¼bsch t, rakowicz m, mariotti c, schã¶ls l, timmann d, van de warrenburg b, dã¼rr a, et al. Neuroimage. 2010 jan 1; 49(1):158-68. Epub 2009 jul 22. Sca-12: tremor with cerebellar and cortical atrophy is associated with a cag repeat expansion. Neurology. viagra online where to buy viagra cheap generic viagra cheap viagra buy cheap viagra buy cheap viagra buy generic viagra cheap viagra viagra cheap pills generic viagra united states 2001sca-12: tremor with cerebellar and cortical atrophy is associated with a cag repeat expansion. O'hearn e, holmes se, c.
     

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