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다계통위축 임상표현형으로 발현한 2형척수소뇌실조

A Patient with Spinocerebellar Ataxia 2 Presenting with Multiple System Atrophy

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초록

Spinocerebellar ataxia type-2 (SCA2) is an autosomal dominant cerebellar ataxia that occurs due to expanded CAG trinucleotide repeats in the ATXN2 gene. Clinical features of parkinsonism in SCA2 vary from phenotypes of levodopa-responsive parkinsonism to multiple system atrophy. We described a patient with SCA2 presenting typical clinical manifestations of multiple system atrophy-c type with levodopa responsive parkinsonism whose dopamine transporter (DAT) image showed atypically reduced DAT uptake in in the striatum.

Abstract

Spinocerebellar ataxia type-2 (SCA2) is an autosomal dominant cerebellar ataxia that occurs due to expanded CAG trinucleotide repeats in the ATXN2 gene. Clinical features of parkinsonism in SCA2 vary from phenotypes of levodopa-responsive parkinsonism to multiple system atrophy. We described a patient with SCA2 presenting typical clinical manifestations of multiple system atrophy-c type with levodopa responsive parkinsonism whose dopamine transporter (DAT) image showed atypically reduced DAT uptake in in the striatum.

참고문헌 (10)

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  6. De Joanna G, "Autonomic nervous system abnormalities in spinocerebellar ataxia type 2 : a cardiovascular neurophysiologic study", J Neurol Sci, 275, pp.60~63 (2008)
  7. Payami H, "SCA2 may present as levodopa-responsive parkinsonism", Mov Disord, 18, pp.425~429 (2003)
  8. Kim JM, "Importance of low-range CAG expansion and CAA interruption in SCA2Parkinsonism", JAMA Neurology, 64, pp.1510~1518 (2007)
  9. beta-CIT SPECT imaging demonstrates reduced density of striatal dopamine transporters in Parkinson's disease and multiple system atrophy, "Mov Disord", 2001, 1023~1032
  10. Oh M, "Subregional patterns of preferential striatal dopamine transporter loss differ in Parkinson disease, progressive supranuclear palsy, and multiplesystem atrophy", J Nucl Med, 53, pp.399~406 (2012)

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