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NEUROLOGY 1997;49:1243-1246
© 1997 American Academy of Neurology

Clinical and molecular features of spinocerebellar ataxia type 6

G. Stevanin, MS, A. Dürr, MD, G. David, MS, O. Didierjean, BS, G. Cancel, MS, S. Rivaud, PhD, A. Tourbah, MD, PhD, J.-M. Warter, MD, PhD, Y. Agid, MD, PhD and A. Brice, MD

From INSERM U289 and Fédération de Neurologie, Hôpital de la Salpêtrière (G. Stevanin, G. David, O. Didierjean, and G. Cancel, and Drs. Dürr, Rivaud, Agid, and Brice), Paris, France; the Service de Neuroradiologie, Hôpital des 15/20 (Dr. Tourbah), Paris, France; and the Service des maladies du système nerveus et du muscle, Hôpital Civil (Dr. Warter), Strasbourg, France.

Address correspondence and reprint requests to Dr. A. Brice, INSERM U289, Hôpital de la Salpêtrière, 47 Bd de l'Hôpital, 75651 Paris Cédex 13, France.

The mutation involved in spinocerebellar ataxia type 6 (SCA6) is a small CAG expansion in the alpha-1A subunit of the voltage-dependent calcium channel gene. We looked for this mutation in 91 families with autosomal-dominant cerebellar ataxias and found that SCA6 is a minor locus in our series (2%) and is rare in France (1%). Furthermore, we did not detect the SCA6 mutation on 146 sporadic cases with isolated cerebellar ataxia or olivopontocerebellar atrophy. The normal and expanded alleles ranged from 4 to 15 and 22 to 28 CAG repeats, respectively, and age at onset was correlated to CAG repeat length (r = -0.87). In contrast with other SCA, the expanded allele was stable during transmission. Clinically, SCA6 patients (n = 12) presented with moderate to severe cerebellar ataxia with a lower frequency of associated signs compared with other SCA and a mean age at onset of 45± 14 years (range, 24 to 67). MRI showed extensive cerebellar atrophy but not of the brainstem or cerebral cortex.


Supported by the VERUM Foundation, the Association Française contre les Myopathies (to G.C.), and the Association pour le Développement de la Recherche sur les Maladies Génétiques Neurologiques et Psychiatriques. G.D. held fellowships from the Association Française Retinitis Pigmentosa/Retina France and the Association des Aveugles et Handicapés Visuels de France.

Received June 2, 1997. Accepted in final form August 6, 1997.




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