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From the Dipartimento di Genetica Biologia e Biochimica (Drs. Brussino, Saluto, Arduino, Migone, and Brusco), Università degli Studi di Torino and S.C. Genetica Medica, Ospedale San Giovanni Battista di Torino, Turin; Unità Operativa Biochimica e Genetica (Drs. Gellera, Mariotti, Castellotti, and Taroni), IRCCS Istituto Nazionale Neurologico "Carlo Besta," Milan; Unità Operativa di Neurologia (Dr. Camerlingo), Policlinico San Marco, Zingonia, Bergamo; Centro Malattie Neuromuscolari (Dr. de Angelis), Università "G. DAnnunzio," Chieti; Dipartimento di Neuroscienze (Dr. Orsi), Università di Torino, Turin; and Istituto Neurologico "C. Mondino" (Dr. Tosca), IRCCS, Pavia, Italy.
Address correspondence and reprint requests to Dr. Alfredo Brusco, Dipartimento di Genetica, Biologia e Biochimica, Università degli Studi di Torino, via Santena 19, 10126 Torino, Italy; e-mail: alfredo.brusco{at}unito.it
In an Italian population of 275 unrelated men affected by adult-onset sporadic progressive cerebellar ataxia, the authors found six patients carrying an FMR1 gene premutation. Age at onset (range, 53 to 69 years) and clinical-neuropathologic findings were consistent with the fragile-X tremor ataxia syndrome (FXTAS), although tremor was not as common as previously described. FXTAS accounted for 4.2% of the cases diagnosed at >50 years, suggesting that it is a frequent genetic cause of late-onset sporadic ataxia.
Received May 13, 2004. Accepted in final form August 19, 2004.
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