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Rod-cone dystrophy in spinocerebellar ataxia type 1
Journal article   Open access   Peer reviewed

Rod-cone dystrophy in spinocerebellar ataxia type 1

Matthew J Thurtell, Valérie Biousse and Nancy J Newman
Archives of ophthalmology (1960), Vol.129(7), pp.956-958
07/2011
DOI: 10.1001/archophthalmol.2011.172
PMCID: PMC4012413
PMID: 21746990
url
https://doi.org/10.1001/archophthalmol.2011.172View
Published (Version of record) Open Access

Abstract

Spinocerebellar ataxia type 1 (SCA1) is a rare autosomal dominant neurodegenerative disease caused by a CAG triplet repeat expansion in the SCA1 gene on chromosome 6, encoding for a protein called ataxin-1.1 Spinocerebellar ataxia type 1 typically produces a progressive cerebellar syndrome, with prominent ataxia, dysarthria, and bulbar palsy.2 Early ophthalmologic manifestations include saccadic hypermetria, gaze-evoked nystagmus, and rebound nystagmus, with saccadic slowing and ophthalmoplegia developing in the later stages of the disease.2,3 Decreased visual acuity, dyschromatopsia, and optic atrophy are less commonly reported, with attenuation of oscillatory potentials on full-field electroretinography (ERG) also reported in 6 patients.4 We describe a patient with genetically confirmed SCA1 who developed progressive painless binocular vision loss and had evidence of rod and cone photoreceptor dysfunction on full-field ERG.
Magnetic Resonance Imaging Electroretinography Spinocerebellar Ataxias - complications Ataxin-1 Blindness - diagnosis Humans Middle Aged Blepharospasm - etiology Retinitis Pigmentosa - genetics Visual Acuity Nerve Tissue Proteins - genetics Disease Progression Retinitis Pigmentosa - diagnosis Spinocerebellar Ataxias - diagnosis Ataxins Blepharospasm - diagnosis Visual Fields Female Retinitis Pigmentosa - etiology Nuclear Proteins - genetics Blindness - etiology Photoreceptor Cells, Vertebrate - pathology Spinocerebellar Ataxias - genetics

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