Koyano S, Iwabuchi K
Department of Neurology and Psychiatry, Kanagawa Rehabilitation Center.
Nihon Rinsho. 1999 Apr;57(4):805-10.
Spinocerebellar ataxia type 2 (SCA2) is an inherited neurodegenerative disorder characterized clinically by cerebellar ataxia, slow eye movement, hyporeflexia, involuntary movement, dementia and sensory disturbance and neuropathologically by neuronal loss, mainly in the cerebellar cortex involving all three layers, the pontine nucleus, the inferior olivary nucleus, anterior horn, substantia nigra and thalamus. For making one's diagnosis, it is necessary to give careful consideration to two factors, (age at onset, disease duration). A distinctive neuropathological feature is having both simple atrophy (without degeneration) and numerical atrophy. SCA2 is associated with an expanded CAG repeat that encodes polyglutamine of a gene and a larger number of the repeat is associated with earlier onset and more severe symptoms and more severe neuronal degenerations.
2型脊髓小脑共济失调(SCA2)是一种遗传性神经退行性疾病,临床特征为小脑共济失调、眼球运动缓慢、反射减退、不自主运动、痴呆和感觉障碍,神经病理学特征为神经元丢失,主要累及小脑皮质的所有三层、脑桥核、下橄榄核、前角、黑质和丘脑。在进行诊断时,有必要仔细考虑两个因素(发病年龄、病程)。一个独特的神经病理学特征是既有单纯萎缩(无变性)又有数量萎缩。SCA2与编码基因多聚谷氨酰胺的CAG重复序列扩增有关,重复序列数量越多,发病越早,症状越严重,神经元变性越严重。