Klivényi Péter, Horváth Zoltán, Vécsei László
Szegedi Tudományegyetem, Neurológiai Klinika, 6725 Szeged, Semmelweis u. 6.
Ideggyogy Sz. 2004 Jan 20;57(1-2):11-22.
In the past decade, a great progress has been made in understanding genetic basis of the spinocerebellar ataxia. Based upon the genotypes, more then 20 subgroups of autosomal dominant spinocerebellar ataxia have been identified with different gene mutations. Neither the pathomechanism nor the function of these genes is fully understood. In these disorders the main clinical sign is ataxia. Other symptoms may be present as well, but no specific clinical feature is known for differentiating subgroups. Specific diagnosis can be made by genetic tests. In this review we summarize the clinical features and genetic backgrounds of the most common spinocerebellar ataxias.
在过去十年中,人们对脊髓小脑共济失调的遗传基础有了很大进展。根据基因型,已鉴定出20多个常染色体显性脊髓小脑共济失调亚组,它们具有不同的基因突变。这些基因的发病机制和功能均未完全明确。在这些疾病中,主要临床症状是共济失调。也可能存在其他症状,但尚无用于区分亚组的特异性临床特征。特异性诊断可通过基因检测做出。在本综述中,我们总结了最常见的脊髓小脑共济失调的临床特征和遗传背景。