Bachmann H, Lössner J
Z Gesamte Inn Med. 1981 Jun 1;36(11):387-93.
Heredoataxias correspond to a larger number of etiologically different and for the greatest part not yet clarified neurogenic clinical pictures, the common characteristics of which are only the heredity and the leading symptoms of the spinocerebellar ataxia. A systematization and classification of the heredoataxias is therefore above all still based on clinical and pathologo-anatomical signs and may scarcely consider etiologic points of view. Own observations of two of the most important hereditary forms of ataxia, of Friedreich's disease and of the autosomal dominant cerebellar ataxias (Pierre Marie) make clear the problems of the diagnostic limitation and of the genetic advice. From these observations and from the literature references for an optimum subtile clinical and paraclinical diagnostics in heredoataxias are derived.
遗传性共济失调是指大量病因各异且大多尚未明确的神经源性临床病症,其共同特征仅为遗传以及脊髓小脑共济失调的主要症状。因此,遗传性共济失调的系统化和分类首先仍然基于临床及病理解剖学体征,几乎无法考虑病因学观点。对两种最重要的遗传性共济失调形式,即弗里德赖希共济失调和常染色体显性遗传性小脑共济失调(皮埃尔·玛丽型)的自身观察,明确了诊断局限性和遗传咨询方面的问题。从这些观察以及文献参考中得出了遗传性共济失调最佳精细临床和辅助临床诊断方法。