Presentation
In this review, we analyzed previously reported SCA15 phenotypes and present a novel SCA15 phenotype. [mayoclinic.pure.elsevier.com]
We also present genetic analyses for all subjects and longitudinal MRI data for one affected subject. [openaccess.city.ac.uk]
These reports and the present did not examine missense mutations. [nature.com]
All patients with SCA15 (n=10) presented with slowly progressive cerebellar ataxia and vermal cerebellar atrophy, while clinical and electrophysiological signs of extracerebellar affection were mild and more variable. [ncbi.nlm.nih.gov]
Respiratoric
- Rhinitis
The patient was also diagnosed with irritable bowel syndrome, allergic rhinitis, and temporomandibular joint disorder. Social history The patient lives with her husband and has two adult children. [omicsonline.org]
Only seen in adolescent males Nasal polyps Cystic fibrosis, aspirin induced asthma, allergic rhinitis( repeated) Laryngeal papilloma Benign papillary tumor of vocal cord, hpv 6/11. [studystack.com]
Musculoskeletal
- Short Arm
A genome-wide scan revealed significant evidence for linkage to the short arm of chromosome 3. The highest two-point LOD score was obtained with D3S3706 (Z = 3.4, theta = 0.0). [ncbi.nlm.nih.gov]
In 2007, partial deletions of the ITPR1 gene on the distal short arm of chromosome 3 was identified to cause SCA15 development [ 14, 15 ]. [link.springer.com]
Neurologic
- Hyperreflexia
Affiliated tissues include eye, brain and testes, and related phenotypes are dysarthria and hyperreflexia Disease Ontology : 12 An autosomal dominant cerebellar ataxia that is characterized by progressive ataxia, nystagmus, dysarthria and dysphagia, has [malacards.org]
CLINICAL CHARACTERISTICS: Spinocerebellar ataxia type 15 (SCA15) is characterized by slowly progressive gait and limb ataxia, often in combination with ataxic dysarthria, titubation, upper limb postural tremor, mild hyperreflexia, gaze-evoked nystagmus [ncbi.nlm.nih.gov]
Showing of 17 | 30%-79% of people have these symptoms Cerebellar atrophy Degeneration of cerebellum 0001272 Gait ataxia Inability to coordinate movements when walking 0002066 Head tremor 0002346 Hyperreflexia Increased reflexes 0001347 Upper limb postural [rarediseases.info.nih.gov]
ITPR1](http://omim.org/entry/147265) Symptoms and phenotype Spinocerebellar ataxia type 15 (SCA15) is characterized by slowly progressive gait and limb ataxia, often in combination with ataxic dysarthria, titubation, upper limb postural tremor, mild hyperreflexia [flybase.org]
- Oscillopsia
Mild dysphagia usually after two or more decades of symptoms has been observed in members of multiple affected families and movement-induced oscillopsia has been described in one member of an affected family. [ncbi.nlm.nih.gov]
Mild dysphagia and movement-induced oscillopsia (a bouncing and blurring of vision) have been observed in some patients. Symptoms typically present between the ages of 7 and 66 years. Gait ataxia and tremor are often the first noticeable symptoms. [rarediseases.info.nih.gov]
Workup
In selected patients with lower cranial dystonia, especially jaw and tongue dystonia, SCA2 might be considered during the diagnostic workup. [movementdisorders.org]
DDx 4. workup 5. [quizlet.com]
Treatment
There is no effective treatment known to modify disease progression. [rarediseases.info.nih.gov]
MANAGEMENT: Treatment of manifestations: Physical and occupational therapy; management of neurogenic dysphagia, if it occurs. [ncbi.nlm.nih.gov]
At the time of designation, no satisfactory methods were authorised in the EU for the treatment of spinocerebellar ataxia. Patients were mainly given supportive treatment aimed at easing the symptoms of the disease. [ema.europa.eu]
Treatment Treatment Options: No treatment is available. [disorders.eyes.arizona.edu]
Lithium treatment Start treatment and remain in hospital until the blood level of the drug is stabilized; continue treatment at home after hospital discharge. Admission 2 (2-4 days, 4 weeks after hospital discharge). [clinicaltrials.gov]
Prognosis
Prognosis Prognosis is generally good and life-shortening events do not usually occur. Some patients live beyond 80 years of age. [orpha.net]
SCA Type 3, also known as Machado-Joseph disease (MJD) is the most common (21%) of all SCAs and shares the same prognosis of 10-20 years. [spinocerebellarataxia.org]
Prognosis Spinocerebellar ataxias due to repeat expansion mutations usually become sick in middle age. In addition to ataxia, other neurological findings are often present depending on the variant of SCA. [verywell.com]
They most likely affected the clinical severity and also the cause of the poor prognosis. SCA31 is an autosomal dominant disorder with adult onset and a slowly progressive pure cerebellar ataxia. [karger.com]
Etiology
Beginning with an examination of the cerebellar region, and then progressing to a fresh perspective on the clinical aspects of the various forms of ataxia, this handbook gives clinicians a state-of-the-art reference for the management of the many etiologies [books.google.com]
Etiology Genetic testing has shown that patients originally classified under SCA15 and SCA16 have the same subtype caused by a deletion in the inositol 1,4,5-triphosphate receptor 1 ITPR1 gene (3p26.1). [orpha.net]
Etiology 4. Radiology 5. [quizlet.com]
Differential diagnoses revealed no signs of metabolic or inflammatory etiologies. The cerebellar symptoms gradually worsened. His SARA score was 21 at the age of 62 years. Fig. 1. Sagittal T1-weighted MRI showing cerebellar atrophy ( a, arrow). [karger.com]
Epidemiology
Summary Epidemiology Prevalence is unknown. Fewer than 80 patients affected by the disease have been identified to date. Clinical description Age of onset is from 20 to 66 years (mean age = 39.6 years). [orpha.net]
[…] left dominant form Familial isolated arrhythmogenic ventricular dysplasia, right dominant form Synonym(s): - SCA15/16 Classification (Orphanet): - Rare genetic disease - Rare neurologic disease Classification (ICD10): - Diseases of the nervous system - Epidemiological [csbg.cnb.csic.es]
Relevant External Links for ITPR1 Genetic Association Database (GAD) ITPR1 Human Genome Epidemiology (HuGE) Navigator ITPR1 Atlas of Genetics and Cytogenetics in Oncology and Haematology: ITPR1 No data available for Genatlas for ITPR1 Gene Deletion at [genecards.org]
The Global Epidemiology of Hereditary Ataxiaand Spastic Paraplegia: A systematic review of prevalence studies. Neuroepidemiology 2014; 24:174-183. Ashizawa T, Figueroa KP, Perlman SL, et al. [rarediseases.org]
Pathophysiology
Advances in genetics have led to the successful classification of over 20 forms of autosomal dominant and recessive cerebellar ataxias with variable phenotypes and have shed light on the underlying pathophysiology of many of these disorders. [journals.lww.com]
"Cerebellar ataxia: Pathophysiology and rehabilitation". Clinical Rehabilitation. 25 (3): 195–216. doi : 10.1177/0269215510382495. PMID 21321055. ^ "SCA2 information sheet from www.ataxia.org" (PDF). Archived from the original (PDF) on 2012-07-12. [en.wikipedia.org]
Prevention
Prevention of secondary complications: Aids for walking and home modifications to help prevent falls; prevention/treatment of osteoporosis to reduce fracture risk. [ncbi.nlm.nih.gov]
Protein coding - A0A0N4SWH7 - 5' and 3' truncations in transcript evidence prevent annotation of the start and the end of the CDS. [ensembl.org]
In spinocerebellar ataxia, trehalose is expected to help prevent abnormal proteins from forming deposits, thereby reducing the damage to cells and the symptoms of the disease. The effects of trehalose have been evaluated in experimental models. [ema.europa.eu]
Proteins mediating transfer of information – hormones, cytokines, receptors Locomotive Proteins that are responsible for movement – myosin, actin … Transport Proteins that transport various substances – haemoglobin, transferrin, … Defensive Proteins that prevent [slideshare.net]