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October 27, 2015; 85 (17) Clinical/Scientific Notes

Autopsy case of severe generalized dystonia and static ataxia with marked cerebellar atrophy

Ryosuke Miyamoto, Hiroyuki Sumikura, Toshiaki Takeuchi, Mitsuru Sanada, Koji Fujita, Toshitaka Kawarai, Hideo Mure, Ryoma Morigaki, Satoshi Goto, Shigeo Murayama, Yuishin Izumi, Ryuji Kaji
First published September 25, 2015, DOI: https://doi.org/10.1212/WNL.0000000000002061
Ryosuke Miyamoto
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Hiroyuki Sumikura
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Toshiaki Takeuchi
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Mitsuru Sanada
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Koji Fujita
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Toshitaka Kawarai
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Hideo Mure
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Ryoma Morigaki
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Satoshi Goto
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Shigeo Murayama
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Yuishin Izumi
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Ryuji Kaji
From The University of Tokushima Graduate School (R. Miyamoto, T.T., K.F., T.K., H.M., R. Morigaki, S.G., Y.I., R.K.), Tokushima; Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (H.S., S.M.); and Shigaraki National Hospital (M.S.), Shiga, Japan.
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Citation
Autopsy case of severe generalized dystonia and static ataxia with marked cerebellar atrophy
Ryosuke Miyamoto, Hiroyuki Sumikura, Toshiaki Takeuchi, Mitsuru Sanada, Koji Fujita, Toshitaka Kawarai, Hideo Mure, Ryoma Morigaki, Satoshi Goto, Shigeo Murayama, Yuishin Izumi, Ryuji Kaji
Neurology Oct 2015, 85 (17) 1522-1524; DOI: 10.1212/WNL.0000000000002061

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Few reports have focused on the unusual phenotypes in dystonia-ataxia syndrome, and those studies proposed new entities for these phenotypes, such as predominant dystonia with marked cerebellar atrophy (DYTCA) or slowly progressive cerebellar ataxia and cervical dystonia.1,2 We performed pathologic and genetic examinations on a patient presenting a unique dystonia-ataxia phenotype.

Footnotes

  • Supplemental data at Neurology.org

  • Author contributions: Dr. Miyamoto: design/conceptualization of the study, analysis/interpretation of the data, drafting/revising the manuscript. Dr. Sumikura: analysis/interpretation of the data, drafting/revising the manuscript. Dr. Takeuchi: analysis/interpretation of the data. Dr. Sanada: analysis/interpretation of the data. Dr. Fujita: analysis/interpretation of the data. Dr. Kawarai: analysis/interpretation of the data. Dr. Mure: analysis/interpretation of the data. Dr. Morigaki: analysis/interpretation of the data. Dr. Goto: analysis/interpretation of the data. Dr. Murayama: analysis/interpretation of the data. Dr. Izumi: analysis/interpretation of the data. Dr. Kaji: analysis/interpretation of the data.

  • Study funding: Supported by Grants-in-Aid from the Research Committee of Dystonia, the Ministry of Health, Labour and Welfare of Japan.

  • Disclosure: The authors report no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.

  • Received February 23, 2015.
  • Accepted in final form June 29, 2015.
  • © 2015 American Academy of Neurology
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