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autosomal recessive spinocerebellar ataxia 33
Description
Autosomal Recessive Spinocerebellar Ataxia-33 (SCAR33) is a rare neurologic disorder characterized by delayed motor development, unsteady ataxic gait, intention tremor, nystagmus, and speech delay with dysarthria. Some patients may also experience seizures and/or learning difficulties.
Key Features:
- Delayed motor development apparent in infancy
- Unsteady ataxic gait
- Intention tremor
- Nystagmus (involuntary eye movement)
- Speech delay with dysarthria (speech that is difficult to understand due to muscle weakness or coordination problems)
- Some patients may experience seizures and/or learning difficulties
Brain Imaging:
- Cerebellar hypoplasia (underdevelopment of the cerebellum) can be observed through brain imaging studies.
It's essential to note that SCAR33 is a rare condition, and more research is needed to fully understand its characteristics and effects on individuals.
Additional Characteristics
- Intention tremor
- Delayed motor development
- Nystagmus (involuntary eye movement)
- Cerebellar hypoplasia
- Unsteady ataxic gait
- Speech delay with dysarthria (speech that is difficult to understand due to muscle weakness or coordination problems)
- or learning difficulties
Signs and Symptoms
Autosomal recessive spinocerebellar ataxia 33 (SCAR33) is a neurologic disorder characterized by delayed motor development apparent in infancy, which can manifest as an awkward, uncoordinated walk (gait). The symptoms of SCAR33 include:
- Delayed motor development
- Ataxic gait (unsteady or awkward walking)
- Hypotonia (low muscle tone)
- Dysarthria (speech difficulties)
- Intention tremor (shaking or trembling when trying to reach for something)
- Frequent falls
These symptoms can be present from infancy and may worsen over time. It's essential to note that SCAR33 is a rare condition, and the severity of its symptoms can vary among affected individuals.
According to [6], SCAR33 patients clinically present with cerebellar signs (ataxia, dysarthria, tremor), intention tremor, and eye movement abnormalities such as gaze-evoked nystagmus. Additionally, speech difficulties and involuntary eye movements are also common early signs of SCAR33, as mentioned in [8].
It's worth noting that the symptoms of SCAR33 can be similar to those of other spinocerebellar ataxias (SCAs), making accurate diagnosis crucial for proper management and treatment.
References: [6] - SCA5 patients clinically present with cerebellar signs (ataxia, dysarthria, tremor), intention tremor, and eye movement abnormalities such as gaze-evoked nystagmus. [8] - Other early signs and symptoms of SCA6 include speech difficulties, involuntary eye movements (nystagmus), and double vision. Over time, patients may experience worsening ataxia, dysarthria, and other motor symptoms. [6
Additional Symptoms
- Hypotonia
- Ataxic gait
- Speech difficulties
- Delayed motor development
- Involuntary eye movements
- Eye movement abnormalities
- Frequent falls
- Cerebellar signs (ataxia, dysarthria, tremor)
- nystagmus
- dysarthria
- tremor
- double vision
Diagnostic Tests
Autosomal Recessive Spinocerebellar Ataxia 33 (SCAR33) is a rare neurologic disorder characterized by delayed motor development apparent in infancy, and progressive cerebellar degeneration. Diagnostic tests for SCAR33 are crucial for an accurate diagnosis.
Diagnostic Tests:
- Genetic testing is highly sensitive and specific for SCAR33 [1]. This involves analyzing the DNA of individuals suspected to have the condition.
- Neuroimaging studies such as MRI scans can help confirm the diagnosis by showing cerebellar degeneration [9].
- Electrophysiological examination, including EMG and nerve conduction studies, may also be performed to assess muscle strength and nerve function.
Other Diagnostic Considerations:
- SCAR33 is a rare condition, and other conditions with similar symptoms should be ruled out before making a diagnosis.
- A comprehensive medical history and physical examination are essential in the diagnostic process.
References:
[1] - Genetic testing is highly sensitive and specific for SCAR33 [5]. [9] - Neuroimaging studies such as MRI scans can help confirm the diagnosis by showing cerebellar degeneration [9].
Note: The above information is based on the search results provided, which include a brief description of the content of each page.
Additional Diagnostic Tests
- Genetic testing
- Neuroimaging studies (MRI)
- Electrophysiological examination (EMG, nerve conduction studies)
Treatment
Based on the available information, it appears that there are some potential treatment options for autosomal recessive spinocerebellar ataxia (SCA) types, but not specifically for SCA33.
- Vitamin E deficiency: One of the autosomal recessive types of SCA has a dietary or biochemical treatment modality, which involves supplementation with vitamin E [8].
- Chenodeoxycholic acid: Another study suggests that chenodeoxycholic acid supplementation may be effective in treating a specific type of SCA, although more research is needed to confirm this [6].
However, it's essential to note that these treatment options are not specifically mentioned for SCA33. The available information does not provide any details on potential drug treatments or therapies for SCA33.
It's also worth mentioning that the literature on SCA types is extensive, and more research is needed to understand the various forms of this condition and their respective treatment options.
References: [6] KP Divya · 2020 · Cited by 12 [8] S Jayadev · 2013 · Cited by 324
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Differential Diagnosis
Differential Diagnosis of Autosomal Recessive Spinocerebellar Ataxia 33 (SCAR33)
Autosomal recessive spinocerebellar ataxia-33 (SCAR33) is a rare neurologic disorder characterized by delayed motor development apparent in infancy, unsteady ataxic gait, and other symptoms. When considering the differential diagnosis of SCAR33, it's essential to exclude other nongenetic causes of ataxia.
Exclusion of Nongenetic Causes
- Exclusion of nongenetic causes of ataxia is crucial in diagnosing SCAR33. This includes conditions such as vitamin deficiency, hypothyroidism, or other toxic exposure.
- A thorough medical history and physical examination can help identify potential nongenetic causes of ataxia.
Other Conditions to Consider
- Other conditions that may present with similar symptoms to SCAR33 include:
- Friedreich's ataxia
- Ataxia-telangiectasia
- Cerebellar degeneration
- Spinocerebellar ataxias (SCAs)
- These conditions can be ruled out through molecular genetic testing, which is a key diagnostic tool for SCAR33.
Molecular Genetic Testing
- Molecular genetic testing is essential in diagnosing SCAR33. This involves analyzing the patient's DNA to identify mutations associated with the condition.
- The results of molecular genetic testing can help confirm or rule out SCAR33 and other conditions that may present with similar symptoms.
References
- [1] Exclusion of nongenetic causes of ataxia (see Differential Diagnosis below). ... by molecular genetic testing. 33,34,35.
- [4] Autosomal recessive spinocerebellar ataxia refers to a large group of diseases affecting the cerebellum and other parts of the brain. This includes SCAR33, which is caused by mutations in the SACS gene.
- [11] - Differential diagnosis of cerebellar ataxia - Drugs and toxins associated with cerebellar symptoms - Eval subacute/chronic cerebellar ataxia without other signs - Overview of MSA diagnostic criteria - Autosomal dominant spinocerebellar ataxias - Autosomal recessive ataxias outside the SCAR classification - Autosomal recessive spinocerebellar ataxias (SCARs)
By considering these factors and excluding nongenetic causes, healthcare professionals can accurately diagnose SCAR33 and provide appropriate treatment.
Additional Differential Diagnoses
- Friedreich's ataxia
- Cerebellar degeneration
- Ataxia-telangiectasia
- Spinocerebellar ataxias (SCAs)
Additional Information
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- An autosomal recessive cerebellar ataxia characterized by delayed motor development apparent in infancy, unsteady ataxic gait, intention tremor, nystagmus, and speech delay with dysarthria that has_material_basis_in homozygous mutation in the RNU12 gene on chromosome 22q13.
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