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@ARTICLE{SchmitzHbsch:890805,
author = {Schmitz-Hübsch, T. and Lux, Silke and Bauer, P. and
Brandt, A. U. and Schlapakow, E. and Greschus, S. and
Scheel, M. and Gärtner, Hanna and Kirlangic, Mehmet Eylem
and Gras, Vincent and Timmann, D. and Synofzik, M. and
Giorgetti, Alejandro and Carloni, Paolo and Shah, N. J. and
Schöls, L. and Kopp, U. and Bußenius, L. and
Oberwahrenbrock, T. and Zimmermann, H. and Pfueller, C. and
Kadas, E. M. and Rönnefarth, M. and Grosch, A. S. and
Endres, M. and Amunts, Katrin and Friedemann, P. and Doss,
S. and Minnerop, Martina},
title = {{S}pinocerebellar ataxia type 14: {R}efining
clinico-genetic diagnosis in a rare adult-onset disorder},
journal = {Annals of Clinical and Translational Neurology},
volume = {8},
number = {4},
issn = {2328-9503},
address = {Chichester [u.a.]},
publisher = {Wiley},
reportid = {FZJ-2021-01213},
pages = {774-789},
year = {2021},
abstract = {ObjectivesGenetic variant classification is a challenge in
rare adult‐onset disorders as in SCA‐PRKCG (prior
spinocerebellar ataxia type 14) with mostly private
conventional mutations and nonspecific phenotype. We here
propose a refined approach for clinicogenetic diagnosis by
including protein modeling and provide for confirmed
SCA‐PRKCG a comprehensive phenotype description from a
German multi‐center cohort, including standardized 3D MR
imaging.MethodsThis cross‐sectional study prospectively
obtained neurological, neuropsychological, and brain imaging
data in 33 PRKCG variant carriers. Protein modeling was
added as a classification criterion in variants of uncertain
significance (VUS).ResultsOur sample included 25 cases
confirmed as SCA‐PRKCG (14 variants, thereof seven novel
variants) and eight carriers of variants assigned as VUS
(four variants) or benign/likely benign (two variants).
Phenotype in SCA‐PRKCG included slowly progressive ataxia
(onset at 4–50 years), preceded in some by early‐onset
nonprogressive symptoms. Ataxia was often combined with
action myoclonus, dystonia, or mild cognitive‐affective
disturbance. Inspection of brain MRI revealed nonprogressive
cerebellar atrophy. As a novel finding, a previously not
described T2 hyperintense dentate nucleus was seen in all
SCA‐PRKCG cases but in none of the controls.},
cin = {INM-1 / IAS-5 / INM-9 / INM-4 / INM-11 / JARA-BRAIN},
ddc = {610},
cid = {I:(DE-Juel1)INM-1-20090406 / I:(DE-Juel1)IAS-5-20120330 /
I:(DE-Juel1)INM-9-20140121 / I:(DE-Juel1)INM-4-20090406 /
I:(DE-Juel1)INM-11-20170113 / I:(DE-Juel1)VDB1046},
pnm = {525 - Decoding Brain Organization and Dysfunction
(POF4-525)},
pid = {G:(DE-HGF)POF4-525},
typ = {PUB:(DE-HGF)16},
pubmed = {33739604},
UT = {WOS:000631659200001},
doi = {10.1002/acn3.51315},
url = {https://juser.fz-juelich.de/record/890805},
}