nih-gov/www.ncbi.nlm.nih.gov/omim/606002

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<title>
Entry
- #606002 - SPINOCEREBELLAR ATAXIA, AUTOSOMAL RECESSIVE, WITH AXONAL NEUROPATHY 2; SCAN2
- OMIM
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<span class="h4">#606002</span>
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<a href="#phenotypeMap"><strong>Phenotype-Gene Relationships</strong></a>
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<a href="/clinicalSynopsis/606002"><strong>Clinical Synopsis</strong></a>
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<a href="/phenotypicSeries/PS607250"> <strong>Phenotypic Series</strong> </a>
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<a href="#text"><strong>Text</strong></a>
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<a href="#description">Description</a>
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<a href="#clinicalFeatures">Clinical Features</a>
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<a href="#mapping">Mapping</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#inheritance">Inheritance</a>
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<a href="#molecularGenetics">Molecular Genetics</a>
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<a href="#populationGenetics">Population Genetics</a>
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<div><a href="https://clinicaltrials.gov/search?cond=SPINOCEREBELLAR ATAXIA, AUTOSOMAL RECESSIVE, WITH AXONAL NEUROPATHY" class="mim-tip-hint" title="A registry of federally and privately supported clinical trials conducted in the United States and around the world." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Clinical Trials', 'domain': 'clinicaltrials.gov'})">Clinical Trials</a></div>
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<div style="display: table-cell;">Animal Models</div>
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<div><a href="https://www.alliancegenome.org/disease/DOID:0050755" class="mim-tip-hint" title="Search Across Species; explore model organism and human comparative genomics." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Alliance Genome', 'domain': 'alliancegenome.org'})">Alliance Genome</a></div>
<div><a href="http://www.informatics.jax.org/disease/606002" class="mim-tip-hint" title="Phenotypes, alleles, and disease models from Mouse Genome Informatics." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MGI Mouse Phenotype', 'domain': 'informatics.jax.org'})">MGI Mouse Phenotype</a></div>
<div><a href="https://omia.org/results?search_type=advanced&omia_id=000903,001016" class="mim-tip-hint" title="OMIA" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OMIA', 'domain': 'omia.angis.org.au'})">OMIA</a></div>
<div><a href="https://wormbase.org/resources/disease/DOID:0050755" class="mim-tip-hint" title="Database of the biology and genome of Caenorhabditis elegans and related nematodes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Wormbase Disease Ontology', 'domain': 'wormbase.org'})">Wormbase Disease Ontology</a></div>
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<span class="mim-tip-bottom" qtip_title="<strong>Looking for this gene or this phenotype in other resources?</strong>" qtip_text="Select a related resource from the dropdown menu and click for a targeted link to information directly relevant.">
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<div class="col-lg-8 col-lg-pull-2 col-md-8 col-md-pull-2 col-sm-8 col-sm-pull-2 col-xs-12">
<div>
<a id="title" class="mim-anchor"></a>
<div>
<a id="number" class="mim-anchor"></a>
<div class="text-right">
<a href="#" class="mim-tip-icd" qtip_title="<strong>ICD+</strong>" qtip_text="
<strong>SNOMEDCT:</strong> 725408001<br />
<strong>ORPHA:</strong> 64753<br />
<strong>DO:</strong> 0050755<br />
">ICD+</a>
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<div>
<span class="h3">
<span class="mim-font mim-tip-hint" title="Phenotype description, molecular basis known">
<span class="text-danger"><strong>#</strong></span>
606002
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<a id="preferredTitle" class="mim-anchor"></a>
<h3>
<span class="mim-font">
SPINOCEREBELLAR ATAXIA, AUTOSOMAL RECESSIVE, WITH AXONAL NEUROPATHY 2; SCAN2
</span>
</h3>
</div>
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<br />
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<a id="alternativeTitles" class="mim-anchor"></a>
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<p>
<span class="mim-font">
<em>Alternative titles; symbols</em>
</span>
</p>
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<h4>
<span class="mim-font">
ATAXIA-OCULOMOTOR APRAXIA 2; AOA2<br />
ATAXIA-OCULAR APRAXIA 2<br />
SPINOCEREBELLAR ATAXIA, AUTOSOMAL RECESSIVE 1, FORMERLY; SCAR1, FORMERLY
</span>
</h4>
</div>
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<br />
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<a id="phenotypeMap" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>Phenotype-Gene Relationships</strong>
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</h4>
<div>
<table class="table table-bordered table-condensed table-hover small mim-table-padding">
<thead>
<tr class="active">
<th>
Location
</th>
<th>
Phenotype
</th>
<th>
Phenotype <br /> MIM number
</th>
<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
</th>
<th>
Gene/Locus
</th>
<th>
Gene/Locus <br /> MIM number
</th>
</tr>
</thead>
<tbody>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/9/594?start=-3&limit=10&highlight=594">
9q34.13
</a>
</span>
</td>
<td>
<span class="mim-font">
Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606002"> 606002 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
SETX
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608465"> 608465 </a>
</span>
</td>
</tr>
</tbody>
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<a href="/phenotypicSeries/PS607250" class="btn btn-info" role="button"> Phenotypic Series </a>
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<button type="button" class="btn btn-success dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
PheneGene Graphics <span class="caret"></span>
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<ul class="dropdown-menu" style="width: 17em;">
<li><a href="/graph/linear/606002" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Linear'})"> Linear </a></li>
<li><a href="/graph/radial/606002" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Radial'})"> Radial </a></li>
</ul>
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<span class="glyphicon glyphicon-question-sign mim-tip-hint" title="OMIM PheneGene graphics depict relationships between phenotypes, groups of related phenotypes (Phenotypic Series), and genes.<br /><a href='/static/omim/pdf/OMIM_Graphics.pdf' target='_blank'>A quick reference overview and guide (PDF)</a>"></span>
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<p />
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<div id="mimClinicalSynopsisFold" class="well well-sm collapse mimSingletonToggleFold">
<div class="small" style="margin: 5px">
<div>
<div>
<span class="h5 mim-font">
<strong> INHERITANCE </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Autosomal recessive <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/258211005" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">258211005</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0441748&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0441748</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000007</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000007</a>]</span><br />
</span>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> HEAD & NECK </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Eyes </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Gaze-evoked nystagmus <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/1220537002" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">1220537002</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C5574666&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C5574666</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000640" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000640</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000640" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000640</a>]</span><br /> -
Saccadic smooth pursuit <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1836479&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1836479</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001152" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001152</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001152" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001152</a>]</span><br /> -
Strabismus (13 to 30% of patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/22066006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">22066006</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/H50.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">H50.9</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/H50.40" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">H50.40</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0038379&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0038379</a>, <a href="https://bioportal.bioontology.org/search?q=C2020541&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C2020541</a>, <a href="https://bioportal.bioontology.org/search?q=C1423541&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1423541</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000486" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000486</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000486" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000486</a>]</span><br /> -
Oculomotor apraxia (56% of patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/193662007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">193662007</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/405810005" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">405810005</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/405809000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">405809000</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/H16.32" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">H16.32</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0543874&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0543874</a>, <a href="https://bioportal.bioontology.org/search?q=C0271270&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0271270</a>, <a href="https://bioportal.bioontology.org/search?q=C3489733&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3489733</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000657" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000657</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000657" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000657</a>]</span><br /> -
Conjunctival telangiectasia (reported in 1 family) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/231870008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">231870008</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0239105&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0239105</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000524" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000524</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000524" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000524</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> ABDOMEN </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Gastrointestinal </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Dysphagia <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/288939007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">288939007</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/40739000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">40739000</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/R13.1" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R13.1</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/R13.10" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R13.10</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/787.2" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">787.2</a>, <a href="https://purl.bioontology.org/ontology/ICD9CM/787.20" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">787.20</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0011168&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0011168</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002015" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002015</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002015" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002015</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> SKELETAL </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Spine </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Scoliosis (22% of patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/298382003" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">298382003</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/20944008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">20944008</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/111266001" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">111266001</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/M41.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">M41.9</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/M41" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">M41</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/Q67.5" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">Q67.5</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0559260&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0559260</a>, <a href="https://bioportal.bioontology.org/search?q=C0036439&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0036439</a>, <a href="https://bioportal.bioontology.org/search?q=C0700208&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0700208</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002650" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002650</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002650" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002650</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Feet </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Pes cavus (less common) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/205091006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">205091006</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/36755004" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">36755004</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/86900005" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">86900005</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/Q66.7" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">Q66.7</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/736.73" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">736.73</a>, <a href="https://purl.bioontology.org/ontology/ICD9CM/754.71" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">754.71</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0728829&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0728829</a>, <a href="https://bioportal.bioontology.org/search?q=C0039273&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0039273</a>, <a href="https://bioportal.bioontology.org/search?q=C2239098&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C2239098</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001761" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001761</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001761" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001761</a>]</span> <a href="https://elementsofmorphology.nih.gov/index.cgi?tid=2ad12e53b20f47e5685234fa29da6610" target="_blank" class="small mim-tip-eom" title="&lt;img src=&quot;https://elementsofmorphology.nih.gov/images/terms/Pes_Cavus-small.jpg&quot;&gt; &lt;br/&gt;Further Information: &lt;a href=&quot;https://elementsofmorphology.nih.gov/index.cgi?tid=2ad12e53b20f47e5685234fa29da6610&quot target=&quot;_blank&quot onclick=&quot;gtag(\'event\', \'mim_outbound\', {\'name\': \'EOM\', \'domain\': \'elementsofmorphology.nih.gov\'})&quot;&gt;Elements of Morphology&lt;/a&gt;"><span class="glyphicon glyphicon-user" aria-hidden="true"></span></a><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> MUSCLE, SOFT TISSUES </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Distal amyotrophy <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1848736&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1848736</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003693" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003693</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003693" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003693</a>]</span><br /> -
Distal muscle weakness <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/249942005" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">249942005</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0427065&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0427065</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002460" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002460</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002460" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002460</a>]</span><br />
</span>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> NEUROLOGIC </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Central Nervous System </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Gait ataxia, progressive <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1843885&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1843885</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0007240" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0007240</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0007240" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0007240</a>]</span> <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/25136009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">25136009</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/R26.0" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R26.0</a>]</span><br /> -
Limb ataxia, progressive <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1853762&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1853762</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002070" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002070</a>]</span><br /> -
Spinocerebellar ataxia <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/129609000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">129609000</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0087012&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0087012</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0007263" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0007263</a>]</span><br /> -
Dysarthria <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/8011004" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">8011004</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/438.13" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">438.13</a>, <a href="https://purl.bioontology.org/ontology/ICD9CM/784.51" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">784.51</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0013362&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0013362</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001260" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001260</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001260" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001260</a>]</span><br /> -
Tremor (57% of patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/26079004" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">26079004</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/R25.1" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R25.1</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0040822&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0040822</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001337" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001337</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001337" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001337</a>]</span><br /> -
Head tremor (14% of patients) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0239882&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0239882</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002346" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002346</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002346" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002346</a>]</span><br /> -
Dystonic hand posturing (44% of patients) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1845264&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1845264</a>]</span><br /> -
Dystonia (14% of patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/15802004" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">15802004</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/G24.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">G24.9</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/G24" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">G24</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0013421&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0013421</a>, <a href="https://bioportal.bioontology.org/search?q=C0393593&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0393593</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001332" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001332</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001332" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001332</a>]</span><br /> -
Choreic movements (10 to 22% of patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/271700006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">271700006</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/G25.5" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">G25.5</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0008489&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0008489</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002072" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002072</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002072" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002072</a>]</span><br /> -
Pyramidal signs (21% of patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/14648003" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">14648003</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0234132&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0234132</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0007256" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0007256</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0007256" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0007256</a>]</span><br /> -
Cerebellar atrophy (96% of patients) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0740279&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0740279</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001272" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001272</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001272" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001272</a>]</span><br /> -
Pontocerebellar atrophy <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1853766&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1853766</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006879" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006879</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006879" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006879</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Peripheral Nervous System </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Polyneuropathy (98% of patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/42345000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">42345000</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/A69.22" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">A69.22</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/G62.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">G62.9</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0152025&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0152025</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001271" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001271</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001271" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001271</a>]</span><br /> -
Decreased distal vibration sense <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1853767&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1853767</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006886" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006886</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006886" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006886</a>]</span><br /> -
Decreased distal proprioception (74% of patients) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3807510&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3807510</a>]</span><br /> -
Decreased distal touch sense (57% of patients) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C4021583&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C4021583</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006937" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006937</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006937" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006937</a>]</span><br /> -
Areflexia <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/37280007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">37280007</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0234146&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0234146</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001284" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001284</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001284" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001284</a>]</span><br /> -
Absence of sensory action potentials <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1853770&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1853770</a>]</span><br /> -
Decreased motor nerve conduction velocity (NCV) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1858729&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1858729</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003431" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003431</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003431" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003431</a>]</span><br /> -
Sural nerve biopsy shows chronic axonal neuropathy <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1847824&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1847824</a>]</span><br /> -
Sural nerve biopsy shows loss of large myelinated fibers <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1853771&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1853771</a>]</span><br />
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<strong> LABORATORY ABNORMALITIES </strong>
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- Increased serum alpha-fetoprotein <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0235971&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0235971</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006254" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006254</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006254" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006254</a>]</span><br /> -
Increased serum gamma-globulin <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0541985&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0541985</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0010702" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0010702</a>]</span><br /> -
Increased serum creatine kinase (less common) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0241005&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0241005</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003236" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003236</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003236" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003236</a>]</span><br />
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<strong> MISCELLANEOUS </strong>
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- Onset usually in mid-teens, average 15 years (range 2 to 20 years)<br /> -
Progressive disorder <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1864985&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1864985</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003676" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003676</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003676" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003676</a>]</span><br /> -
Variable severity <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1861403&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1861403</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003828" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003828</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003828" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003828</a>]</span><br /> -
High frequency in the French-Canadian population<br />
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<strong> MOLECULAR BASIS </strong>
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- Caused by mutations in the senataxin gene (SETX, <a href="/entry/608465#0001">608465.0001</a>)<br />
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<h5>
Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy
- <a href="/phenotypicSeries/PS607250">PS607250</a>
- 3 Entries
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<strong>Phenotype</strong>
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<a href="/geneMap/1/619?start=-3&limit=10&highlight=619"> 1p32.3 </a>
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<a href="/entry/618387"> Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 3 </a>
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<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
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<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
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<a href="/entry/618387"> 618387 </a>
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<a href="/entry/615623"> COA7 </a>
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<a href="/entry/615623"> 615623 </a>
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<a href="/geneMap/9/594?start=-3&limit=10&highlight=594"> 9q34.13 </a>
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<a href="/entry/606002"> Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2 </a>
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<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
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<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
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<a href="/entry/606002"> 606002 </a>
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<a href="/entry/608465"> SETX </a>
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<span class="mim-font">
<a href="/entry/608465"> 608465 </a>
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<a href="/geneMap/14/451?start=-3&limit=10&highlight=451"> 14q32.11 </a>
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<a href="/entry/607250"> ?Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 1 </a>
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<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
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<a href="/entry/607250"> 607250 </a>
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<a href="/entry/607198"> TDP1 </a>
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<span class="mim-font">
<a href="/entry/607198"> 607198 </a>
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<strong>TEXT</strong>
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<p>A number sign (#) is used with this entry because autosomal recessive spinocerebellar ataxia with axonal neuropathy-2 (SCAN2) is caused by homozygous or compound heterozygous mutation in the SETX gene (<a href="/entry/608465">608465</a>) on chromosome 9q34.</p>
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<strong>Description</strong>
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<div class="mim-changed mim-change"><p>Autosomal recessive spinocerebellar ataxia with axonal neuropathy-2 (SCAN2) is a neurodegenerative disorder characterized by juvenile onset of progressive cerebellar ataxia, axonal sensorimotor peripheral neuropathy, and increased serum alpha-fetoprotein (AFP; <a href="/entry/104150">104150</a>). Oculomotor apraxia is a common but inconsistent finding, found in about 50% of patients; hence this disorder is sometimes referred to as 'ataxia-oculomotor apraxia-2' (AOA2) (<a href="#14" class="mim-tip-reference" title="Moreira, M.-C., Klur, S., Watanabe, M., Nemeth, A. H., Le Ber, I., Moniz, J.-C., Tranchant, C., Aubourg, P., Tazir, M., Schols, L., Pandolfo, P., Schulz, J. B., and 22 others. &lt;strong&gt;Senataxin, the ortholog of a yeast RNA helicase, is mutant in ataxia-ocular apraxia 2.&lt;/strong&gt; Nature Genet. 36: 225-227, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/14770181/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;14770181&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng1303&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="14770181">Moreira et al., 2004</a>; summary by <a href="#11" class="mim-tip-reference" title="Ichikawa, Y., Ishiura, H., Mitsui, J., Takahashi, Y., Kobayashi, S., Takuma, H., Kanazawa, I., Doi, K., Yoshimura, J., Morishita, S., Goto, J., Tsuji, S. &lt;strong&gt;Exome analysis reveals a Japanese family with spinocerebellar ataxia, autosomal recessive 1.&lt;/strong&gt; J. Neurol. Sci. 331: 158-160, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23786967/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23786967&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.jns.2013.05.018&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23786967">Ichikawa et al., 2013</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?term=14770181+23786967" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p></div>
<p><a href="#9" class="mim-tip-reference" title="Duquette, A., Roddier, K., McNabb-Baltar, J., Gosselin, I., St-Denis, A., Dicaire, M.-J., Loisel, L., Labuda, D., Marchand, L., Mathieu, J., Bouchard, J.-P., Brais, B. &lt;strong&gt;Mutations in senataxin responsible for Quebec cluster of ataxia with neuropathy.&lt;/strong&gt; Ann. Neurol. 57: 408-414, 2005.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/15732101/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;15732101&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ana.20408&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="15732101">Duquette et al. (2005)</a> emphasized that oculomotor apraxia is not a universal finding in this disorder and suggested the name 'spinocerebellar ataxia, autosomal recessive, with axonal neuropathy-2' (SCAN2) to distinguish it from SCAN1 (<a href="/entry/607250">607250</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=15732101" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
<p>For a discussion of genetic heterogeneity of ataxia-oculomotor apraxia, see AOA1 (<a href="/entry/208920">208920</a>).</p>
<p>For a discussion of genetic heterogeneity of SCAN, see SCAN1 (<a href="/entry/607250">607250</a>).</p>
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<strong>Clinical Features</strong>
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<p><a href="#7" class="mim-tip-reference" title="Bouchard, J., Bedard, P., Bouchard, R. &lt;strong&gt;Study of a family with progressive ataxia, tremor and severe distal amyotrophy.&lt;/strong&gt; Canad. J. Neurol. Sci. 7: 345-349, 1980.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7214250/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7214250&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1017/s0317167100022861&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7214250">Bouchard et al. (1980)</a> described a large French Canadian family with an unusual neurologic disorder. The mother had 27 pregnancies; 10 males and 10 females survived. Of these, 3 females and 4 males, ranging in age from 21 to 48, had progressive ataxia, tremor of dentatorubral type, and severe distal amyotrophy consistent with a neuronal form of Charcot-Marie-Tooth disease (see, e.g., <a href="/entry/118210">118210</a>). Several of the father's cousins were said to be ataxic and many descendants and relatives were living in the northeastern United States. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=7214250" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#15" class="mim-tip-reference" title="Nemeth, A. H., Bochukova, E., Dunne, E., Huson, S. M., Elston, J., Hannan, M. A., Jackson, M., Chapman, C. J., Taylor, A. M. R. &lt;strong&gt;Autosomal recessive cerebellar ataxia with oculomotor apraxia (ataxia-telangiectasia-like syndrome) is linked to chromosome 9q34.&lt;/strong&gt; Am. J. Hum. Genet. 67: 1320-1326, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11022012/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11022012&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=11022012[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/S0002-9297(07)62962-0&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11022012">Nemeth et al. (2000)</a> identified a family with ataxia-oculomotor apraxia and showed that affected individuals had no evidence of chromosomal instability or sensitivity to ionizing radiation, suggesting that the disorder in this family was a true primary cerebellar ataxia. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11022012" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#6" class="mim-tip-reference" title="Bomont, P., Watanabe, M., Gershoni-Barush, R., Shizuka, M., Tanaka, M., Sugano, J., Guiraud-Chaumeil, C., Koenig, M. &lt;strong&gt;Homozygosity mapping of spinocerebellar ataxia with cerebellar atrophy and peripheral neuropathy to 9q33-34, and with hearing impairment and optic atrophy to 6p21-23.&lt;/strong&gt; Europ. J. Hum. Genet. 8: 986-990, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11175288/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11175288&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/sj.ejhg.5200586&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11175288">Bomont et al. (2000)</a> studied a consanguineous Japanese family previously reported by <a href="#16" class="mim-tip-reference" title="Watanabe, M., Sugai, Y., Concannon, P., Koenig, M., Schmitt, M., Sato, M., Shizuka, M., Mizushima, K., Ikeda, Y., Tomidokoro, Y., Okamoto, K., Shoji, M. &lt;strong&gt;Familial spinocerebellar ataxia with cerebellar atrophy, peripheral neuropathy, and elevated level of serum creatine kinase, gamma-globulin, and alpha-fetoprotein.&lt;/strong&gt; Ann. Neurol. 44: 265-269, 1998.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/9708552/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;9708552&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ana.410440220&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="9708552">Watanabe et al. (1998)</a>. Four affected sibs had spinocerebellar ataxia associated with elevated levels of serum creatine kinase, gamma-globulin, and AFP. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=9708552+11175288" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#13" class="mim-tip-reference" title="Le Ber, I., Bouslam, N., Rivaud-Pechoux, S., Guimaraes, J., Benomar, A., Chamayou, C., Goizet, C., Moreira, M.-C., Klur, S., Yahyaoui, M., Agid, Y., Koenig, M., Stevanin, G., Brice, A., Durr, A. &lt;strong&gt;Frequency and phenotypic spectrum of ataxia with oculomotor apraxia 2: a clinical and genetic study in 18 patients.&lt;/strong&gt; Brain 127: 759-767, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/14736755/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;14736755&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/brain/awh080&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="14736755">Le Ber et al. (2004)</a> reported 18 patients from 6 unrelated families from France, the West Indies, Turkey, Morocco, and Portugal who showed linkage to the AOA2 locus on chromosome 9q34. Mean age at onset was 15 years (range, 10 to 25), which the authors noted was later than that reported for AOA1 (average age, 7 years). All patients had gait ataxia, axial cerebellar symptoms, cerebellar atrophy on MRI, and increased serum AFP. Peripheral sensory neuropathy was present in most patients, manifest as hypo- or areflexia and distal sensory loss. Oculomotor apraxia was only present in 56% of patients, whereas all patients had impaired smooth pursuit and 89% had gaze-evoked nystagmus. Other features included strabismus (in 11% of patients), dystonic posturing of the hands (28%), choreic movements (22%), and head or postural tremor (17%). Six patients had dysphagia. Seven affected individuals from 1 family had pes cavus and scoliosis; all of these patients eventually became wheelchair-bound. All 3 affected women in this most severely affected family had early menopause between ages 21 and 24 years. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14736755" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#9" class="mim-tip-reference" title="Duquette, A., Roddier, K., McNabb-Baltar, J., Gosselin, I., St-Denis, A., Dicaire, M.-J., Loisel, L., Labuda, D., Marchand, L., Mathieu, J., Bouchard, J.-P., Brais, B. &lt;strong&gt;Mutations in senataxin responsible for Quebec cluster of ataxia with neuropathy.&lt;/strong&gt; Ann. Neurol. 57: 408-414, 2005.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/15732101/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;15732101&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ana.20408&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="15732101">Duquette et al. (2005)</a> reported 24 French Canadian patients from 10 families with autosomal recessive ataxia and distal amyotrophy. One of the families had previously been reported by <a href="#7" class="mim-tip-reference" title="Bouchard, J., Bedard, P., Bouchard, R. &lt;strong&gt;Study of a family with progressive ataxia, tremor and severe distal amyotrophy.&lt;/strong&gt; Canad. J. Neurol. Sci. 7: 345-349, 1980.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7214250/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7214250&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1017/s0317167100022861&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7214250">Bouchard et al. (1980)</a>. The clinical phenotype was homogeneous, consisting of progressive gait ataxia beginning at an average age of 14.8 years (range, 2 years in 1 patient to 20 years), distal muscle weakness, cerebellar dysarthria, saccadic ocular pursuit, and progressive distal amyotrophy with loss of deep tendon reflexes and vibration sense. Variable features included gaze nystagmus (91% of patients), strabismus (30%), decreased touch sensation (57%), and tremor (57%). None of the patients had oculomotor apraxia as defined by the inability to generate volitional horizontal saccades with preserved reflex eye movements. All patients had increased serum AFP, approximately 5 times normal levels. Motor nerve conduction velocities were slightly decreased and sensory action potentials were absent. Sural nerve biopsies of 2 patients showed chronic axonal neuropathy with loss of large myelinated fibers. Seven patients had isolated cerebellar atrophy and 5 had more extensive pontocerebellar atrophy. Although the disorder was progressive in all patients, there was variably severity: some patients were wheelchair-bound by their twenties, whereas others could still walk short distances in their forties. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=15732101+7214250" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#8" class="mim-tip-reference" title="Criscuolo, C., Chessa, L., Di Giandomenico, S., Mancini, P., Sacca, F., Grieco, G. S., Piane, M., Barbieri, F., De Michele, G., Banfi, S., Pierelli, F., Rizzuto, N., Santorelli, F. M., Gallosti, L., Filla, A., Casali, C. &lt;strong&gt;Ataxia with oculomotor apraxia type 2: a clinical, pathologic, and genetic study.&lt;/strong&gt; Neurology 66: 1207-1210, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16636238/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16636238&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1212/01.wnl.0000208402.10512.4a&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16636238">Criscuolo et al. (2006)</a> reported 10 patients from 4 unrelated Italian families with AOA2. Three of the families were consanguineous. Mean age at disease onset was 20.3 years (range 3 to 30) and ataxic gait was the presenting symptom. Although the disease progression was generally slow, no patient was able to walk independently by the time of examination (27 to 67 years). Oculomotor apraxia was only present in 2 patients, although 8 had gaze nystagmus. Other common features included limb and trunk ataxia, dysarthria, dysphagia, peripheral neuropathy, and skeletal and foot deformities. One patient had extrapyramidal signs, including choreiform movements of the head and truncal dystonia, and another had head tremor that disappeared with disease progression. Three patients presented with mild mental decline around age 50 years. Postmortem examination of 1 patient who died of heart failure at age 79 years showed reduced overall size of the brain and marked cerebellar atrophy with loss of Purkinje cells. The substantia nigra was normally pigmented, and cortical neurons were normal. There was severe demyelination in the spinal cord. Molecular analysis identified 4 different homozygous pathogenic mutations in the SETX gene in affected members of these families. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16636238" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#12" class="mim-tip-reference" title="Kobayashi, S., Takuma, H., Murayama, S., Sakurai, M., Kanazawa, I. &lt;strong&gt;A Japanese family with early-onset ataxia with motor and sensory neuropathy.&lt;/strong&gt; J. Neurol. Sci. 254: 44-48, 2007.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17258771/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17258771&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.jns.2006.12.014&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17258771">Kobayashi et al. (2007)</a> reported 3 adult Japanese sibs, born of consanguineous parents, with onset of slowly progressive cerebellar ataxia in the teenage years followed by distal muscle weakness after age 30 and distal sensory impairment with areflexia. All 3 patients became wheelchair-bound between 39 and 47 years of age. Smooth pursuit was abnormally saccadic and all had nystagmus, but oculomotor apraxia was not present. Brain imaging showed marked atrophy of the cerebellar vermis and hemispheres. Sural nerve biopsy showed a marked reduction in the number of myelinated and unmyelinated fibers, and electrophysiologic studies were consistent with an axonal sensorimotor peripheral neuropathy. Although <a href="#12" class="mim-tip-reference" title="Kobayashi, S., Takuma, H., Murayama, S., Sakurai, M., Kanazawa, I. &lt;strong&gt;A Japanese family with early-onset ataxia with motor and sensory neuropathy.&lt;/strong&gt; J. Neurol. Sci. 254: 44-48, 2007.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17258771/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17258771&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.jns.2006.12.014&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17258771">Kobayashi et al. (2007)</a> reported normal levels of serum AFP, <a href="#11" class="mim-tip-reference" title="Ichikawa, Y., Ishiura, H., Mitsui, J., Takahashi, Y., Kobayashi, S., Takuma, H., Kanazawa, I., Doi, K., Yoshimura, J., Morishita, S., Goto, J., Tsuji, S. &lt;strong&gt;Exome analysis reveals a Japanese family with spinocerebellar ataxia, autosomal recessive 1.&lt;/strong&gt; J. Neurol. Sci. 331: 158-160, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23786967/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23786967&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.jns.2013.05.018&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23786967">Ichikawa et al. (2013)</a> found increased levels of serum AFP in a stocked serum sample of 1 of the patients. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=23786967+17258771" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#5" class="mim-tip-reference" title="Bassuk, A. G., Chen, Y. Z., Batish, S. D., Nagan, N., Opal, P., Chance, P. F., Bennett, C. L. &lt;strong&gt;In cis autosomal dominant mutation of senataxin associated with tremor/ataxia syndrome.&lt;/strong&gt; Neurogenetics 8: 45-49, 2007.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17096168/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17096168&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/s10048-006-0067-8&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17096168">Bassuk et al. (2007)</a> reported an African American mother and daughter with a restricted form of AOA2 resulting from 2 SETX mutations in cis on the same allele (<a href="/entry/608465#0010">608465.0010</a>). The mother and daughter were first evaluated for frequent falling at the ages of 13 and 3 years, respectively. Both also had tremor and oculomotor defects at that time. By age 30, the mother had developed dysarthria, increased tremor, head tremor, ataxic gait, and cerebellar atrophy on imaging studies. Both mother and daughter had increased serum IgG. However, neither showed peripheral neuropathy or head thrusting with horizontal eye movements, which are classic features of AOA2. <a href="#5" class="mim-tip-reference" title="Bassuk, A. G., Chen, Y. Z., Batish, S. D., Nagan, N., Opal, P., Chance, P. F., Bennett, C. L. &lt;strong&gt;In cis autosomal dominant mutation of senataxin associated with tremor/ataxia syndrome.&lt;/strong&gt; Neurogenetics 8: 45-49, 2007.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17096168/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17096168&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/s10048-006-0067-8&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17096168">Bassuk et al. (2007)</a> postulated that the 2 mutations acted synergistically, leading to a dominant-negative mutant protein with partial function and an incomplete phenotype. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=17096168" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#2" class="mim-tip-reference" title="Anheim, M., Fleury, M.-C., Franques, J., Moreira, M.-C., Delaunoy, J.-P., Stoppa-Lyonnet, D., Koenig, M., Tranchant, C. &lt;strong&gt;Clinical and molecular findings of ataxia with oculomotor apraxia type 2 in 4 families.&lt;/strong&gt; Arch. Neurol. 65: 958-962, 2008.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/18625865/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;18625865&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archneur.65.7.958&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="18625865">Anheim et al. (2008)</a> reported 7 patients with AOA2 from 4 unrelated families. The phenotype was homogeneous and included teenage onset of progressive cerebellar ataxia and areflexia. All 4 patients specifically tested showed axonal neuropathy and diffuse cerebellar atrophy. Five patients needed assistance walking. Only 1 had oculomotor apraxia; 2 had mild dystonia in the lower limbs. All patients and 5 of 8 asymptomatic heterozygotes showed increased serum AFP. Molecular analysis identified 4 pathogenic mutations in the SETX gene (see, e.g., <a href="/entry/608465#0013">608465.0013</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=18625865" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#3" class="mim-tip-reference" title="Anheim, M., Monga, B., Fleury, M., Charles, P., Barbot, C., Salih, M., Delaunoy, J. P., Fritsch, M., Arning, L., Synofzik, M., Schols, L., Sequeiros, J., and 23 others. &lt;strong&gt;Ataxia with oculomotor apraxia type 2: clinical, biological and genotype/phenotype correlation study of a cohort of 90 patients.&lt;/strong&gt; Brain 132: 2688-2698, 2009.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/19696032/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;19696032&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/brain/awp211&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="19696032">Anheim et al. (2009)</a> retrospectively analyzed 90 patients from 15 families with a genetically confirmed diagnosis of AOA2. The patients originated from 15 countries, and 25 novel SETX mutation were identified. The median age at onset was 14 years. Clinical features included polyneuropathy (97.5% of patients), cerebellar atrophy (96%), occasional oculomotor apraxia (51%), pyramidal signs (20.5%), head tremor (14%), dystonia (13.5%), strabismus (12.3%), and chorea (9.5%). Other features included pes cavus and increased serum AFP. Pyramidal signs and dystonia were more frequent and disease was less severe with missense mutations in the helicase domain of senataxin gene than with missense mutations outside of the helicase domain and deletion and nonsense mutations. <a href="#3" class="mim-tip-reference" title="Anheim, M., Monga, B., Fleury, M., Charles, P., Barbot, C., Salih, M., Delaunoy, J. P., Fritsch, M., Arning, L., Synofzik, M., Schols, L., Sequeiros, J., and 23 others. &lt;strong&gt;Ataxia with oculomotor apraxia type 2: clinical, biological and genotype/phenotype correlation study of a cohort of 90 patients.&lt;/strong&gt; Brain 132: 2688-2698, 2009.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/19696032/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;19696032&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/brain/awp211&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="19696032">Anheim et al. (2009)</a> suggested that the lack of pyramidal signs in most patients may have resulted from severe motor neuropathy. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=19696032" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#10" class="mim-tip-reference" title="Hammer, M. B., El Euch-Fayache, G., Nehdi, H., Saidi, D., Nasri, A., Nabli, F., Bouhlal, Y., Maamouri-Hicheri, W., Hentati, F., Amouri, R. &lt;strong&gt;Clinical and molecular findings of ataxia with oculomotor apraxia type 2 (AOA2) in 5 Tunisian families.&lt;/strong&gt; Diagn. Molec. Path. 21: 241-245, 2012.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23111195/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23111195&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1097/PDM.0b013e318257ad9a&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23111195">Hammer et al. (2012)</a> reported 13 patients, ranging in age from 16 to 30 years, from 5 consanguineous Tunisian families with AOA2 confirmed by genetic analysis. The patients had a relatively homogeneous phenotype, although it varied in severity. Cerebellar ataxia and dysarthria were constant findings. Two patients became wheelchair-bound in their twenties. Various ocular signs included oculomotor apraxia (9 patients), nystagmus (6 patients), saccadic pursuit (4 patients), and lateral gaze with intermittent diplopia (2 patients). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23111195" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="mapping" class="mim-anchor"></a>
<h4 href="#mimMappingFold" id="mimMappingToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
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<strong>Mapping</strong>
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<p>By linkage analysis and homozygosity mapping, <a href="#15" class="mim-tip-reference" title="Nemeth, A. H., Bochukova, E., Dunne, E., Huson, S. M., Elston, J., Hannan, M. A., Jackson, M., Chapman, C. J., Taylor, A. M. R. &lt;strong&gt;Autosomal recessive cerebellar ataxia with oculomotor apraxia (ataxia-telangiectasia-like syndrome) is linked to chromosome 9q34.&lt;/strong&gt; Am. J. Hum. Genet. 67: 1320-1326, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11022012/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11022012&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=11022012[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/S0002-9297(07)62962-0&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11022012">Nemeth et al. (2000)</a> localized the ataxia-oculomotor apraxia disease locus in their family to a 15.9-cM interval on chromosome 9q34. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11022012" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#6" class="mim-tip-reference" title="Bomont, P., Watanabe, M., Gershoni-Barush, R., Shizuka, M., Tanaka, M., Sugano, J., Guiraud-Chaumeil, C., Koenig, M. &lt;strong&gt;Homozygosity mapping of spinocerebellar ataxia with cerebellar atrophy and peripheral neuropathy to 9q33-34, and with hearing impairment and optic atrophy to 6p21-23.&lt;/strong&gt; Europ. J. Hum. Genet. 8: 986-990, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11175288/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11175288&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/sj.ejhg.5200586&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11175288">Bomont et al. (2000)</a> found linkage of the disorder in a Japanese family to chromosome 9q33.3-q34.3. Genotyping of 2 unrelated Japanese patients from first-degree consanguineous parents showed that one was homozygous for the same region but did not share the biochemical features. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11175288" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#14" class="mim-tip-reference" title="Moreira, M.-C., Klur, S., Watanabe, M., Nemeth, A. H., Le Ber, I., Moniz, J.-C., Tranchant, C., Aubourg, P., Tazir, M., Schols, L., Pandolfo, P., Schulz, J. B., and 22 others. &lt;strong&gt;Senataxin, the ortholog of a yeast RNA helicase, is mutant in ataxia-ocular apraxia 2.&lt;/strong&gt; Nature Genet. 36: 225-227, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/14770181/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;14770181&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng1303&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="14770181">Moreira et al. (2004)</a> identified 9 families with ataxia linked to 9q34 by homozygosity mapping. As most affected individuals had both oculomotor apraxia and elevated AFP levels, they assumed that they were affected by the same disorder, which they had named AOA2. They identified distal and proximal recombinations in families with 2 affected individuals, localizing the defective gene underlying AOA2 to a 1.1-Mb interval containing 13 genes and 3 groups of overlapping spliced ESTs. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14770181" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="inheritance" class="mim-anchor"></a>
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<p>The transmission pattern of SCAN2 in the families reported by <a href="#14" class="mim-tip-reference" title="Moreira, M.-C., Klur, S., Watanabe, M., Nemeth, A. H., Le Ber, I., Moniz, J.-C., Tranchant, C., Aubourg, P., Tazir, M., Schols, L., Pandolfo, P., Schulz, J. B., and 22 others. &lt;strong&gt;Senataxin, the ortholog of a yeast RNA helicase, is mutant in ataxia-ocular apraxia 2.&lt;/strong&gt; Nature Genet. 36: 225-227, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/14770181/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;14770181&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng1303&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="14770181">Moreira et al. (2004)</a> was consistent with autosomal recessive inheritance. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14770181" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="molecularGenetics" class="mim-anchor"></a>
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<p>In affected members of 15 families with either AOA or ataxia with elevated AFP levels, <a href="#14" class="mim-tip-reference" title="Moreira, M.-C., Klur, S., Watanabe, M., Nemeth, A. H., Le Ber, I., Moniz, J.-C., Tranchant, C., Aubourg, P., Tazir, M., Schols, L., Pandolfo, P., Schulz, J. B., and 22 others. &lt;strong&gt;Senataxin, the ortholog of a yeast RNA helicase, is mutant in ataxia-ocular apraxia 2.&lt;/strong&gt; Nature Genet. 36: 225-227, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/14770181/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;14770181&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng1303&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="14770181">Moreira et al. (2004)</a> identified 15 different disease-associated mutations in the SETX gene (see, e.g., <a href="/entry/608465#0001">608465.0001</a>-<a href="/entry/608465#0005">608465.0005</a>). All patients had either homozygous or compound heterozygous mutations, consistent with autosomal recessive inheritance. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14770181" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In affected members of 10 French Canadian families with ataxia, distal amyotrophy, and peripheral neuropathy, <a href="#9" class="mim-tip-reference" title="Duquette, A., Roddier, K., McNabb-Baltar, J., Gosselin, I., St-Denis, A., Dicaire, M.-J., Loisel, L., Labuda, D., Marchand, L., Mathieu, J., Bouchard, J.-P., Brais, B. &lt;strong&gt;Mutations in senataxin responsible for Quebec cluster of ataxia with neuropathy.&lt;/strong&gt; Ann. Neurol. 57: 408-414, 2005.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/15732101/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;15732101&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ana.20408&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="15732101">Duquette et al. (2005)</a> identified mutations in the SETX gene. One of the families had been reported by <a href="#7" class="mim-tip-reference" title="Bouchard, J., Bedard, P., Bouchard, R. &lt;strong&gt;Study of a family with progressive ataxia, tremor and severe distal amyotrophy.&lt;/strong&gt; Canad. J. Neurol. Sci. 7: 345-349, 1980.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7214250/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7214250&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1017/s0317167100022861&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7214250">Bouchard et al. (1980)</a>. A founder mutation (L1976R; <a href="/entry/608465#0009">608465.0009</a>) was identified in all families. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=15732101+7214250" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In 2 Japanese sibs, born of consanguineous parents, with autosomal recessive spinocerebellar ataxia, <a href="#4" class="mim-tip-reference" title="Asaka, T., Yokoji, H., Ito, J., Yamaguchi, K., Matsushima, A. &lt;strong&gt;Autosomal recessive ataxia with peripheral neuropathy and elevated AFP: novel mutations in SETX.&lt;/strong&gt; Neurology 66: 1580-1581, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16717225/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16717225&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1212/01.wnl.0000216135.59699.9b&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16717225">Asaka et al. (2006)</a> identified homozygosity for 2 mutations in the SETX gene (<a href="/entry/608465#0011">608465.0011</a>). Three sibs who were heterozygous for the 2 mutations were unaffected. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16717225" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In 3 Japanese sibs, born of consanguineous parents, with SCAN2, originally reported by <a href="#12" class="mim-tip-reference" title="Kobayashi, S., Takuma, H., Murayama, S., Sakurai, M., Kanazawa, I. &lt;strong&gt;A Japanese family with early-onset ataxia with motor and sensory neuropathy.&lt;/strong&gt; J. Neurol. Sci. 254: 44-48, 2007.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17258771/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17258771&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.jns.2006.12.014&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17258771">Kobayashi et al. (2007)</a>, <a href="#11" class="mim-tip-reference" title="Ichikawa, Y., Ishiura, H., Mitsui, J., Takahashi, Y., Kobayashi, S., Takuma, H., Kanazawa, I., Doi, K., Yoshimura, J., Morishita, S., Goto, J., Tsuji, S. &lt;strong&gt;Exome analysis reveals a Japanese family with spinocerebellar ataxia, autosomal recessive 1.&lt;/strong&gt; J. Neurol. Sci. 331: 158-160, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23786967/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23786967&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.jns.2013.05.018&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23786967">Ichikawa et al. (2013)</a> identified a homozygous truncating mutation in the SETX gene (Q1441X) that segregated with the disorder in the family. The mutation, which was found by a combination of linkage analysis and whole-exome sequencing, was confirmed by Sanger sequencing. Functional studies of the variant were not performed. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=23786967+17258771" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="populationGenetics" class="mim-anchor"></a>
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<strong>Population Genetics</strong>
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<p><a href="#9" class="mim-tip-reference" title="Duquette, A., Roddier, K., McNabb-Baltar, J., Gosselin, I., St-Denis, A., Dicaire, M.-J., Loisel, L., Labuda, D., Marchand, L., Mathieu, J., Bouchard, J.-P., Brais, B. &lt;strong&gt;Mutations in senataxin responsible for Quebec cluster of ataxia with neuropathy.&lt;/strong&gt; Ann. Neurol. 57: 408-414, 2005.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/15732101/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;15732101&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ana.20408&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="15732101">Duquette et al. (2005)</a> estimated that the carrier rate of the disease-causing L1976R mutation in the SETX gene was 3.5% in Quebecois of Anglo-Norman origin and 2.1% in the French Canadian population of Gaspesie. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=15732101" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#1" class="mim-tip-reference" title="Anheim, M., Fleury, M., Monga, B., Laugel, V., Chaigne, D., Rodier, G., Ginglinger, E., Boulay, C., Courtois, S., Drouot, N., Fritsch, M., Delaunoy, J. P., Stoppa-Lyonnet, D., Tranchant, C., Koenig, M. &lt;strong&gt;Epidemiological, clinical, paraclinical and molecular study of a cohort of 102 patients affected with autosomal recessive progressive cerebellar ataxia from Alsace, Eastern France: implications for clinical management.&lt;/strong&gt; Neurogenetics 11: 1-12, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/19440741/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;19440741&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/s10048-009-0196-y&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="19440741">Anheim et al. (2010)</a> found that AOA2 was the second most common form of autosomal recessive cerebellar ataxia in a cohort of 102 patients evaluated in Alsace, France. Of 57 patients in whom a molecular diagnosis could be determined, 7 were affected by AOA2. The authors estimated the prevalence of AOA2 to be 1 in 900,000 in this region. Friedreich ataxia (FRDA; <a href="/entry/229300">229300</a>) was the most common diagnosis, found in 36 of 57 patients, and ataxia-telangiectasia (AT; <a href="/entry/208900">208900</a>) was the third most common diagnosis, found in 4 patients. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=19440741" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>REFERENCES</strong>
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<a id="Anheim2010" class="mim-anchor"></a>
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Anheim, M., Fleury, M., Monga, B., Laugel, V., Chaigne, D., Rodier, G., Ginglinger, E., Boulay, C., Courtois, S., Drouot, N., Fritsch, M., Delaunoy, J. P., Stoppa-Lyonnet, D., Tranchant, C., Koenig, M.
<strong>Epidemiological, clinical, paraclinical and molecular study of a cohort of 102 patients affected with autosomal recessive progressive cerebellar ataxia from Alsace, Eastern France: implications for clinical management.</strong>
Neurogenetics 11: 1-12, 2010.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/19440741/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">19440741</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=19440741" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1007/s10048-009-0196-y" target="_blank">Full Text</a>]
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<a id="Anheim2008" class="mim-anchor"></a>
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Anheim, M., Fleury, M.-C., Franques, J., Moreira, M.-C., Delaunoy, J.-P., Stoppa-Lyonnet, D., Koenig, M., Tranchant, C.
<strong>Clinical and molecular findings of ataxia with oculomotor apraxia type 2 in 4 families.</strong>
Arch. Neurol. 65: 958-962, 2008.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/18625865/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">18625865</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=18625865" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1001/archneur.65.7.958" target="_blank">Full Text</a>]
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<a id="Anheim2009" class="mim-anchor"></a>
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Anheim, M., Monga, B., Fleury, M., Charles, P., Barbot, C., Salih, M., Delaunoy, J. P., Fritsch, M., Arning, L., Synofzik, M., Schols, L., Sequeiros, J., and 23 others.
<strong>Ataxia with oculomotor apraxia type 2: clinical, biological and genotype/phenotype correlation study of a cohort of 90 patients.</strong>
Brain 132: 2688-2698, 2009.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/19696032/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">19696032</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=19696032" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1093/brain/awp211" target="_blank">Full Text</a>]
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<a id="Asaka2006" class="mim-anchor"></a>
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Asaka, T., Yokoji, H., Ito, J., Yamaguchi, K., Matsushima, A.
<strong>Autosomal recessive ataxia with peripheral neuropathy and elevated AFP: novel mutations in SETX.</strong>
Neurology 66: 1580-1581, 2006.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16717225/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16717225</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16717225" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1212/01.wnl.0000216135.59699.9b" target="_blank">Full Text</a>]
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<a id="Bassuk2007" class="mim-anchor"></a>
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Bassuk, A. G., Chen, Y. Z., Batish, S. D., Nagan, N., Opal, P., Chance, P. F., Bennett, C. L.
<strong>In cis autosomal dominant mutation of senataxin associated with tremor/ataxia syndrome.</strong>
Neurogenetics 8: 45-49, 2007.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/17096168/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">17096168</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=17096168" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1007/s10048-006-0067-8" target="_blank">Full Text</a>]
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<a id="Bomont2000" class="mim-anchor"></a>
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Bomont, P., Watanabe, M., Gershoni-Barush, R., Shizuka, M., Tanaka, M., Sugano, J., Guiraud-Chaumeil, C., Koenig, M.
<strong>Homozygosity mapping of spinocerebellar ataxia with cerebellar atrophy and peripheral neuropathy to 9q33-34, and with hearing impairment and optic atrophy to 6p21-23.</strong>
Europ. J. Hum. Genet. 8: 986-990, 2000.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/11175288/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">11175288</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11175288" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1038/sj.ejhg.5200586" target="_blank">Full Text</a>]
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<a id="Bouchard1980" class="mim-anchor"></a>
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Bouchard, J., Bedard, P., Bouchard, R.
<strong>Study of a family with progressive ataxia, tremor and severe distal amyotrophy.</strong>
Canad. J. Neurol. Sci. 7: 345-349, 1980.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/7214250/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">7214250</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=7214250" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1017/s0317167100022861" target="_blank">Full Text</a>]
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<a id="Criscuolo2006" class="mim-anchor"></a>
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Criscuolo, C., Chessa, L., Di Giandomenico, S., Mancini, P., Sacca, F., Grieco, G. S., Piane, M., Barbieri, F., De Michele, G., Banfi, S., Pierelli, F., Rizzuto, N., Santorelli, F. M., Gallosti, L., Filla, A., Casali, C.
<strong>Ataxia with oculomotor apraxia type 2: a clinical, pathologic, and genetic study.</strong>
Neurology 66: 1207-1210, 2006.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16636238/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16636238</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16636238" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1212/01.wnl.0000208402.10512.4a" target="_blank">Full Text</a>]
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<a id="Duquette2005" class="mim-anchor"></a>
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Duquette, A., Roddier, K., McNabb-Baltar, J., Gosselin, I., St-Denis, A., Dicaire, M.-J., Loisel, L., Labuda, D., Marchand, L., Mathieu, J., Bouchard, J.-P., Brais, B.
<strong>Mutations in senataxin responsible for Quebec cluster of ataxia with neuropathy.</strong>
Ann. Neurol. 57: 408-414, 2005.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/15732101/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">15732101</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=15732101" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1002/ana.20408" target="_blank">Full Text</a>]
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<a id="Hammer2012" class="mim-anchor"></a>
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Hammer, M. B., El Euch-Fayache, G., Nehdi, H., Saidi, D., Nasri, A., Nabli, F., Bouhlal, Y., Maamouri-Hicheri, W., Hentati, F., Amouri, R.
<strong>Clinical and molecular findings of ataxia with oculomotor apraxia type 2 (AOA2) in 5 Tunisian families.</strong>
Diagn. Molec. Path. 21: 241-245, 2012.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/23111195/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">23111195</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23111195" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1097/PDM.0b013e318257ad9a" target="_blank">Full Text</a>]
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<a id="Ichikawa2013" class="mim-anchor"></a>
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Ichikawa, Y., Ishiura, H., Mitsui, J., Takahashi, Y., Kobayashi, S., Takuma, H., Kanazawa, I., Doi, K., Yoshimura, J., Morishita, S., Goto, J., Tsuji, S.
<strong>Exome analysis reveals a Japanese family with spinocerebellar ataxia, autosomal recessive 1.</strong>
J. Neurol. Sci. 331: 158-160, 2013.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/23786967/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">23786967</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23786967" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/j.jns.2013.05.018" target="_blank">Full Text</a>]
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<a id="Kobayashi2007" class="mim-anchor"></a>
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Kobayashi, S., Takuma, H., Murayama, S., Sakurai, M., Kanazawa, I.
<strong>A Japanese family with early-onset ataxia with motor and sensory neuropathy.</strong>
J. Neurol. Sci. 254: 44-48, 2007.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/17258771/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">17258771</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=17258771" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/j.jns.2006.12.014" target="_blank">Full Text</a>]
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<a id="Le Ber2004" class="mim-anchor"></a>
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Le Ber, I., Bouslam, N., Rivaud-Pechoux, S., Guimaraes, J., Benomar, A., Chamayou, C., Goizet, C., Moreira, M.-C., Klur, S., Yahyaoui, M., Agid, Y., Koenig, M., Stevanin, G., Brice, A., Durr, A.
<strong>Frequency and phenotypic spectrum of ataxia with oculomotor apraxia 2: a clinical and genetic study in 18 patients.</strong>
Brain 127: 759-767, 2004.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/14736755/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">14736755</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14736755" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1093/brain/awh080" target="_blank">Full Text</a>]
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<a id="Moreira2004" class="mim-anchor"></a>
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Moreira, M.-C., Klur, S., Watanabe, M., Nemeth, A. H., Le Ber, I., Moniz, J.-C., Tranchant, C., Aubourg, P., Tazir, M., Schols, L., Pandolfo, P., Schulz, J. B., and 22 others.
<strong>Senataxin, the ortholog of a yeast RNA helicase, is mutant in ataxia-ocular apraxia 2.</strong>
Nature Genet. 36: 225-227, 2004.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/14770181/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">14770181</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14770181" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1038/ng1303" target="_blank">Full Text</a>]
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<a id="Nemeth2000" class="mim-anchor"></a>
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Nemeth, A. H., Bochukova, E., Dunne, E., Huson, S. M., Elston, J., Hannan, M. A., Jackson, M., Chapman, C. J., Taylor, A. M. R.
<strong>Autosomal recessive cerebellar ataxia with oculomotor apraxia (ataxia-telangiectasia-like syndrome) is linked to chromosome 9q34.</strong>
Am. J. Hum. Genet. 67: 1320-1326, 2000.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/11022012/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">11022012</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=11022012[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11022012" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/S0002-9297(07)62962-0" target="_blank">Full Text</a>]
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<a id="Watanabe1998" class="mim-anchor"></a>
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Watanabe, M., Sugai, Y., Concannon, P., Koenig, M., Schmitt, M., Sato, M., Shizuka, M., Mizushima, K., Ikeda, Y., Tomidokoro, Y., Okamoto, K., Shoji, M.
<strong>Familial spinocerebellar ataxia with cerebellar atrophy, peripheral neuropathy, and elevated level of serum creatine kinase, gamma-globulin, and alpha-fetoprotein.</strong>
Ann. Neurol. 44: 265-269, 1998.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/9708552/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">9708552</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=9708552" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1002/ana.410440220" target="_blank">Full Text</a>]
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Cassandra L. Kniffin - updated : 4/2/2015
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Cassandra L. Kniffin - updated : 3/1/2010<br>Cassandra L. Kniffin - updated : 10/16/2008<br>Cassandra L. Kniffin - updated : 8/7/2007<br>Cassandra L. Kniffin - updated : 6/25/2007<br>Cassandra L. Kniffin - updated : 2/27/2007<br>Cassandra L. Kniffin - updated : 5/11/2005<br>Victor A. McKusick - updated : 2/13/2004<br>Victor A. McKusick - updated : 10/2/2001
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Creation Date:
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Victor A. McKusick : 6/12/2001
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<a href="#mimCollapseEditHistory" role="button" data-toggle="collapse"> Edit History: </a>
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carol : 12/12/2024
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carol : 10/19/2023<br>alopez : 09/14/2023<br>carol : 04/16/2019<br>carol : 04/15/2019<br>ckniffin : 04/15/2019<br>carol : 08/23/2016<br>carol : 04/06/2015<br>mcolton : 4/3/2015<br>ckniffin : 4/2/2015<br>alopez : 3/20/2015<br>carol : 2/21/2014<br>wwang : 5/19/2011<br>wwang : 3/2/2010<br>ckniffin : 3/1/2010<br>wwang : 10/17/2008<br>ckniffin : 10/16/2008<br>ckniffin : 10/5/2007<br>wwang : 8/22/2007<br>ckniffin : 8/7/2007<br>wwang : 6/29/2007<br>ckniffin : 6/25/2007<br>wwang : 3/5/2007<br>ckniffin : 2/27/2007<br>ckniffin : 7/6/2006<br>tkritzer : 5/16/2005<br>ckniffin : 5/11/2005<br>alopez : 3/1/2004<br>alopez : 2/16/2004<br>alopez : 2/13/2004<br>alopez : 2/13/2004<br>terry : 2/13/2004<br>carol : 12/17/2002<br>ckniffin : 8/7/2002<br>carol : 12/11/2001<br>alopez : 10/3/2001<br>terry : 10/2/2001<br>carol : 6/12/2001
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<strong>#</strong> 606002
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SPINOCEREBELLAR ATAXIA, AUTOSOMAL RECESSIVE, WITH AXONAL NEUROPATHY 2; SCAN2
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<em>Alternative titles; symbols</em>
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ATAXIA-OCULOMOTOR APRAXIA 2; AOA2<br />
ATAXIA-OCULAR APRAXIA 2<br />
SPINOCEREBELLAR ATAXIA, AUTOSOMAL RECESSIVE 1, FORMERLY; SCAR1, FORMERLY
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<strong>SNOMEDCT:</strong> 725408001; &nbsp;
<strong>ORPHA:</strong> 64753; &nbsp;
<strong>DO:</strong> 0050755; &nbsp;
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<strong>Phenotype-Gene Relationships</strong>
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Location
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Phenotype
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Phenotype <br /> MIM number
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Inheritance
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Phenotype <br /> mapping key
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Gene/Locus
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Gene/Locus <br /> MIM number
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9q34.13
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Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2
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606002
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Autosomal recessive
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3
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SETX
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608465
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<strong>TEXT</strong>
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<p>A number sign (#) is used with this entry because autosomal recessive spinocerebellar ataxia with axonal neuropathy-2 (SCAN2) is caused by homozygous or compound heterozygous mutation in the SETX gene (608465) on chromosome 9q34.</p>
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<strong>Description</strong>
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<p>Autosomal recessive spinocerebellar ataxia with axonal neuropathy-2 (SCAN2) is a neurodegenerative disorder characterized by juvenile onset of progressive cerebellar ataxia, axonal sensorimotor peripheral neuropathy, and increased serum alpha-fetoprotein (AFP; 104150). Oculomotor apraxia is a common but inconsistent finding, found in about 50% of patients; hence this disorder is sometimes referred to as 'ataxia-oculomotor apraxia-2' (AOA2) (Moreira et al., 2004; summary by Ichikawa et al., 2013). </p><p>Duquette et al. (2005) emphasized that oculomotor apraxia is not a universal finding in this disorder and suggested the name 'spinocerebellar ataxia, autosomal recessive, with axonal neuropathy-2' (SCAN2) to distinguish it from SCAN1 (607250). </p><p>For a discussion of genetic heterogeneity of ataxia-oculomotor apraxia, see AOA1 (208920).</p><p>For a discussion of genetic heterogeneity of SCAN, see SCAN1 (607250).</p>
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<strong>Clinical Features</strong>
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<p>Bouchard et al. (1980) described a large French Canadian family with an unusual neurologic disorder. The mother had 27 pregnancies; 10 males and 10 females survived. Of these, 3 females and 4 males, ranging in age from 21 to 48, had progressive ataxia, tremor of dentatorubral type, and severe distal amyotrophy consistent with a neuronal form of Charcot-Marie-Tooth disease (see, e.g., 118210). Several of the father's cousins were said to be ataxic and many descendants and relatives were living in the northeastern United States. </p><p>Nemeth et al. (2000) identified a family with ataxia-oculomotor apraxia and showed that affected individuals had no evidence of chromosomal instability or sensitivity to ionizing radiation, suggesting that the disorder in this family was a true primary cerebellar ataxia. </p><p>Bomont et al. (2000) studied a consanguineous Japanese family previously reported by Watanabe et al. (1998). Four affected sibs had spinocerebellar ataxia associated with elevated levels of serum creatine kinase, gamma-globulin, and AFP. </p><p>Le Ber et al. (2004) reported 18 patients from 6 unrelated families from France, the West Indies, Turkey, Morocco, and Portugal who showed linkage to the AOA2 locus on chromosome 9q34. Mean age at onset was 15 years (range, 10 to 25), which the authors noted was later than that reported for AOA1 (average age, 7 years). All patients had gait ataxia, axial cerebellar symptoms, cerebellar atrophy on MRI, and increased serum AFP. Peripheral sensory neuropathy was present in most patients, manifest as hypo- or areflexia and distal sensory loss. Oculomotor apraxia was only present in 56% of patients, whereas all patients had impaired smooth pursuit and 89% had gaze-evoked nystagmus. Other features included strabismus (in 11% of patients), dystonic posturing of the hands (28%), choreic movements (22%), and head or postural tremor (17%). Six patients had dysphagia. Seven affected individuals from 1 family had pes cavus and scoliosis; all of these patients eventually became wheelchair-bound. All 3 affected women in this most severely affected family had early menopause between ages 21 and 24 years. </p><p>Duquette et al. (2005) reported 24 French Canadian patients from 10 families with autosomal recessive ataxia and distal amyotrophy. One of the families had previously been reported by Bouchard et al. (1980). The clinical phenotype was homogeneous, consisting of progressive gait ataxia beginning at an average age of 14.8 years (range, 2 years in 1 patient to 20 years), distal muscle weakness, cerebellar dysarthria, saccadic ocular pursuit, and progressive distal amyotrophy with loss of deep tendon reflexes and vibration sense. Variable features included gaze nystagmus (91% of patients), strabismus (30%), decreased touch sensation (57%), and tremor (57%). None of the patients had oculomotor apraxia as defined by the inability to generate volitional horizontal saccades with preserved reflex eye movements. All patients had increased serum AFP, approximately 5 times normal levels. Motor nerve conduction velocities were slightly decreased and sensory action potentials were absent. Sural nerve biopsies of 2 patients showed chronic axonal neuropathy with loss of large myelinated fibers. Seven patients had isolated cerebellar atrophy and 5 had more extensive pontocerebellar atrophy. Although the disorder was progressive in all patients, there was variably severity: some patients were wheelchair-bound by their twenties, whereas others could still walk short distances in their forties. </p><p>Criscuolo et al. (2006) reported 10 patients from 4 unrelated Italian families with AOA2. Three of the families were consanguineous. Mean age at disease onset was 20.3 years (range 3 to 30) and ataxic gait was the presenting symptom. Although the disease progression was generally slow, no patient was able to walk independently by the time of examination (27 to 67 years). Oculomotor apraxia was only present in 2 patients, although 8 had gaze nystagmus. Other common features included limb and trunk ataxia, dysarthria, dysphagia, peripheral neuropathy, and skeletal and foot deformities. One patient had extrapyramidal signs, including choreiform movements of the head and truncal dystonia, and another had head tremor that disappeared with disease progression. Three patients presented with mild mental decline around age 50 years. Postmortem examination of 1 patient who died of heart failure at age 79 years showed reduced overall size of the brain and marked cerebellar atrophy with loss of Purkinje cells. The substantia nigra was normally pigmented, and cortical neurons were normal. There was severe demyelination in the spinal cord. Molecular analysis identified 4 different homozygous pathogenic mutations in the SETX gene in affected members of these families. </p><p>Kobayashi et al. (2007) reported 3 adult Japanese sibs, born of consanguineous parents, with onset of slowly progressive cerebellar ataxia in the teenage years followed by distal muscle weakness after age 30 and distal sensory impairment with areflexia. All 3 patients became wheelchair-bound between 39 and 47 years of age. Smooth pursuit was abnormally saccadic and all had nystagmus, but oculomotor apraxia was not present. Brain imaging showed marked atrophy of the cerebellar vermis and hemispheres. Sural nerve biopsy showed a marked reduction in the number of myelinated and unmyelinated fibers, and electrophysiologic studies were consistent with an axonal sensorimotor peripheral neuropathy. Although Kobayashi et al. (2007) reported normal levels of serum AFP, Ichikawa et al. (2013) found increased levels of serum AFP in a stocked serum sample of 1 of the patients. </p><p>Bassuk et al. (2007) reported an African American mother and daughter with a restricted form of AOA2 resulting from 2 SETX mutations in cis on the same allele (608465.0010). The mother and daughter were first evaluated for frequent falling at the ages of 13 and 3 years, respectively. Both also had tremor and oculomotor defects at that time. By age 30, the mother had developed dysarthria, increased tremor, head tremor, ataxic gait, and cerebellar atrophy on imaging studies. Both mother and daughter had increased serum IgG. However, neither showed peripheral neuropathy or head thrusting with horizontal eye movements, which are classic features of AOA2. Bassuk et al. (2007) postulated that the 2 mutations acted synergistically, leading to a dominant-negative mutant protein with partial function and an incomplete phenotype. </p><p>Anheim et al. (2008) reported 7 patients with AOA2 from 4 unrelated families. The phenotype was homogeneous and included teenage onset of progressive cerebellar ataxia and areflexia. All 4 patients specifically tested showed axonal neuropathy and diffuse cerebellar atrophy. Five patients needed assistance walking. Only 1 had oculomotor apraxia; 2 had mild dystonia in the lower limbs. All patients and 5 of 8 asymptomatic heterozygotes showed increased serum AFP. Molecular analysis identified 4 pathogenic mutations in the SETX gene (see, e.g., 608465.0013). </p><p>Anheim et al. (2009) retrospectively analyzed 90 patients from 15 families with a genetically confirmed diagnosis of AOA2. The patients originated from 15 countries, and 25 novel SETX mutation were identified. The median age at onset was 14 years. Clinical features included polyneuropathy (97.5% of patients), cerebellar atrophy (96%), occasional oculomotor apraxia (51%), pyramidal signs (20.5%), head tremor (14%), dystonia (13.5%), strabismus (12.3%), and chorea (9.5%). Other features included pes cavus and increased serum AFP. Pyramidal signs and dystonia were more frequent and disease was less severe with missense mutations in the helicase domain of senataxin gene than with missense mutations outside of the helicase domain and deletion and nonsense mutations. Anheim et al. (2009) suggested that the lack of pyramidal signs in most patients may have resulted from severe motor neuropathy. </p><p>Hammer et al. (2012) reported 13 patients, ranging in age from 16 to 30 years, from 5 consanguineous Tunisian families with AOA2 confirmed by genetic analysis. The patients had a relatively homogeneous phenotype, although it varied in severity. Cerebellar ataxia and dysarthria were constant findings. Two patients became wheelchair-bound in their twenties. Various ocular signs included oculomotor apraxia (9 patients), nystagmus (6 patients), saccadic pursuit (4 patients), and lateral gaze with intermittent diplopia (2 patients). </p>
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<strong>Mapping</strong>
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<p>By linkage analysis and homozygosity mapping, Nemeth et al. (2000) localized the ataxia-oculomotor apraxia disease locus in their family to a 15.9-cM interval on chromosome 9q34. </p><p>Bomont et al. (2000) found linkage of the disorder in a Japanese family to chromosome 9q33.3-q34.3. Genotyping of 2 unrelated Japanese patients from first-degree consanguineous parents showed that one was homozygous for the same region but did not share the biochemical features. </p><p>Moreira et al. (2004) identified 9 families with ataxia linked to 9q34 by homozygosity mapping. As most affected individuals had both oculomotor apraxia and elevated AFP levels, they assumed that they were affected by the same disorder, which they had named AOA2. They identified distal and proximal recombinations in families with 2 affected individuals, localizing the defective gene underlying AOA2 to a 1.1-Mb interval containing 13 genes and 3 groups of overlapping spliced ESTs. </p>
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<strong>Inheritance</strong>
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<p>The transmission pattern of SCAN2 in the families reported by Moreira et al. (2004) was consistent with autosomal recessive inheritance. </p>
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<strong>Molecular Genetics</strong>
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<p>In affected members of 15 families with either AOA or ataxia with elevated AFP levels, Moreira et al. (2004) identified 15 different disease-associated mutations in the SETX gene (see, e.g., 608465.0001-608465.0005). All patients had either homozygous or compound heterozygous mutations, consistent with autosomal recessive inheritance. </p><p>In affected members of 10 French Canadian families with ataxia, distal amyotrophy, and peripheral neuropathy, Duquette et al. (2005) identified mutations in the SETX gene. One of the families had been reported by Bouchard et al. (1980). A founder mutation (L1976R; 608465.0009) was identified in all families. </p><p>In 2 Japanese sibs, born of consanguineous parents, with autosomal recessive spinocerebellar ataxia, Asaka et al. (2006) identified homozygosity for 2 mutations in the SETX gene (608465.0011). Three sibs who were heterozygous for the 2 mutations were unaffected. </p><p>In 3 Japanese sibs, born of consanguineous parents, with SCAN2, originally reported by Kobayashi et al. (2007), Ichikawa et al. (2013) identified a homozygous truncating mutation in the SETX gene (Q1441X) that segregated with the disorder in the family. The mutation, which was found by a combination of linkage analysis and whole-exome sequencing, was confirmed by Sanger sequencing. Functional studies of the variant were not performed. </p>
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<strong>Population Genetics</strong>
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<p>Duquette et al. (2005) estimated that the carrier rate of the disease-causing L1976R mutation in the SETX gene was 3.5% in Quebecois of Anglo-Norman origin and 2.1% in the French Canadian population of Gaspesie. </p><p>Anheim et al. (2010) found that AOA2 was the second most common form of autosomal recessive cerebellar ataxia in a cohort of 102 patients evaluated in Alsace, France. Of 57 patients in whom a molecular diagnosis could be determined, 7 were affected by AOA2. The authors estimated the prevalence of AOA2 to be 1 in 900,000 in this region. Friedreich ataxia (FRDA; 229300) was the most common diagnosis, found in 36 of 57 patients, and ataxia-telangiectasia (AT; 208900) was the third most common diagnosis, found in 4 patients. </p>
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<h4>
<span class="mim-font">
<strong>REFERENCES</strong>
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<ol>
<li>
<p class="mim-text-font">
Anheim, M., Fleury, M., Monga, B., Laugel, V., Chaigne, D., Rodier, G., Ginglinger, E., Boulay, C., Courtois, S., Drouot, N., Fritsch, M., Delaunoy, J. P., Stoppa-Lyonnet, D., Tranchant, C., Koenig, M.
<strong>Epidemiological, clinical, paraclinical and molecular study of a cohort of 102 patients affected with autosomal recessive progressive cerebellar ataxia from Alsace, Eastern France: implications for clinical management.</strong>
Neurogenetics 11: 1-12, 2010.
[PubMed: 19440741]
[Full Text: https://doi.org/10.1007/s10048-009-0196-y]
</p>
</li>
<li>
<p class="mim-text-font">
Anheim, M., Fleury, M.-C., Franques, J., Moreira, M.-C., Delaunoy, J.-P., Stoppa-Lyonnet, D., Koenig, M., Tranchant, C.
<strong>Clinical and molecular findings of ataxia with oculomotor apraxia type 2 in 4 families.</strong>
Arch. Neurol. 65: 958-962, 2008.
[PubMed: 18625865]
[Full Text: https://doi.org/10.1001/archneur.65.7.958]
</p>
</li>
<li>
<p class="mim-text-font">
Anheim, M., Monga, B., Fleury, M., Charles, P., Barbot, C., Salih, M., Delaunoy, J. P., Fritsch, M., Arning, L., Synofzik, M., Schols, L., Sequeiros, J., and 23 others.
<strong>Ataxia with oculomotor apraxia type 2: clinical, biological and genotype/phenotype correlation study of a cohort of 90 patients.</strong>
Brain 132: 2688-2698, 2009.
[PubMed: 19696032]
[Full Text: https://doi.org/10.1093/brain/awp211]
</p>
</li>
<li>
<p class="mim-text-font">
Asaka, T., Yokoji, H., Ito, J., Yamaguchi, K., Matsushima, A.
<strong>Autosomal recessive ataxia with peripheral neuropathy and elevated AFP: novel mutations in SETX.</strong>
Neurology 66: 1580-1581, 2006.
[PubMed: 16717225]
[Full Text: https://doi.org/10.1212/01.wnl.0000216135.59699.9b]
</p>
</li>
<li>
<p class="mim-text-font">
Bassuk, A. G., Chen, Y. Z., Batish, S. D., Nagan, N., Opal, P., Chance, P. F., Bennett, C. L.
<strong>In cis autosomal dominant mutation of senataxin associated with tremor/ataxia syndrome.</strong>
Neurogenetics 8: 45-49, 2007.
[PubMed: 17096168]
[Full Text: https://doi.org/10.1007/s10048-006-0067-8]
</p>
</li>
<li>
<p class="mim-text-font">
Bomont, P., Watanabe, M., Gershoni-Barush, R., Shizuka, M., Tanaka, M., Sugano, J., Guiraud-Chaumeil, C., Koenig, M.
<strong>Homozygosity mapping of spinocerebellar ataxia with cerebellar atrophy and peripheral neuropathy to 9q33-34, and with hearing impairment and optic atrophy to 6p21-23.</strong>
Europ. J. Hum. Genet. 8: 986-990, 2000.
[PubMed: 11175288]
[Full Text: https://doi.org/10.1038/sj.ejhg.5200586]
</p>
</li>
<li>
<p class="mim-text-font">
Bouchard, J., Bedard, P., Bouchard, R.
<strong>Study of a family with progressive ataxia, tremor and severe distal amyotrophy.</strong>
Canad. J. Neurol. Sci. 7: 345-349, 1980.
[PubMed: 7214250]
[Full Text: https://doi.org/10.1017/s0317167100022861]
</p>
</li>
<li>
<p class="mim-text-font">
Criscuolo, C., Chessa, L., Di Giandomenico, S., Mancini, P., Sacca, F., Grieco, G. S., Piane, M., Barbieri, F., De Michele, G., Banfi, S., Pierelli, F., Rizzuto, N., Santorelli, F. M., Gallosti, L., Filla, A., Casali, C.
<strong>Ataxia with oculomotor apraxia type 2: a clinical, pathologic, and genetic study.</strong>
Neurology 66: 1207-1210, 2006.
[PubMed: 16636238]
[Full Text: https://doi.org/10.1212/01.wnl.0000208402.10512.4a]
</p>
</li>
<li>
<p class="mim-text-font">
Duquette, A., Roddier, K., McNabb-Baltar, J., Gosselin, I., St-Denis, A., Dicaire, M.-J., Loisel, L., Labuda, D., Marchand, L., Mathieu, J., Bouchard, J.-P., Brais, B.
<strong>Mutations in senataxin responsible for Quebec cluster of ataxia with neuropathy.</strong>
Ann. Neurol. 57: 408-414, 2005.
[PubMed: 15732101]
[Full Text: https://doi.org/10.1002/ana.20408]
</p>
</li>
<li>
<p class="mim-text-font">
Hammer, M. B., El Euch-Fayache, G., Nehdi, H., Saidi, D., Nasri, A., Nabli, F., Bouhlal, Y., Maamouri-Hicheri, W., Hentati, F., Amouri, R.
<strong>Clinical and molecular findings of ataxia with oculomotor apraxia type 2 (AOA2) in 5 Tunisian families.</strong>
Diagn. Molec. Path. 21: 241-245, 2012.
[PubMed: 23111195]
[Full Text: https://doi.org/10.1097/PDM.0b013e318257ad9a]
</p>
</li>
<li>
<p class="mim-text-font">
Ichikawa, Y., Ishiura, H., Mitsui, J., Takahashi, Y., Kobayashi, S., Takuma, H., Kanazawa, I., Doi, K., Yoshimura, J., Morishita, S., Goto, J., Tsuji, S.
<strong>Exome analysis reveals a Japanese family with spinocerebellar ataxia, autosomal recessive 1.</strong>
J. Neurol. Sci. 331: 158-160, 2013.
[PubMed: 23786967]
[Full Text: https://doi.org/10.1016/j.jns.2013.05.018]
</p>
</li>
<li>
<p class="mim-text-font">
Kobayashi, S., Takuma, H., Murayama, S., Sakurai, M., Kanazawa, I.
<strong>A Japanese family with early-onset ataxia with motor and sensory neuropathy.</strong>
J. Neurol. Sci. 254: 44-48, 2007.
[PubMed: 17258771]
[Full Text: https://doi.org/10.1016/j.jns.2006.12.014]
</p>
</li>
<li>
<p class="mim-text-font">
Le Ber, I., Bouslam, N., Rivaud-Pechoux, S., Guimaraes, J., Benomar, A., Chamayou, C., Goizet, C., Moreira, M.-C., Klur, S., Yahyaoui, M., Agid, Y., Koenig, M., Stevanin, G., Brice, A., Durr, A.
<strong>Frequency and phenotypic spectrum of ataxia with oculomotor apraxia 2: a clinical and genetic study in 18 patients.</strong>
Brain 127: 759-767, 2004.
[PubMed: 14736755]
[Full Text: https://doi.org/10.1093/brain/awh080]
</p>
</li>
<li>
<p class="mim-text-font">
Moreira, M.-C., Klur, S., Watanabe, M., Nemeth, A. H., Le Ber, I., Moniz, J.-C., Tranchant, C., Aubourg, P., Tazir, M., Schols, L., Pandolfo, P., Schulz, J. B., and 22 others.
<strong>Senataxin, the ortholog of a yeast RNA helicase, is mutant in ataxia-ocular apraxia 2.</strong>
Nature Genet. 36: 225-227, 2004.
[PubMed: 14770181]
[Full Text: https://doi.org/10.1038/ng1303]
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Nemeth, A. H., Bochukova, E., Dunne, E., Huson, S. M., Elston, J., Hannan, M. A., Jackson, M., Chapman, C. J., Taylor, A. M. R.
<strong>Autosomal recessive cerebellar ataxia with oculomotor apraxia (ataxia-telangiectasia-like syndrome) is linked to chromosome 9q34.</strong>
Am. J. Hum. Genet. 67: 1320-1326, 2000.
[PubMed: 11022012]
[Full Text: https://doi.org/10.1016/S0002-9297(07)62962-0]
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Watanabe, M., Sugai, Y., Concannon, P., Koenig, M., Schmitt, M., Sato, M., Shizuka, M., Mizushima, K., Ikeda, Y., Tomidokoro, Y., Okamoto, K., Shoji, M.
<strong>Familial spinocerebellar ataxia with cerebellar atrophy, peripheral neuropathy, and elevated level of serum creatine kinase, gamma-globulin, and alpha-fetoprotein.</strong>
Ann. Neurol. 44: 265-269, 1998.
[PubMed: 9708552]
[Full Text: https://doi.org/10.1002/ana.410440220]
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