Machado-Joseph disease versus hereditary spastic paraplegia: case report

Machado-Joseph disease (MJD) is the most common autosomal dominant spinocerebellar ataxia and presents great phenotypic variability. MJD presenting with spastic paraparesis was recently described in Japanese patients. We report the case of 41-year-old woman with the phenotype of complicated hereditary spastic paraplegia. Her father died at the age of 56 years due to an undiagnosed progressive neurological disease that presented parkinsonism. She had an expanded allele with 66 CAG repeats and a normal allele with 22 repeats in the gene of MJD. MJD should be considered in the differential diagnosis of autosomal dominant complicated HSP. A patient with the phenotype of complicated HSP and relatives with other clinical features of a neurodegenerative disease should raise the suspicion of MJD.

Bibliographic Details

Main Authors:	Teive,Hélio A. Ghizoni, Iwamoto,Fabio Massaiti, Camargo,Carlos Henrique, Lopes-Cendes,Iscia, Werneck,Lineu Cesar
Format:	Digital revista
Language:	English
Published:	Academia Brasileira de Neurologia - ABNEURO 2001
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000500030
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