Document Detail


Primary hypogonadism in females with infantile onset spinocerebellar ataxia.
MedLine Citation:
PMID:  8552218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We recently described an infantile onset spinocerebellar ataxia (IOSCA) in 19 Finnish patients. The classification of hereditary ataxias of unknown etiology is difficult because of the heterogeneity of these diseases. The clinical course of IOSCA is homogeneous. Ataxia, muscle hypotonia, athetosis, and loss of deep tendon reflexes in the legs appeared around the age of 1 year. Ophthalmoplegia and deafness were found by school-age, and sensory axonal neuropathy and optic atrophy by adolescence. An acute crisis with epilepsy was a late manifestation. The female patients had hypogonadism. In order to define the type of hypogonadism and to exclude other endocrine defects we measured serum concentrations of SHBG, DHEAS, prolactine, testosterone/estradiol, FSH and LH in postpubertal patients. ACTH, hCG and GnRH tests were performed to both pre- and postpubertal patients. Growth was analysed, and the brain and pituitary region were examined with magnetic resonance imaging (MRI). The estradiol values were low and FSH and LH values were high in the female patients, which indicates that the hypogonadism was of the hypergonadotropic type. The growth of the female patients was steady without a significant pubertal growth acceleration. The growth and pubertal development of the male patients were normal. The adrenal cortical and thyroidea functions were normal in all patients.
Authors:
T Koskinen; H Pihko; R Voutilainen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neuropediatrics     Volume:  26     ISSN:  0174-304X     ISO Abbreviation:  Neuropediatrics     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1996-02-21     Completed Date:  1996-02-21     Revised Date:  2008-01-16    
Medline Journal Info:
Nlm Unique ID:  8101187     Medline TA:  Neuropediatrics     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  263-6     Citation Subset:  IM    
Affiliation:
Department of Child Neurology, Children's Hospital, University of Helsinki, Finland.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age of Onset
Brain / pathology
Child
Child, Preschool
Dehydroepiandrosterone / analogs & derivatives,  blood
Dehydroepiandrosterone Sulfate
Estradiol / blood
Female
Follicle Stimulating Hormone / blood
Follow-Up Studies
Growth
Humans
Hypogonadism / blood,  etiology*,  physiopathology
Infant
Luteinizing Hormone / blood
Magnetic Resonance Imaging
Male
Prolactin / blood
Sex Hormone-Binding Globulin / metabolism
Spinocerebellar Degenerations / complications*,  diagnosis
Testosterone / blood
Chemical
Reg. No./Substance:
0/Sex Hormone-Binding Globulin; 50-28-2/Estradiol; 53-43-0/Dehydroepiandrosterone; 58-22-0/Testosterone; 651-48-9/Dehydroepiandrosterone Sulfate; 9002-62-4/Prolactin; 9002-67-9/Luteinizing Hormone; 9002-68-0/Follicle Stimulating Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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