Document Detail


Progression markers of Spinocerebellar ataxia 2. A twenty years neurophysiological follow up study.
MedLine Citation:
PMID:  20070987     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nerve conduction is profoundly affected in Spinocerebellar ataxia 2 (SCA2) even before the onset of the disease, but there is no information regarding its progression to the final stage of SCA2. In order to study the progression patterns of nerve conduction abnormalities in SCA2 we performed a prospective follow up evaluation of sensory and motor conduction in 21 SCA2 mutation carriers-initially presymptomatics- and 19 non-SCA2 mutation carriers during 20years. The earliest electrophysiological alterations were the reduction of sensory amplitudes in median and sural nerves, which could be found 8 to 5years prior disease onset and in the last 4years of the preclinical stage respectively. These abnormalities were followed by the increase of sensory latencies and decrease of conduction velocities. Sensory amplitudes progressively decreased during the follow-up clinical stage, rendering almost all patients with abnormal amplitudes and lack of sensory potentials, with faster progression rates in patients with larger CAG repeat lengths. Peripheral motor nerves showed the later involvement. These findings were used to define three distinct stages that describe the progression of the peripheral neuropathy. We suggest that sensory amplitudes could be useful biomarkers to assess the progression of peripheral nerve involvement and therefore to evaluate future clinical trials of therapeutic agents.
Authors:
Luis Vel?zquez-Perez; Roberto Rodr?guez-Labrada; Nalia Canales-Ochoa; Gilberto Sanchez-Cruz; Juan Fernandez-Ruiz; Jacqueline Medrano Montero; Ra?l Aguilera-Rodr?guez; Rosalinda Diaz; Luis E Almaguer-Mederos; Agust?n Palomino Truitz
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-01-12
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  290     ISSN:  1878-5883     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-05-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  22-6     Citation Subset:  IM    
Affiliation:
Centro para la Investigaci?n y Rehabilitaci?n de las Ataxias Hereditarias, Holgu?n, Cuba. frankluisv@yahoo.es
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Biological Markers / analysis
Child
Cohort Studies
Disease Progression
Electrodiagnosis
Female
Follow-Up Studies
Humans
Male
Median Nerve / metabolism,  physiopathology
Middle Aged
Nerve Tissue Proteins / genetics
Neural Conduction / genetics
Peripheral Nervous System Diseases / diagnosis*,  genetics,  physiopathology*
Predictive Value of Tests
Prospective Studies
Reaction Time / genetics
Sensitivity and Specificity
Sensory Receptor Cells / physiology
Severity of Illness Index
Spinocerebellar Ataxias / diagnosis*,  genetics,  physiopathology*
Sural Nerve / metabolism,  physiopathology
Time Factors
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Nerve Tissue Proteins; 0/SCA2 protein

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