Main clinical features
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early onset, characterized by ocular apraxia, progressive ataxia, choreoathetosis, sensory loss, absence of tendon reflexes, pyramidal weakness, with/without mental retardation
early onset cerebellar ataxia, and severe cerebellar atrophy is prominent (PMID: 21502511))
associated with an axonal motor neuropathy and an hypocholesterolemia and hypoalbuminemia slow progressive course, and on MRI cerebellar atrophy
neuropathological examination reveals severe loss of Purkinje cells and moderate neuronal loss in the anterior horn and dorsal root ganglia (PMID: 20687492)) |