Main clinical features
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ADCA, type I was characterized by usually midlife onset, with anticipation, ataxia, dysarthria, dysmetria, intention tremor, pyramidal and extrapyramidal symptoms, gaze-evoked nystagmus with mildly reduced saccade velocity, ophthalmoplegia, loss of cerebellar Purkinje cells and brainstem neurons, evolution with a 10-15 years progression
progressive loss of motor skills, usually beginning with impaired gait and balance
fatal progressive neurodegenerative disease of late onset characterized by cerebellar ataxia accompanied by varying degrees of oculomotor deficits, pyramidal and extrapyramidal signs and peripheral neuropathy |