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Prominent Spasticity and Hyperreflexia of the Legs in a Nepalese Patient with Friedreich Ataxia.


ABSTRACT: Friedreich ataxia (FRDA) is an autosomal recessive spinocerebellar ataxia caused by mutations of FXN. Hypotonus and hyporeflexia of the lower extremities are observed in most FRDA patients. Patients with hyperreflexia, called Friedreich ataxia with retained reflexes (FARR), have also been identified. We herein report the case of a 16-year-old Nepalese boy presenting with early-onset ataxia with prominent spasticity and hyperreflexia of the legs. Mutational analyses established the diagnosis of FRDA presenting as FARR. A haplotype analysis revealed that expanded alleles of the patient shared a common haplotype with Indian and European FRDA patients, suggesting that the mutation descended from a common founder.

SUBMITTER: Naruse H 

PROVIDER: S-EPMC6815894 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Prominent Spasticity and Hyperreflexia of the Legs in a Nepalese Patient with Friedreich Ataxia.

Naruse Hiroya H   Takahashi Yuji Y   Ishiura Hiroyuki H   Matsukawa Takashi T   Mitsui Jun J   Ichikawa Yaeko Y   Hamada Masashi M   Shimizu Jun J   Goto Jun J   Toda Tatsushi T   Tsuji Shoji S  

Internal medicine (Tokyo, Japan) 20190607 19


Friedreich ataxia (FRDA) is an autosomal recessive spinocerebellar ataxia caused by mutations of FXN. Hypotonus and hyporeflexia of the lower extremities are observed in most FRDA patients. Patients with hyperreflexia, called Friedreich ataxia with retained reflexes (FARR), have also been identified. We herein report the case of a 16-year-old Nepalese boy presenting with early-onset ataxia with prominent spasticity and hyperreflexia of the legs. Mutational analyses established the diagnosis of F  ...[more]

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