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J Neurol Neurosurg Psychiatry 67:217-219 doi:10.1136/jnnp.67.2.217
  • Short report

A family with pseudodominant Friedreich’s ataxia showing marked variation of phenotype between affected siblings

Clinical details of all affected members

Members III-3 IV-2 IV-3 IV-4 IV-5 IV-6 IV-9
Age (y) 63 33 31 30 29 28 21
Age of onset (y) 36 23 NK Asym Asym Asym 7
Limbs
 Wasting +
 Fasciculations
 Tone Spastic N N N N N N
 Reduced power + +
 Reflexes Brisk Ab Ab Ab Ab Ab Ab
 Ataxia +++ + + + + + +++
 Sensory loss1-150 + + +
 Extensor plantars + + + +
Other features
 Dysarthria + + +
 Nystagmus + + + +
 Scoliosis + +++
 Pes cavus +
 Cardiomyopathy +
 Bladder dysfunction
 Dementia
 Walking disability WF Mild ataxia Mild ataxia Asym Asym Asym WC
  • Asym=Asymptomatic; NK=not known; N=normal; Ab=absent; WC=wheelchair; WF=walking frame.

  • 1-150 Sensory loss confined to dorsal columns.

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