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Electrophysiological features of central motor conduction in spinocerebellar atrophy type 1, type 2, and Machado-Joseph disease
  1. T Yokotaa,
  2. H Sasakib,
  3. K Iwabuchic,
  4. T Shiojiria,
  5. A Yoshinoa,
  6. A Otagiria,
  7. A Inabaa,
  8. T Yuasaa
  1. aDepartment of Neurology, Tokyo Medical and Dental University, Tokyo, Japan, bDepartment of Neurology, Hokkaido University School of Medicine, Hokkaido, Japan, cDepartment of Neurology and Psychiatry, Kanagawa Rehabilitation Center, Kanagawa, Japan
  1. Dr Takanori Yokota, Program Aging, The Burnham Institute, 10901 N Torrey Pines Road, La Jolla, CA 92037, USA. Telephone +1 619 646 3100 ext 3724; fax +1 619 646 3192; emailfyokota{at}lgcrf.edu

Abstract

OBJECTIVES To characterise electrophysiologically the central motor conduction of spinocerebellar atrophy type 1 (SCA1), type 2 (SCA2), and Machado-Joseph disease (MJD).

METHODS Motor evoked potentials (MEPs) triggered by transcranial magnetic stimulation (TMS) was used to investigate the functions of corticospinal tracts of 10 patients with SCA1, 10 with MJD, and eight with SCA2 in addition to pathological study of the spinal cord in a patient with SCA1.

RESULTS Central motor conduction time (CMCT) was extremely prolonged and the MEP threshold increased in all patients with SCA1, whereas both were normal in patients with SCA2 or MJD. The MEP size in MJD was larger than normal, but was normal in SCA1 and SCA2. A pathological investigation of the corticospinal tract of the spinal cord of a patient with SCA1 showed selective loss of large diameter fibres.

CONCLUSIONS SCA1, SCA2, and MJD differ in their pathophysiological features of the central motor tract and can be differentiated from each other by MEP values for the lower limb muscles, even though their neurological symptoms are sometimes similar.

  • spinocerebellar ataxia 1
  • spinocerebellar ataxia 2
  • Machado-Joseph disease
  • motor evoked potential
  • corticospinal tract

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