PT - JOURNAL ARTICLE AU - Y H Cha AU - H Lee AU - J C Jen AU - J C Kattah AU - S F Nelson AU - R W Baloh TI - Episodic vertical oscillopsia with progressive gait ataxia: clinical description of a new episodic syndrome and evidence of linkage to chromosome 13q AID - 10.1136/jnnp.2006.111138 DP - 2007 Nov 01 TA - Journal of Neurology, Neurosurgery & Psychiatry PG - 1273--1275 VI - 78 IP - 11 4099 - http://jnnp.bmj.com/content/78/11/1273.short 4100 - http://jnnp.bmj.com/content/78/11/1273.full SO - J Neurol Neurosurg Psychiatry2007 Nov 01; 78 AB - We describe four families with late onset episodic vertical oscillopsia and progressive gait ataxia. Probands presented between the ages of 40 and 64 years with initial symptoms of episodic vertical oscillopsia and interictal downbeat nystagmus. A mild gait ataxia developed over several years. Triggers included physical exertion, alcohol and caffeine. Patients did not respond to acetazolamide. Genetic screening for episodic ataxia types 1 and 2, and spinocerebellar ataxias 1, 2, 3 and 6 were negative. Using ancestral identity by descent analysis and dense single nucleotide polymorphism (SNP) genotyping throughout the genome, an interval of 28.6 cM (∼14.2 Mb) on chromosome 13q12.11–q13.3, composed of 1259 SNPs, was shared between affected individuals in two of the four families and highlighted a region of suggestive linkage (LOD >2.7).