Ataxic patients without definite diagnosis (group A)
Patient | Sex | Age (y) | Age of onset (y) | Symptoms at onset | Pyramidal signs | Signs of peripheral neuropathy | NCS | Brain MRI | Gastrointestinal symptoms | Malabsorption signs | AGA/EMA | Duodenal biopsy |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | M | 37 | 12 | Aggressiveness, ataxic gait | No | No | P | A | No | No | N | NP |
2 | M | 22 | 15 | Ataxic gait, spasticity | Yes | Yes | N | A+C+WM | Colic pain, constipation | No | N | NP |
3 | M | 38 | 27 | Ataxic gait | No | No | P | A | No | No | AGA and EMA+ | P |
4 | M | 43 | 25 | Weakness, dizziness | No | No | NP | A+B+C | Constipation | No | N | NP |
5 | F | 21 | 16 | Ataxic gait | No | No | N | A | No | No | N | NP |
6 | M | 27 | 6 | Ataxic gait | Yes | No | NP | A+B+C | No | No | N | NP |
7 | F | 58 | 52 | Ataxic gait | No | No | NP | A | No | No | N | NP |
8 | F | 37 | 22 | Writing difficulties | No | No | NP | A | No | No | N | NP |
9 | M | 31 | 15 | Ataxic gait | Yes | No | P | A | No | No | N | NP |
10 | M | 58 | 46 | Ataxic gait | No | No | N | A+B+C | No | No | N | NP |
11 | F | 55 | 50 | Ataxic gait | No | No | P | A+B+C | Constipation | No | N | NP |
12 | M | 23 | 7 | Ataxic gait, dysarthria | No | No | NP | A+WM | Constipation | No | N | NP |
13 | F | 59 | 57 | Ataxic gait, dysarthria | No | No | N | A+B | No | No | N | NP |
14 | F | 26 | 26 | Ataxic gait | No | Yes | P | A | No | No | N | NP |
15 | M | 64 | 49 | Ataxic gait, dizziness | No | No | N | A+C | No | No | N | NP |
16 | M | 55 | 8 | Ataxic gait | No | Yes | NP | A | Colic pain, diarrhoea | No | N | NP |
17 | M | 64 | 62 | Ataxic gait | No | No | N | A+C | No | No | IgG AGA+ | P |
18 | M | 33 | 12 | Dysarthria, ataxic gait | Yes | No | N | A+C | No | No | N | NP |
19 | F | 34 | 27 | Ataxic gait | No | No | P | A | No | No | IgG AGA+ | P |
20 | M | 48 | 43 | Ataxic gait, dysphonia | Yes | No | N | A+C | No | No | N | NP |
21 | M | 41 | 25 | Dysarthria | No | Yes | P | A | Constipation | No | N | NP |
22 | M | 62 | 39 | Ataxic gait | No | Yes | NP | A+B+C | Constipation | No | N | NP |
23 | M | 53 | 50 | Unsteadiness, ataxic gait | No | Yes | P | A | No | No | N | NP |
24 | M | 66 | 62 | Weakness, tremor | No | Yes | P | A | No | No | N | NP |
Pyramidal signs=Babinski’s sign or hyperreflexia plus spasticity; signs of peripheral neuropathy=absence or reduction of distal reflexes associated with reduced vibratory sense; NCS= nerve conduction studies
P=pathological; N=normal; NP=not performed; A=cerebellar atrophy; B=brainstem atrophy; C=cortical cerebral atrophy; WM=white matter abnormalities
AGA=antigliadin antibodies; EMA=antiendomysium antibodies.