Mitochondrial spinocerebellar ataxia and epilepsy (MSCAE)

Evidence-based neurology checklist on mitochondrial spinocerebellar ataxia and epilepsy (mscae): Genetics and demography This is caused by mutations in the mitochondrial DNA polymerase gamma (POLG) gene The onset age is in the teen years: the mean onset age is 19 years Epilepsy presentations Other…

Genetics and demography

  • This is caused by mutations in the mitochondrial DNA polymerase gamma (POLG) gene
  • The onset age is in the teen years: the mean onset age is 19 years

Epilepsy presentations

Other neurological features

Gastrointestinal features

Magnetic resonance imaging (MRI): sites of T2 signal changes

Diffusion weighted imaging (DWI)

Electroencephalogram (EEG): features

References

  1. Engelsen BA, Tzoulis C, Karlsen B, et al. POLG1 mutations cause a syndromic epilepsy with occipital lobe predilection. Brain 2008; 131:818-828.
  2. Bindoff LA, Engelsen BA. Mitochondrial diseases and epilepsy. Epilepsia 2012; 53(Suppl. 4):92-97.
  3. Tzoulis C, Bindoff LA. The syndrome of mitochondrial spinocerebellar ataxia and epilepsy caused by POLG mutations. ACNR 2009; 9:13-16.

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