Episodic Ataxias: Faux or Real?

Int J Mol Sci. 2020 Sep 5;21(18):6472. doi: 10.3390/ijms21186472.

Abstract

The term Episodic Ataxias (EA) was originally used for a few autosomal dominant diseases, characterized by attacks of cerebellar dysfunction of variable duration and frequency, often accompanied by other ictal and interictal signs. The original group subsequently grew to include other very rare EAs, frequently reported in single families, for some of which no responsible gene was found. The clinical spectrum of these diseases has been enormously amplified over time. In addition, episodes of ataxia have been described as phenotypic variants in the context of several different disorders. The whole group is somewhat confused, since a strong evidence linking the mutation to a given phenotype has not always been established. In this review we will collect and examine all instances of ataxia episodes reported so far, emphasizing those for which the pathophysiology and the clinical spectrum is best defined.

Keywords: CACNA1A; FGF14; KCNA1; PRRT2; SCN2A; SLC1A3; SLCA1; channelopathies; episodic ataxia.

Publication types

  • Review

MeSH terms

  • Ataxia / genetics*
  • Ataxia / metabolism*
  • Ataxia / physiopathology*
  • Calcium Channels / genetics
  • Cerebellar Ataxia / genetics
  • Excitatory Amino Acid Transporter 1 / genetics
  • Humans
  • Ion Channels / genetics
  • Ion Channels / metabolism
  • Kv1.1 Potassium Channel / genetics
  • Kv1.1 Potassium Channel / metabolism
  • NAV1.2 Voltage-Gated Sodium Channel / genetics

Substances

  • Calcium Channels
  • Excitatory Amino Acid Transporter 1
  • Ion Channels
  • NAV1.2 Voltage-Gated Sodium Channel
  • Kv1.1 Potassium Channel

Supplementary concepts

  • Episodic Ataxia