The Lewis family revisited: no evidence for autosomal dominant multiple system atrophy

Parkinsonism Relat Disord. 2005 Sep;11(6):363-5. doi: 10.1016/j.parkreldis.2005.06.001.

Abstract

In 1964, Lewis reported a familial ataxia-dysautonomia syndrome reminiscent of Shy-Drager syndrome subsequently known as multiple system atrophy (MSA). Here we review this report and propose that the Lewis family may represent an unusual form of autosomal dominant cerebellar ataxia type I, which might be categorized either as SCA3 (Machado-Joseph disease) or a new SCA subtype. There remains no conclusive evidence to support the notion of hereditary MSA.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Autonomic Nervous System Diseases / genetics
  • Autonomic Nervous System Diseases / physiopathology
  • Family
  • Female
  • Humans
  • Hypotension, Orthostatic / genetics
  • Hypotension, Orthostatic / physiopathology
  • Machado-Joseph Disease / classification
  • Machado-Joseph Disease / genetics*
  • Male
  • Middle Aged
  • Multiple System Atrophy / classification
  • Multiple System Atrophy / genetics*
  • Shy-Drager Syndrome / classification
  • Shy-Drager Syndrome / genetics*