Spinocerebellar ataxia 20 (SCA20)
General description
Spinocerebellar ataxia type 20 (SCA20) is an autosomal dominant cerebellar ataxia disorder mapped to the chromosomal region 11q12.2-11q12.3, which overlaps with the locus for spinocerebellar ataxia type 5 (SCA5). The clinical presentation of SCA20 is characterized by a relatively abrupt onset, with the cardinal features being cerebellar ataxia and dysarthria. In some cases, dysarthria may precede the manifestation of cerebellar signs and symptoms.
Bilateral dentate calcification
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Dentate nucleus
The most significant CT finding in SCA20 is bilateral calcification of the dentate nuclei. MRI shows hypointensity in T2WI with occasional central hyperintensity in the dentate nuclei.
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Cerebellar atrophy
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Cerebellum
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Olivary pseudohypertrophy
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BrainstemMedullaInferior olivary nucleus
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