Spinocerebellar ataxia 7 (SCA7)

Neurodegenerative diseases

General description

Spinocerebellar ataxia 7 (SCA7) is classified as an autosomal dominant disorder, arising from an abnormal expansion of CAG repeats within the Ataxin 7 gene.

The hallmark of SCA 7 is cerebellar ataxia accompanied by progressive vision impairment due to retinal degeneration. This specific constellation of symptoms is considered pathognomonic for SCA7. Notably, the disorder exhibits a significant degree of anticipation, such that affected pediatric patients may manifest symptoms prior to their parents or grandparents, highlighting the variable and progressive nature of the disease's inheritance and expression.

Atrophy

  • Cerebellum
  • Middle cerebellar peduncle
  • Brainstem
    Pons
Bilateral
Morphology
Atrophy

Progressive pontine atrophy precedes the onset of cerebellar degeneration. In addition to the pontine involvement, medullary and bilateral middle cerebellar atrophy are observed in the disease progression.