A clinical diagnostic algorithm for early onset cerebellar ataxia

R. Brandsma, C. C. Verschuuren-Bemelmans, D. Amrom, N. Barisic, P. Baxter, E. Bertini, L. Blumkin, Brankovic-Sreckovic, O. F. Brouwer, K. Buerk, C. E. Catsman-Berrevoets, D. Craiu, I. F. M. de Coo, J. Gburek, C. Kennedy, T. J. de Koning, H. P. H. Kremer, R. Kumar, A. Macaya, A. MicalizziM. Mirabelli-Badenier, A. Nemeth, S. Nuovo, B. Poll-The, T. Lerman-Sagie, M. Steinlin, M. Synofzik, M. A. J. Tijssen, G. Vasco, M. A. A. P. Willemsen, G. Zanni, E. M. Valente, E. Boltshauser, D. A. Sival*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

11 Citations (Scopus)

Abstract

Early onset cerebellar Ataxia (EOAc) comprises a large group of rare heterogeneous disorders. Determination of the underlying etiology can be difficult given the broad differential diagnosis and the complexity of the genotype-phenotype relationships. This may change the diagnostic work-up into a time-consuming, costly and not always rewarding task. In this overview, the Childhood Ataxia and Cerebellar Group of the European Pediatric Neurology Society (CACG-EPNS) presents a diagnostic algorithm for EOAc patients. In seven consecutive steps, the algorithm leads the clinician through the diagnostic process, including EOA identification, application of the Inventory of Non-Ataxic Signs (INAS), consideration of the family history, neuro-imaging, laboratory investigations, genetic testing by array CGH and Next Generation Sequencing (NGS). In children with EOAc, this algorithm is intended to contribute to the diagnostic process and to allow uniform data entry in EOAc databases. (C) 2019 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)692-706
Number of pages15
JournalEuropean Journal of Paediatric Neurology
Volume23
Issue number54
DOIs
Publication statusPublished - Sep-2019

Keywords

  • Early Onset Ataxia
  • Child
  • Algorithm
  • NGS techniques
  • Cerebellum
  • Diagnosis
  • VITAMIN-E-DEFICIENCY
  • OCULOMOTOR APRAXIA TYPE-2
  • FOLLOW-UP
  • RATING-SCALE
  • CEREBROTENDINOUS XANTHOMATOSIS
  • DIFFERENTIAL-DIAGNOSIS
  • SPASTIC PARAPLEGIA
  • CHILDREN
  • GENE
  • MUTATIONS

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