Gradually progressive spastic ataxia in a young man steadily unsteady

Divyanshu Dubey, Pravin Khemani, Eric Remster, Jeffrey L. Elliott

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations


A 26-year-old right-handed man presented with progressive gait imbalance over 6 years. His examination was consistent with cerebellar and upper motor neuronal dysfunction. He had no significant family history. Most of the serum and cerebrospinal fluid studies were unremarkable. Neuroimaging was remarkable for mild cerebellar and noticeable thoracic spinal cord atrophy. The initial differential diagnosis for the patient's presentation was broad, but because of certain clinical characteristics, it was later focused on hereditary ataxias. Detailed analysis of the clinical features in the history, neurologic examination, and neuroimaging studies led to the diagnosis.

Original languageEnglish (US)
Pages (from-to)238-241
Number of pages4
JournalJAMA neurology
Issue number2
StatePublished - Feb 1 2017
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology


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