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Department of Neurology (Drs. Goto, Tobimatsu, Hosokawa, Shibasaki and Kuroiwa) Department of Neurology and Department of Neuropathology (Dr. Ohta), Neurological Institute, Kyushu University, Fukuoka, Japan.
Four cases in two generations of a Japanese family are described as affected by an autosomal dominant-inherited cerebellar ataxia, pyramidal and extrapyramidal signs, and abnormal ocular movements, resembling Machado-Joseph disease.
The neuro-ophthalmologic examination suggests the involvement of multiple motor control systems.
The neuropathologic examination of one case showed neuronal loss in the subthalamic nuclei, pallidum, dentate nuclei of cerebellum, and red nuclei, which is distinct from Machado-Joseph disease.
Address correspondence and reprint requests to Dr. Go to, Department of Neurology, Neurological Institute, Faculty of Medicine, Kyushu University 60, 311 Maidashi, Higashi-ku, Fukuoka, Japan 812.
Accepted for publication October 29, 1981.
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