Ataxia with oculomotor apraxia type 4 (AOA4)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Ataxia with oculomotor apraxia type 4 (AOA4). This is caused by mutations in the PNKP gene. Fully referenced neurology checklist.

Genetics

  • This is caused by mutations in the PNKP gene
  • The gene product plays a role in DNA repair
  • The transmission is autosomal recessive
  • Affected families are usually Portuguese
  • The mean onset age is 4 years: the range is 1-9 years

Clinical features

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Investigations

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References

  1. Bras J, Alonso I, Barbot C, et al. Mutations in PNKP cause recessive ataxia with oculomotor apraxia type 4. Am J Hum Genet 2015; 96:474-479.
  2. Poulton C, Oegema R, Heijsman D, et al. Progressive cerebellar atrophy and polyneuropathy: expanding the spectrum of PNKP mutations. Neurogenetics 2013; 14:43-51. 
  3. Paucar M, Malmgren H, Taylor M, et al. Expanding the ataxia with oculomotor apraxia type 4 phenotype. Neurol Genet 2016; 2:e49.

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