Episodic ataxia type 6 (EA6)

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

Episodic ataxia type 6 (EA6). This is caused by mutations in the SLC1A3 gene on chromosome 5p. Fully referenced neurology checklist.

Genetics

  • This is caused by mutations in the SLC1A3 gene on chromosome 5p
  • The gene encodes the glutamate transporter EAAT1
  • The mutation impairs glutamate uptake
  • The onset age is the first to second decades
  • The episodes last 2-3 hours
  • The severity may worsen with age

Clinical features

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Variant phenotypes

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Triggers

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Inter-ictal features

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Magnetic resonance imaging (MRI) brain

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Treatment

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References

  1. Choi KD, Jen JC, Choi SY, et al. Late-onset episodic ataxia associated with SLC1A3 mutation. J Hum Genet 2016; 62:443-446.
  2. Jen JC, Wan J, Palos TP, Howard BD, Baloh RW. Mutation in the glutamate transporter EAAT1 causes episodic ataxia, hemiplegia, and seizures. Neurology 2005; 65:529-534.
  3. de Vries B, Mamsa H, Stam AH, et al. Episodic ataxia associated with EAAT1 mutation C186S affecting glutamate reuptake. Arch Neurol 2009; 66:97-101.
  4. Pyle A, Smertenko T, Bargiela D, et al. Exome sequencing in undiagnosed inherited and sporadic ataxias. Brain 2015; 138:276-283. 

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