RT Journal Article SR Electronic T1 Prevalence of spinocerebellar ataxia 36 in a US population JF Neurology Genetics JO Neurol Genet FD Lippincott Williams & Wilkins SP e174 DO 10.1212/NXG.0000000000000174 VO 3 IS 4 A1 Juliana M. Valera A1 Tatyana Diaz A1 Lauren E. Petty A1 Beatriz Quintáns A1 Zuleima Yáñez A1 Eric Boerwinkle A1 Donna Muzny A1 Dmitry Akhmedov A1 Rebecca Berdeaux A1 Maria J. Sobrido A1 Richard Gibbs A1 James R. Lupski A1 Daniel H. Geschwind A1 Susan Perlman A1 Jennifer E. Below A1 Brent L. Fogel YR 2017 UL http://ng.neurology.org/content/3/4/e174.abstract AB Objective: To assess the prevalence and clinical features of individuals affected by spinocerebellar ataxia 36 (SCA36) at a large tertiary referral center in the United States.Methods: A total of 577 patients with undiagnosed sporadic or familial cerebellar ataxia comprehensively evaluated at a tertiary referral ataxia center were molecularly evaluated for SCA36. Repeat primed PCR and fragment analysis were used to screen for the presence of a repeat expansion in the NOP56 gene.Results: Fragment analysis of triplet repeat primed PCR products identified a GGCCTG hexanucleotide repeat expansion in intron 1 of NOP56 in 4 index cases. These 4 SCA36-positive families comprised 2 distinct ethnic groups: white (European) (2) and Asian (Japanese [1] and Vietnamese [1]). Individuals affected by SCA36 exhibited typical clinical features with gait ataxia and age at onset ranging between 35 and 50 years. Patients also suffered from ataxic or spastic limbs, altered reflexes, abnormal ocular movement, and cognitive impairment.Conclusions: In a US population, SCA36 was observed to be a rare disorder, accounting for 0.7% (4/577 index cases) of disease in a large undiagnosed ataxia cohort.ERIS=Error Rate In Sequencing (ERIS); IBD=identically by descent; LOD=logarithm of the odds; MAF=minor allele frequency; RP-PCR=repeat primed PCR; SCA=spinocerebellar ataxia; SCA36=spinocerebellar ataxia 36; SNP=single nucleotide polymorphism