AI Article Synopsis

  • Ataxia with oculomotor apraxia type 2 (AOA2) is a rare genetic disorder that leads to issues like cerebellar atrophy and elevated alpha-fetoprotein levels, caused by a mutation in the senataxin gene.
  • A study was conducted on a 54-year-old AOA2 patient to assess a range of cognitive functions including memory, executive functions, and speech.
  • Results showed significant impairments in multiple cognitive areas, indicating that AOA2 affects the coordination of complex cognitive functions due to disruptions in the cerebrocerebellar circuit.

Article Abstract

Background: Ataxia with oculomotor apraxia type 2 (AOA2) is characterized by cerebellar atrophy, peripheral neuropathy, oculomotor apraxia, and elevated serum alpha-fetoprotein (AFP) levels. The disease is caused by a recessive mutation in the senataxin gene. Since it is a very rare cerebellar disorder, no detailed examination of cognitive functions in AOA2 has been published to date. The aim of the present study was to investigate the neuropsychological profile of a 54-year-old patient with AOA2.

Methods: A broad range of neuropsychological examination protocol was administered including the following domains: short-term, working- and episodic-memories, executive functions, implicit sequence learning, and the temporal parameters of speech.

Results: The performance on the Listening Span, Letter Fluency, Serial Reaction Time Task, and pause ratio in speech was 2 or more standard deviations (SD) lower compared to controls, and 1 SD lower on Backward Digit Span, Semantic Fluency, articulation rate, and speech tempo.

Conclusion: These findings indicate that the pathogenesis of the cerebrocerebellar circuit in AOA2 is responsible for the weaker coordination of complex cognitive functions such as working memory, executive functions, speech, and sequence learning.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3449493PMC
http://dx.doi.org/10.3389/fneur.2012.00125DOI Listing

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