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A 33 year old man presented with slowly progressive ataxia, slurred speech and nystagmus since childhood.
Axial MRI scan shows severe atrophy of the cerebellum and pons. This genetic condition, once termed olivopontocerebellar atrophy (OPCA) is now included under the spinocerebellar ataxias (SCA), a large group of inherited disorders characterized by progressive ataxia and brainstem signs.
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