| Demographic Data |
| Relation to Proband |
No Data |
| Age at Sampling |
56 YR |
| Sex |
Male |
| Age of Onset(If not a control) |
55 YR |
| Age at Diagnosis(If not a control) |
55 YR |
| Hispanic or Latino/Not Hispanic or Latino |
Not Hispanic/Latino |
| Racial Category |
White |
| Country |
USA |
| Diagnosed By |
No Data |
| |
| Data Elements |
| Clinical Element Type: Parkinsonism |
| (Baseline) |
| Longitudinal Data |
| Is this data Longitudinal (Follow-Up) Data? |
yes no |
| Family History |
| Family history of parkinsonism |
present absent unknown (subject adopted)
Notes: 2 SISTERS, FATHER, UNCLE WERE AFFECTED |
| Specific diagnosis |
| Parkinsonism clinical diagnosis |
Parkinson's disease
Progressive Supranuclear Palsy
Diffuse Lewy Body Disease
Multiple System Atrophy
Others
Unaffected primary blood relative of proband
Notes: SPINOCEREBELLAR ATAXIA (SCA3) |
| Genetic Data of Subject |
| Mutation/s in subject's DNA (if present, describe) |
present absent unknown
Notes: SCA3 (CAG REPEATS ALLELE1=71, ALLELE2=23) |
| Signs suggestive of PD diagnosis |
| Asymmetric onset |
present absent |
| Bradykinesis |
present absent |
| Activation tremor |
present absent |
| Resting Tremor |
present absent |
| Postural Instability |
present absent |
| Rigidity |
present absent |
| Gait difficulties |
present absent |
| Response to Anti-Parkinsonism Therapy |
tried and responsive inadequate dose not tried/not given tested and unresponsive |
| Signs suggestive of another diagnosis |
| history of strokes or stepwise deterioration |
present absent |
| history of head injury with loss of consciousness |
present absent |
| history of encephalitis |
present absent |
| Oculogyric crisis |
present absent |
| neuroleptic treatment at time of symptom onset |
present absent |
| sustained remission |
present absent |
| gaze palsy |
present absent |
| Cerebellar signs |
present absent |
| Fluctuations in attention or alertness |
present absent |
| hallucinations |
present absent |
| dysautonomia |
present absent |
| Significant cognitive impairment or dementia |
present absent |
| axial rigidity |
present absent |
| Other |
No Data |
| Smoking History |
| smoking history |
never former smoker current smoker |
| years smoking |
31 |
| Optional data |
| Mini-mental status score |
No Data |
| Hoehn and Yahr |
No Data |
| UPDRS total motor score |
No Data |
| Handedness |
Right Left Ambidextrous |