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Fatigue in the Preataxic and Ataxic Stages of Spinocerebellar Ataxia Type 3.

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Title: Fatigue in the Preataxic and Ataxic Stages of Spinocerebellar Ataxia Type 3.
Authors: Chen, Zhi‐li (AUTHOR), Xiao, Li‐mei (AUTHOR), Li, Chun (AUTHOR), Qiu, Liang‐liang (AUTHOR), Lin, Wei (AUTHOR), Ye, Zhi‐xian (AUTHOR), Zhang, Yuan‐yuan (AUTHOR), Zhu, Zhi‐bao (AUTHOR), Li, Meng‐cheng (AUTHOR), Lin, Min‐ting (AUTHOR), Chen, Wan‐jin (AUTHOR), Wang, Ning (AUTHOR), Fu, Ying (AUTHOR), Gan, Shi‐rui (AUTHOR)
Source: European Journal of Neurology. Apr2025, Vol. 32 Issue 4, p1-8. 8p.
Subjects: Fatigue (Physiology), Spinocerebellar ataxia, Quality of life, Neuroanatomy, Magnetic resonance imaging, Disease progression
Abstract: Objective: Fatigue is a significant symptom in patients with spinocerebellar ataxia type 3 (SCA3). This study explores the role of fatigue in SCA3, examining its impact on quality of life and its potential as an indicator of disease progression. Methods: We prospectively recruited 128 molecularly confirmed SCA3 patients and 125 sex‐, age‐, and education‐matched healthy controls (HCs). Age at onset, disease duration, length of normal and expanded CAG repeats, and 14‐item Fatigue Scale score were compared. MRIs evaluated the cerebellum and brain lesions. Results: Our study found that the preataxic SCA3 group exhibited lower fatigue incidence and score than HCs (Incidence: 13% vs. 36%, p = 0.031; FS‐14 score: 3.0 ± 2.7 vs. 5.6 ± 2.8, p < 0.001). Ataxic SCA3 patients experienced significantly higher fatigue incidence and score compared to both the preataxic SCA3 group (Incidence: 63.8% vs. 13%, p < 0.001; FS‐14 score: 8.1 ± 3.9 vs. 3.0 ± 2.7, p < 0.001) and HCs (Incidence: 63.8% vs. 36%, p < 0.001; FS‐14 score: 8.1 ± 3.9 vs. 5.6 ± 2.8, p < 0.001). Moreover, fatigue severity in SCA3 correlated with disease duration and expanded CAG repeat length. Neuroanatomical correlations revealed volume reductions in cortical and cerebellar regions linked to higher physical and mental fatigue scores in SCA3 patients. Conclusions: Monitoring fatigue effectively evaluates a patient's overall quality of life and disease progression, making it a key indicator. Future treatments can target specific brain regions, with their effectiveness being evaluated through FS‐14 assessments of fatigue changes. [ABSTRACT FROM AUTHOR]
Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Fatigue in the Preataxic and Ataxic Stages of Spinocerebellar Ataxia Type 3.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chen%2C+Zhi‐li%22&quot;&gt;Chen, Zhi‐li&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Xiao%2C+Li‐mei%22&quot;&gt;Xiao, Li‐mei&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Li%2C+Chun%22&quot;&gt;Li, Chun&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Qiu%2C+Liang‐liang%22&quot;&gt;Qiu, Liang‐liang&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lin%2C+Wei%22&quot;&gt;Lin, Wei&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ye%2C+Zhi‐xian%22&quot;&gt;Ye, Zhi‐xian&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zhang%2C+Yuan‐yuan%22&quot;&gt;Zhang, Yuan‐yuan&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zhu%2C+Zhi‐bao%22&quot;&gt;Zhu, Zhi‐bao&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Li%2C+Meng‐cheng%22&quot;&gt;Li, Meng‐cheng&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lin%2C+Min‐ting%22&quot;&gt;Lin, Min‐ting&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chen%2C+Wan‐jin%22&quot;&gt;Chen, Wan‐jin&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wang%2C+Ning%22&quot;&gt;Wang, Ning&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Fu%2C+Ying%22&quot;&gt;Fu, Ying&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gan%2C+Shi‐rui%22&quot;&gt;Gan, Shi‐rui&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22European+Journal+of+Neurology%22&quot;&gt;European Journal of Neurology&lt;/searchLink&gt;. Apr2025, Vol. 32 Issue 4, p1-8. 8p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Fatigue+%28Physiology%29%22&quot;&gt;Fatigue (Physiology)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Spinocerebellar+ataxia%22&quot;&gt;Spinocerebellar ataxia&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Quality+of+life%22&quot;&gt;Quality of life&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Neuroanatomy%22&quot;&gt;Neuroanatomy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Magnetic+resonance+imaging%22&quot;&gt;Magnetic resonance imaging&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Disease+progression%22&quot;&gt;Disease progression&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Fatigue is a significant symptom in patients with spinocerebellar ataxia type 3 (SCA3). This study explores the role of fatigue in SCA3, examining its impact on quality of life and its potential as an indicator of disease progression. Methods: We prospectively recruited 128 molecularly confirmed SCA3 patients and 125 sex‐, age‐, and education‐matched healthy controls (HCs). Age at onset, disease duration, length of normal and expanded CAG repeats, and 14‐item Fatigue Scale score were compared. MRIs evaluated the cerebellum and brain lesions. Results: Our study found that the preataxic SCA3 group exhibited lower fatigue incidence and score than HCs (Incidence: 13% vs. 36%, p = 0.031; FS‐14 score: 3.0 &#177; 2.7 vs. 5.6 &#177; 2.8, p &lt; 0.001). Ataxic SCA3 patients experienced significantly higher fatigue incidence and score compared to both the preataxic SCA3 group (Incidence: 63.8% vs. 13%, p &lt; 0.001; FS‐14 score: 8.1 &#177; 3.9 vs. 3.0 &#177; 2.7, p &lt; 0.001) and HCs (Incidence: 63.8% vs. 36%, p &lt; 0.001; FS‐14 score: 8.1 &#177; 3.9 vs. 5.6 &#177; 2.8, p &lt; 0.001). Moreover, fatigue severity in SCA3 correlated with disease duration and expanded CAG repeat length. Neuroanatomical correlations revealed volume reductions in cortical and cerebellar regions linked to higher physical and mental fatigue scores in SCA3 patients. Conclusions: Monitoring fatigue effectively evaluates a patient&#39;s overall quality of life and disease progression, making it a key indicator. Future treatments can target specific brain regions, with their effectiveness being evaluated through FS‐14 assessments of fatigue changes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/ene.70093
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        Text: English
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        PageCount: 8
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    Subjects:
      – SubjectFull: Fatigue (Physiology)
        Type: general
      – SubjectFull: Spinocerebellar ataxia
        Type: general
      – SubjectFull: Quality of life
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      – SubjectFull: Neuroanatomy
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      – SubjectFull: Magnetic resonance imaging
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      – SubjectFull: Disease progression
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      – TitleFull: Fatigue in the Preataxic and Ataxic Stages of Spinocerebellar Ataxia Type 3.
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            – D: 01
              M: 04
              Text: Apr2025
              Type: published
              Y: 2025
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