RT Journal Article SR Electronic T1 Spinocerebellar ataxia type 8 presents as progressive supranuclear palsy JF Neurosciences Journal JO Neurosciences (Riyadh) FD Prince Sultan Military Medical City SP 199 OP 203 DO 10.17712/nsj.2023.3.20230032 VO 28 IS 3 A1 Lina Jiang A1 Weigang Zhu A1 Guohua Zhao A1 Lanxiao Cao YR 2023 UL http://nsj.org.sa/content/28/3/199.abstract AB Spinocerebellar ataxia type 8 is a progressive neurodegenerative disease induced by expansion of CTA/CTG repeats in an untranslated region of the ATXN8/ATXN8OS gene. We report an elderly female patient presenting with rigidity, bradykinesia, ataxia and oculomotor defect at the disease onset age of 65 years old without family history, and hummingbird sign in cranial MRI, initially diagnosed as progressive supranuclear palsy (PSP). But genetic test showed that one allele of ATXN8OS gene had more than 131 CTA/CTG repeats which was a full penetrance mutant. It’s possible that this is a case of PSP with an ATXN8OS gene mutation that doesn’t contribute to the phenotype. Whether the ATXN8OS gene CTA/CTG repeats cause PSP phenotype needs further investigation with larger samples and pathological findings.