A member asked:

Recently had a brain mri said severe cerebell atrophy.neuroligist said i was fine, don't worry, now mom diagnosed with psp. is this genetic. she 78.

9 doctors weighed in across 3 answers

Huh? : "severe cerebellar atrophy" on MRI and you're fine? No balance, coordination, or speech problems? You might want to get a second opinion from a movement disorders neurologist to see if your mother's problem (and your mri) are related to a genetic spinocerebellar atrophy syndrome. (there is a decent wikipedia page on the sca's).

Answered 9/29/2016

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Dr. Lotfi Hacein-Bey answered

Specializes in Radiology

Talk to your doctor: Less than 1% of relatives of a patient with psp have some genetic neurological disease. However, if you have "severe" cerebellar atrophy, and if you do not have either a history of alcohol abuse or being of seizures medications, you have to consult and be evaluated for some of the rare neurological conditions which may cause cerebellar atrophy and other problems.

Answered 7/31/2013

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Comments: Psp, unknown etiology and do not have evidence of genetic causation in most cases. Besides, mainly causes problems within brainstem or diencephalon, not cerebellum if your exam was normal, may be a chronic problem of no significance, but spinocerebellar degeneration, or a secondary paraneoplastic disorder could explain on occasion. Genetic testing and anti-hu and anti-yo antibody might reassure.

Answered 1/2/2015

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