Marinesco-Sjögren syndrome due to SIL1 mutations with a comment on the clinical phenotype

M. Horvers, A. K. Anttonen, A. E. Lehesjoki, E. Morava, S. Wortmann, S. Vermeer, B. P. Van De Warrenburg, M. A. Willemsen

Research output: Contribution to journalArticle

12 Scopus citations


Background: Marinesco-Sjögren syndrome is an autosomal recessive cerebellar ataxia, characterised by cerebellar ataxia, myopathy, cataracts and intellectual disability, due to mutations in the SIL1 gene. Methods: The clinical features and two novel SIL1 mutations of four Dutch patients with Marinesco-Sjögren syndrome are described and compared to the literature on genetically proven Marinesco-Sjögren patients. Results: The core phenotype of this syndrome appears homogeneous, but: [1] cataract can develop later than the motor and cognitive signs; [2] myopathy is an early feature that seems progressive during the course of the disease; [3] serum creatine kinase is normal or only mildly elevated; [4] peripheral neuropathy is absent; and [5] a variable degree of intellectual disability is present in most Marinesco-Sjögren patients. Conclusions: Because the late appearance of some hallmarks and the uncertainty as to whether incomplete phenotypes occur, SIL1 mutation analysis is helpful early in the diagnostic work-up of children with suspected inherited ataxias.

Original languageEnglish (US)
Pages (from-to)199-203
Number of pages5
JournalEuropean Journal of Paediatric Neurology
Issue number2
StatePublished - Mar 1 2013



  • Clinical features
  • Marinesco-Sjögren syndrome
  • SIL1 mutation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Horvers, M., Anttonen, A. K., Lehesjoki, A. E., Morava, E., Wortmann, S., Vermeer, S., Van De Warrenburg, B. P., & Willemsen, M. A. (2013). Marinesco-Sjögren syndrome due to SIL1 mutations with a comment on the clinical phenotype. European Journal of Paediatric Neurology, 17(2), 199-203.