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Studies with patientsTable of Contents (click to jump to sections)
What is Machado-Joseph Disease?
Is there any treatment?
What is the prognosis?
What research is being done?
Organizations
Related NINDS Publications and Information
What is Machado-Joseph Disease?
Machado-Joseph disease (MJD)-also called spinocerebellar ataxia type 3-is a rare hereditary ataxia. (Ataxia is a general term meaning lack of muscle control.) The disease is characterized by clumsiness and weakness in the arms and legs, spasticity, a staggering lurching gait easily mistaken for drunkenness, difficulty with speech and swallowing, involuntary eye movements, double vision, and frequent urination. Some patients have dystonia (sustained muscle contractions that cause twisting of the body and limbs, repetitive movements, abnormal postures, and/or rigidity) or symptoms similar to those of Parkinson's disease. Others have twitching of the face or tongue, or peculiar bulging eyes.
In Machado-Joseph disease and other spinocerebellar ataxias, degeneration of cells in an area of the brain called the hindbrain leads to deficits in movement. The hindbrain includes the cerebellum, the brainstem, and the upper part of the spinal cord. MJD is an inherited, autosomal dominant disease, meaning that if a child inherits one copy of the defective gene from either parent, the child will develop symptoms of the disease. People with a defective gene have a 50 percent chance of passing the mutation on to their children. Is there any treatment?
MJD is incurable, but some symptoms of the disease can be treated. For those patients who show parkinsonian features, levodopa therapy can help for many years. Treatment with antispasmodic drugs, such as baclofen, can help reduce spasticity. Physiotherapy can help patients cope with disability associated with gait problems, and physical aids, such as walkers and wheelchairs, can assist the patient with everyday activities. Other problems, such as sleep disturbances, cramps, and urinary dysfunction, can be treated with medications and medical care.
What is the prognosis?
The severity of the disease is related to the age of onset, with earlier onset associated with a more severe form of the disease. Symptoms can begin any time between early adolescence and about 70 years of age. MJD is also a progressive disease, meaning that symptoms get worse with time. Life expectancy ranges from the mid-thirties for those with severe forms of MJD to a normal life expectancy for those with mild forms. For those who die early from the disease, the cause of death is often aspiration pneumonia.
What research is being done?
The National Institute of Neurological Disorders and Stroke (NINDS) supports research on MJD and other neurodegenerative diseases in an effort to learn how to better treat, prevent, and even cure these diseases. Ongoing research includes efforts to better understand the genetic, molecular, and cellular mechanisms that underlie triplet repeat diseases. Other research areas include the development of novel therapies to treat the symptoms of MJD, efforts to identify diagnostic markers and to improve current diagnostic procedures for the disease, and population studies to identify affected families.
Select this link to view a list of studies currently seeking patients.
OrganizationsInternational Joseph Disease Foundation, Inc.
P.O. Box 994268
Redding, CA
96099-4268
MJD@ijdf.net
http://www.ijdf.net
Tel: 530-246-4722
National Ataxia Foundation (NAF)
2600 Fernbrook Lane
Suite 119
Minneapolis, MN
55447-4752
naf@ataxia.org
http://www.ataxia.org
Tel: 763-553-0020
Fax: 763-553-0167
National Organization for Rare Disorders (NORD)
P.O. Box 1968
(55 Kenosia Avenue)
Danbury, CT
06813-1968
orphan@rarediseases.org
http://www.rarediseases.org
Tel: 203-744-0100
Voice Mail 800-999-NORD (6673)
Fax: 203-798-2291
Dystonia Medical Research Foundation
1 East Wacker Drive
Suite 2430
Chicago, IL
60601-1905
dystonia@dystonia-foundation.org
http://www.dystonia-foundation.org
Tel: 312-755-0198
Fax: 312-803-0138
National Aphasia Association
29 John Street
Suite 1103
New York, NY
10038
naa@aphasia.org
http://www.aphasia.org
Tel: 212-267-2814
800-922-4NAA (4622)
Fax: 212-267-2812
American Speech Language Hearing Association
(ASHA)
10801 Rockville Pike
Rockville, MD
20852-3279
actioncenter@asha.org
http://www.asha.org
Tel: 301-897-5700
800-638-8255
Fax: 301-571-0457
Family Caregiver Alliance
690 Market Street
Suite 600
San Francisco, CA
94104
info@caregiver.org
http://www.caregiver.org
Tel: 415-434-3388
800-445-8106
Fax: 415-434-3508
National Family Caregivers Association
10400 Connecticut Avenue
Suite 500
Kensington, MD
20895-3944
info@nfcacares.org
http://www.nfcacares.org
Tel: 301-942-6430
800-896-3650
Fax: 301-942-2302
Related NINDS Publications and InformationMachado Joseph Disease Fact Sheet
Machado-Joseph Disease fact sheet developed by the National Institute of Neurological Disorders and Stroke (NINDS).
Study Finds Psychiatric Disorders are Common in People with Cerebellar Degeneration
September 2002 news summary on a study which found a high rate of psychological problems in patients with cerebellar disorders.
NINDS health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the National Institute of Neurological Disorders and Stroke or any other Federal agency. Advice on the treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient's medical history.
All NINDS-prepared information is in the public domain and may be freely copied. Credit to the NINDS or the NIH is appreciated.
Provided by:
The National Institute of Neurological Disorders and Stroke
National Institutes of Health
Bethesda, MD 20892
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