title: Late-Onset Friedreich's Ataxia Presenting as a Spastic Paraparesis.
abstract: A 55-year-old woman presented with a 10-yeai history of a progressive gait disorder. Her examination showed a spastic paraparesis with brisk deep tendon reflexes, but only minimal limb ataxia and no evidence for a sensory neuropathy The patient was found to be homozygous for the GAA trinucleotide repeal diagnostic of Friedreich's ataxia The presentation of Friedreich's ataxia as a spastic paraparesis reinforces the appreciation of the variable phenotype of this disease.
authors.affiliation: From the Department of Neurology Hardford hospital and the university of connecricur school of medicinefariningtonconnecticur.
authors.forename: D S
authors.initials: DS
authors.lastname: Silvers
authors.forename: K J
authors.initials: KJ
authors.lastname: Felice