PMC:5097349 / 3922-4626 JSONTXT

{"project":"AxD_symptoms","denotations":[{"id":"T11","span":{"begin":155,"end":165},"obj":"Phenotype"},{"id":"T12","span":{"begin":186,"end":195},"obj":"Phenotype"},{"id":"T13","span":{"begin":208,"end":216},"obj":"Phenotype"},{"id":"T14","span":{"begin":298,"end":314},"obj":"Phenotype"},{"id":"T15","span":{"begin":497,"end":520},"obj":"Phenotype"},{"id":"T16","span":{"begin":548,"end":554},"obj":"Phenotype"},{"id":"T17","span":{"begin":635,"end":655},"obj":"Phenotype"}],"attributes":[{"id":"A11","pred":"hp_id","subj":"T11","obj":"http://purl.obolibrary.org/obo/HP_0001260"},{"id":"A12","pred":"hp_id","subj":"T12","obj":"http://purl.obolibrary.org/obo/HP_0000639"},{"id":"A13","pred":"hp_id","subj":"T13","obj":"http://purl.obolibrary.org/obo/HP_0002411"},{"id":"A14","pred":"hp_id","subj":"T14","obj":"http://purl.obolibrary.org/obo/HP_0003202"},{"id":"A15","pred":"hp_id","subj":"T15","obj":"http://purl.obolibrary.org/obo/HP_0003487"},{"id":"A16","pred":"hp_id","subj":"T16","obj":"http://purl.obolibrary.org/obo/HP_0001251"},{"id":"A17","pred":"hp_id","subj":"T17","obj":"http://purl.obolibrary.org/obo/HP_0002071"}],"text":"Her general medical examination was unremarkable. In neurological examination, she had normal mental status and language testing. The mixed spastic-ataxic dysarthria and horizontal gaze nystagmus were noted. Myokymia was observed in lingualis with weakness of bulbar muscles. Her hands showed mild muscular atrophy. The muscles strength of the bilateral upper-extremities, the left lower-extremity, the right lower-extremity were grade 4, 2, 1, respectively. The increased tendon reflexes and the positive Babinski signs were observed bilaterally. Ataxia was observed in bilateral upper limbs. There was no apparent sensory deficit or extrapyramidal signs. The latest score of modified Rankin scale is 4."}