Subjective. To describe the appearance and frequency of skeletal abnor
malities associated with the Marinesco-Sjogren syndrome of cerebellar
ataxia, congenital cataracts, mental and physical retardation and myop
athy. Subjects and methods. Seventeen individuals affected with the di
sorder, of common ancestry and marked consanguinity, were found in an
isolated area in southwest Alabama; 11 were available for radiologic e
xamination of parts of the skeleton. The range and frequency of skelet
al abnormalities thus demonstrated were tabulated. Results and conclus
ion. A constellation of cranial and extracranial skeletal abnormalitie
s - including a small posterior fossa, spinal abnormalities, gracile b
ones, elbow and hip valgus and asymmetric metacarpal and metatarsal sh
ortening - can lead the radiologist or orthopaedist to suggest the dia
gnosis, especially if appropriate neurological/neuroradiological findi
ngs also are present.