We report an autosomal recessive form of ataxia that is not allelic to
Friedreich's disease in six individuals from a large kindred with fam
ily origins traced to a common founder of German-Swiss descent. The di
sorder begins during early childhood with a concentric contraction of
the visual fields and proprioceptive loss. Eventually blindness, a sev
ere sensory ataxia, achalasia, scoliosis, and inanition develop by the
third decade. Inversion recovery MRIs of the spinal cord in affected
individuals demonstrate a hyperintense signal in the posterior columns
. Finding the gene responsible for this disorder may aid in our unders
tanding of the mechanisms that cause sensory neuronal degeneration.