We report-siblings, a 21-year-old woman (proband) and her 26-year-old
brother, with dentatorubral-pallidoluysian atrophy (DRPLA). There was
no family history of DRPLA and no clinical abnormalities in their pare
nts, who were both above the age of 50. Analysis of the DRPLA gene of
leukocytes showed CAG repeat sizes to be 64/17 in the proband, 58/20 i
n her brother, and 56/8 in their mother. Sporadic cases of DRPLA can o
ccur with maternal as well as paternal transmission.