A large inbred Lebanese pedigree with congenital spastic ataxia, microcepha
ly, optic atrophy, short stature, speech defect, abnormal osmiophilic patte
rn of skin vessels, cerebellar atrophy, and severe mental retardation trans
mitted as an autosomal recessive trait has been studied. None of the childr
en had any evidence of a metabolic disease, and the analysis of respiratory
chain complex abnormalities was unremarkable, Only one child had a history
of perinatal difficulties. Differential diagnosis and the possibility that
this disorder is a hitherto unreported one are discussed. (C) 2001 Wiley-L
iss, Inc.