Early and Longitudinal Assessment of Neurodegeneration in the Brain and Spinal Cord in Friedreich's Ataxia

Friedreich's ataxia is characterized by progressive alterations in the function of the
cerebellum accompanied by an atrophy of the spinal cord. Although the genetic defect
responsible for the disease has been identified more than 15 years ago, objective markers of
the pathologic process (i.e., biomarkers) that would allow measuring the effects of potential
therapies are still lacking. Moreover, it is still unclear how the malfunction of the
cerebellum affects the rest of the brain, and understanding the connectivity and
neurochemistry of the central nervous system might yield new insights in the understanding of
the disease, in addition to providing potential markers.

To address these needs, the investigators aim at utilizing the capabilities of Magnetic
Resonance Imaging (MRI) and Spectroscopy (MRS). Using techniques called Diffusion Imaging,
resting-state functional MRI, and Proton Spectroscopy (1H MRS), the investigators propose to
determine the differences in the connectivity and neurochemistry of the spinal cord and the
brain between patients affected by Friedreich's ataxia and healthy controls. The
investigators plan on imaging both patients and control subjects using a 3T magnet, a system
that although not yet available in all medical facilities, is becoming standard in most
hospitals and clinics. The first aim is to scan patients already scanned last year (12-month
follow-up). The second aim is to scan patients at an early stage of the disease.