%0 Case Reports %T Heterozygous APTX mutation associated with atypical multiple system atrophy-like phenotype: A case report. %A Imarisio A %A Pilotto A %A Lupini A %A Biasiotto G %A Zanella I %A CurrĂ² R %A Vegezzi E %A Cortese A %A Palmieri I %A Valente EM %A Padovani A %J Parkinsonism Relat Disord %V 123 %N 0 %D 2024 Jun 20 %M 38555792 %F 4.402 %R 10.1016/j.parkreldis.2024.106943 %X We describe here a 73-year-old patient presenting with atypical MSA-P-like phenotype carrying a monoallelic p. W279X mutation in the APTX gene, which causes ataxia with oculomotor apraxia type 1 (AOA1) when in homozygous state. We hypothesize that rare monoallelic APTX variants could modulate MSA risk and phenotype.