{Reference Type}: Case Reports {Title}: Heterozygous APTX mutation associated with atypical multiple system atrophy-like phenotype: A case report. {Author}: Imarisio A;Pilotto A;Lupini A;Biasiotto G;Zanella I;CurrĂ² R;Vegezzi E;Cortese A;Palmieri I;Valente EM;Padovani A; {Journal}: Parkinsonism Relat Disord {Volume}: 123 {Issue}: 0 {Year}: 2024 Jun 20 {Factor}: 4.402 {DOI}: 10.1016/j.parkreldis.2024.106943 {Abstract}: 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.