“…34 Adult-onset (Ն13 years) forms with clinical and radiologic findings different from those of the infantile type have been reported. [35][36][37][38][39][40][41][42][43][44][45] Ataxia, 35,36,[38][39][40][42][43][44] pyramidal signs, 35,[38][39][40][41]43,44 and autonomic dysfunction 39,41,45 overlap the clinical features of ADLD with autonomic symptoms. However, palatal tremor and palatal myoclonus, common in adult-onset Alexander disease, 35,[38][39][40]43,45 have not been reported in adult-onset ADLD with autonomic symptoms.…”