Autosomal Dominant Adult-Onset Proximal Spinal Muscular Atrophy, also known as autosomal dominant late-onset spinal muscular atrophy, finkel type, is related to autosomal dominant proximal spinal muscular atrophy and spinal muscular atrophy, late-onset, finkel type, and has symptoms including muscular fasciculation An important gene associated with Autosomal Dominant Adult-Onset Proximal Spinal Muscular Atrophy is VAPB (VAMP Associated Protein B And C), and among its related pathways/superpathways are Tacrolimus/Cyclosporine Pathway, Pharmacodynamics and Ethanol metabolism production of ROS by CYP2E1. Related phenotypes are fatigue and areflexia