Even after excluding one patient with MSA-C with an outlier MCP sT1w/T2w ratio value, the MCP sT1w/T2w ratio values in patients with MSA-C were significantly lower than those in patients with SCA3 and SCA6 and controls (0.07 ± 0.05 vs. 0.17 ± 0.03, 0.18 ± 0.03, and 0.19 ± 0.03, respectively; p < 0.001). Here, CACNA1A is linked to multiple system atrophy, cerebellar type.