We identified 283 cases with a neuropathological diagnosis of MSA, comprising 107 cases of MSA‐SND, 80 cases of MSA‐OPCA, 86 cases of MSA‐SND=OPCA, 7 cases of MSA‐MC and a single case of FTLD‐synuclein. The gene discussed is SNCA; the disease is multiple system atrophy.