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Ataxia

 

Ataxia is a neurological sign of a nervous system dysfunction or other degenerative disease, and involves incoordinated muscle movements. Particularly affected are balance, walking, speech, arms, hands, fingers, legs and eyes, although symptoms may range throughout other areas of the body and function as well. Ataxia may be classified as either hereditary or non-hereditary ("sporadic ataxia").

Causes:

Some causes of ataxia actually include "ataxia" in their names. In these particular instances, as well as some others, the causes are hereditary in nature. Other ataxias are non-hereditary. Below are general causes of both categories of ataxia:

  • Acute transverse myelitis
  • Ataxia-telangiectasia
  • Autosomal dominant disorder
  • Autosomal recessive disorder
  • Brain tumor
  • Cerebellar degeneration
  • Cerebral palsy
  • Chickenpox (varicella zoster virus)
  • Congenital cerebellar ataxia
  • Diabetic polyneuropathy
  • Drugs and medications (some)
  • Episodic ataxia
  • Focal lesions
  • Friedreich's ataxia
  • Head trauma
  • Multiple sclerosis (MS)
  • Paraneoplastic syndromes
  • Peripheral neuropathy
  • Transient ischemic attack (TIA)
  • Spine degeneration
  • Spinocerebellar ataxia
  • Vacuolar myelopathy
  • Vitamin B12 deficiency
  • Wilson's disease


Symptoms, signs and complications:

  • Asynergy
  • Balance disorder or loss
  • Dementia
  • Dizziness
  • Dysarthria
  • Dyschronometria
  • Dysdiadochokinesia
  • Dysmetria (speech dysfunction)
  • Hypotonia
  • Intention tremor
  • Lost sense of position of limbs
  • Muscle rigidity
  • Muscle spasticity
  • Muscle weakness
  • Nausea
  • Nystagmus (eye movement dysfunction, jitters)
  • Romberg's sign
  • Unsteady walking (gait ataxia)
  • Unusual writing characteristics
  • Upper body incoordination
  • Vibration detection inability
  • Vomiting


Types:

  • Cerebellar ataxia
  • Sensory ataxia (a.k.a. proprioceptive ataxia)
  • Vestibular ataxia

It is possible for more than one type of ataxia to exist at once in a patient.

Diagnosis

Diagnosis of ataxia is made by a doctor or medical professional. Personal and family medical history may be taken into consideration, and neurological and blood tests can be administered.

Treatment

Ataxia does not have any particular treatment methods, but certain underlying medical conditions and causes may be treated. The physical disability that comes with ataxia may be partially relieved through physical therapy options.

See also:

  • Neurological dysfunction
  • Romberg's test
  • Vitamin B12 (cyanocobalamin) deficiency


Synonyms and other key terms:

  • Gait ataxia
  • Multiple system atrophy cerebral type (MSA-C)
  • Sporadic olivopontocerebellar ataxia (sporadic OPCA)

 

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