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Aug 7, 2019 · Children with ataxia may respond differently to physical therapy and exercise interventions when compared to children with other primary impairments and when compared to adults with ataxia . Involving children with different primary impairments (ataxia, spasticity, athetosis) or combining the data of children and adults in the same study, evident in twelve of the twenty trials that met the ...
- Helen Hartley, Elizabeth Cassidy, Lisa Bunn, Ram Kumar, Barry Pizer, Steven Lane, Bernie Carter
- 10.1007/s12311-019-01063-z
- 2019
- Cerebellum. 2019; 18(5): 951-968.
- Key Points
- Background
- Assessment
- Consider Consultation with Local Paediatric Team When
- Consider Transfer When
- Consider Discharge When
Assessment focuses on a thorough evaluation for serious and treatable causes including CNS infection or inflammation, trauma, stroke, toxin ingestion and mass lesionsPost-infectious acute cerebellar ataxia is the most common cause, it is self-limiting and is a diagnosis of exclusionSome conditions present with an unsteady gait due to weakness or pain. A frightened or very unwell child may also appear ataxicAtaxia is defined as unsteadiness, imbalance or clumsiness due to uncoordinated muscle movements, and presents as abnormal gait, speech or motor skills
History
1. Time course (acute <72 hours) 2. Antecedents include 3. Symptoms of ataxia 4. Other neurological symptoms, including: 5. Family history, including: 6. Drugs/toxins or environmental exposures
Examination
1. Conscious state, orientation 2. Thorough neurological examination is essential 3. Exclude signs of meningoencephalitis (fever, meningism) 4. Features suggestive ofcerebellar ataxia 4.1. Cerebellar signs (dysdiadochokinesis, dysmetria, dysarthria, tremor, nystagmus) 4.2. Gait abnormalities (staggering and/or wide-based) 5. Features suggestive of sensory ataxia 5.1. Positive Romberg test 5.2. Loss of light touch, vibration and proprioception 5.3. Hyporeflexia 6. Features suggestive of vestib...
Red flag features
1. Signs of raised intracranial pressure 2. Altered conscious state 3. Focal neurology 4. Meningism 5. Loss of proprioception, vibration sense or tactile discrimination 6. Weakness 7. Abnormal deep tendon reflexes
A child with an acute ataxia of unclear aetiologyA child with chronic or recurrent ataxiaOther focal neurological signsRaised ICP presentHistory not typical of post-infectious acute cerebellar ataxia or aetiology is unclearChild requiring care beyond the comfort level of the hospitalThe cause of ataxia is clear, the child is clinically well and there is a follow up arranged Last updated August 2024
Jan 22, 2019 · Hereditary spastic paraplegia (HSP) refers to a clinically and genetically heterogeneous group of neurodegenerative diseases characterized by progressive spasticity and weakness of the lower limbs. This lower limb impairment is caused by relatively selective distal axonal degeneration that involves the longest axons of the corticospinal tracts.
- Marta Bellofatto, Giovanna De Michele, Aniello Iovino, Alessandro Filla, Filippo M. Santorelli
- 10.3389/fneur.2019.00003
- 2019
- Front Neurol. 2019; 10: 3.
Mar 28, 2023 · Introduction. The term ‘episodic ataxia’ originally refers to a small group of rare autosomal dominant inherited disorders [1]. These are characterized by discrete attacks of cerebellar dysfunction (ataxia) of variable duration and frequency, often accompanied by other ictal and interictal symptoms. The incidence is likely less than 1 per ...
- Anhar Hassan
- 2023
- 10.5334/tohm.747
Treatment for ataxia depends on what causes it. For example, if a child has a vitamin E or vitamin B12 deficiency that’s causing ataxia, we can give your child extra vitamins to make their symptoms disappear. In most cases, your child’s doctor will manage ataxia symptoms with the goal of preventing the ataxia from getting worse.
Jan 30, 2024 · Ataxia treatment depends on the cause. If ataxia is caused by a condition such as vitamin deficiency or celiac disease, treating the condition may help improve symptoms. If ataxia results from chickenpox or other viral infections, it is likely to resolve on its own. People with Friedreich ataxia can be treated with an oral medicine called ...
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Jul 19, 2024 · Spastic Paraplegia Foundation Phone: 877-773-4483. The NINDS Publication Catalog offers printed materials on neurological disorders for patients, health professionals, and the general public. All materials are free of charge, and a downloadable PDF version is also available for most publications. Hereditary spastic paraplegia (HSP), also known ...
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related to: familiar paraplegia ataxia symptoms in children treatment options treatmentQuestions about treatment options for patients living with FA? Visit the official HCP site. Friedreich ataxia (FA) is treatable. Explore options for your patients.
Visit the official patient site & learn more about what's possible for Friedreich ataxia. Looking for more information about Friedreich ataxia? Discover a treatment option for FA.