Ataxia overview: Difference between revisions
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==Overview== | ==Overview== | ||
'''Ataxia''' (from Greek ''α-'' [used as a negative prefix] + ''-τάξις'' [order], meaning "lack of order") is a [[neurology|neurological]] sign and symptom consisting of gross incoordination of [[muscle]] movements | '''Ataxia''' (from Greek ''α-'' [used as a negative prefix] + ''-τάξις'' [order], meaning "lack of order") is a [[neurology|neurological]] sign and symptom consisting of gross incoordination of [[muscle]] movements <ref name="pmid15895274">{{cite journal |vauthors=Mariotti C, Fancellu R, Di Donato S |title=An overview of the patient with ataxia |journal=J. Neurol. |volume=252 |issue=5 |pages=511–8 |date=May 2005 |pmid=15895274 |doi=10.1007/s00415-005-0814-z |url=}}</ref>. Ataxia is an aspecific clinical manifestation implying dysfunction of parts of the [[nervous system]] that coordinate movement, such as the [[cerebellum]] Several possible causes exist for these patterns of neurological dysfunction. The term "dystaxia" is rarely used as a synonym. | ||
* '''Sporadic ataxias.''' Ataxias of this type usually begin in adulthood and have no known family history. | Ataxia results from the involvement of cerebellar structures, or from a combination of cerebellar and extra-cerebellar lesions, especially the brainstem <ref name="pmid27495205">{{cite journal |vauthors=Ashizawa T, Xia G |title=Ataxia |journal=Continuum (Minneap Minn) |volume=22 |issue=4 Movement Disorders |pages=1208–26 |date=August 2016 |pmid=27495205 |pmc=5567218 |doi=10.1212/CON.0000000000000362 |url=}}</ref>. Ataxia can be of several types: | ||
* '''Hereditary ataxias.''' These ataxias are caused by a defect in a gene that is present from the start of a person's life and can be either dominantly inherited or recessively inherited. Recessive disorders commonly cause symptoms to begin in childhood rather than in adulthood. | |||
*'''Sporadic ataxias.''' Ataxias of this type usually begin in adulthood and have no known family history. | |||
*'''Hereditary ataxias.''' These ataxias are caused by a defect in a gene that is present from the start of a person's life and can be either dominantly inherited or recessively inherited. Recessive disorders commonly cause symptoms to begin in childhood rather than in adulthood. | |||
==Risk Factors== | ==Risk Factors== | ||
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==Medical Therapy== | ==Medical Therapy== | ||
There is no specific treatment for ataxia as such, altough there may be for the underlying cause. The disability of ataxia may be reduced by physical therapy, including exercises, along with leg braces or shoe splints. If foot alignment has been affected then a cane or walker is often used in the effort to prevent falls. | There is no specific treatment for ataxia as such, altough there may be for the underlying cause <ref name="pmid21626557">{{cite journal |vauthors=Klockgether T, Paulson H |title=Milestones in ataxia |journal=Mov. Disord. |volume=26 |issue=6 |pages=1134–41 |date=May 2011 |pmid=21626557 |pmc=3105349 |doi=10.1002/mds.23559 |url=}}</ref>. The disability of ataxia may be reduced by physical therapy, including exercises, along with leg braces or shoe splints. If foot alignment has been affected then a cane or walker is often used in the effort to prevent falls <ref name="pmid25432731">{{cite journal |vauthors=Akbar U, Ashizawa T |title=Ataxia |journal=Neurol Clin |volume=33 |issue=1 |pages=225–48 |date=February 2015 |pmid=25432731 |pmc=4251489 |doi=10.1016/j.ncl.2014.09.004 |url=}}</ref> | ||
==References== | ==References== | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
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Latest revision as of 19:27, 24 August 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Ataxia (from Greek α- [used as a negative prefix] + -τάξις [order], meaning "lack of order") is a neurological sign and symptom consisting of gross incoordination of muscle movements [1]. Ataxia is an aspecific clinical manifestation implying dysfunction of parts of the nervous system that coordinate movement, such as the cerebellum Several possible causes exist for these patterns of neurological dysfunction. The term "dystaxia" is rarely used as a synonym.
Ataxia results from the involvement of cerebellar structures, or from a combination of cerebellar and extra-cerebellar lesions, especially the brainstem [2]. Ataxia can be of several types:
- Sporadic ataxias. Ataxias of this type usually begin in adulthood and have no known family history.
- Hereditary ataxias. These ataxias are caused by a defect in a gene that is present from the start of a person's life and can be either dominantly inherited or recessively inherited. Recessive disorders commonly cause symptoms to begin in childhood rather than in adulthood.
Risk Factors
- Viral infections, such as chickenpox , Coxsackie virus, Epstein-Barr, or HIV
- Bacterial infections such as Lyme disease
- Exposure to certain toxins, such as lead , mercury , thallium, alcohol , and organophosphates found in insecticides
- Cerebellar hemorrhage, abscess, blood clot, or obstruction of an artery
- Para-neoplastic syndromes—occurs when the immune system attacks the cerebellum in the area of a cancer
- Certain vaccinations.
Medical Therapy
There is no specific treatment for ataxia as such, altough there may be for the underlying cause [3]. The disability of ataxia may be reduced by physical therapy, including exercises, along with leg braces or shoe splints. If foot alignment has been affected then a cane or walker is often used in the effort to prevent falls [4]
References
- ↑ Mariotti C, Fancellu R, Di Donato S (May 2005). "An overview of the patient with ataxia". J. Neurol. 252 (5): 511–8. doi:10.1007/s00415-005-0814-z. PMID 15895274.
- ↑ Ashizawa T, Xia G (August 2016). "Ataxia". Continuum (Minneap Minn). 22 (4 Movement Disorders): 1208–26. doi:10.1212/CON.0000000000000362. PMC 5567218. PMID 27495205.
- ↑ Klockgether T, Paulson H (May 2011). "Milestones in ataxia". Mov. Disord. 26 (6): 1134–41. doi:10.1002/mds.23559. PMC 3105349. PMID 21626557.
- ↑ Akbar U, Ashizawa T (February 2015). "Ataxia". Neurol Clin. 33 (1): 225–48. doi:10.1016/j.ncl.2014.09.004. PMC 4251489. PMID 25432731.