What is Ataxia
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SPINOCEREBELLAR ATAXIA

Australia Inc

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What is Ataxia?


SCAA Inc ( Spino Cerebellar Ataxia Australia Inc ) www.scars.org.au was formed because of the lack of information about Ataxia in Australia.

The hereditary and sporadic ataxias are a complex group of diseases and so this information leaflet hopes to be a brief overview. This information is not intended in any way to replace information you have received from your doctor(s).

SCAA Mission Statement : To promote and support Spinocerebellar Ataxia in all forms and to lead the quest for knowledge, diagnosis, treatment and prevention of SCA with support from communities worldwide.

Being diagnosed with Ataxia can be overwhelming. Below are a few frequently asked questions that can help you to understand ataxia better.

What is Ataxia?
The word "ataxia", comes from the Greek word, " a taxis" meaning "without order or in-coordination". The word ataxia means without coordination. People with ataxia have problems with coordination because parts of the nervous system that control movement and balance are affected. Ataxia may affect the fingers, hands, arms, legs, body, speech, and eye movements. The word ataxia is often used to describe a symptom of in-coordination which can be associated with infections, injuries, other diseases, or degenerative changes in the central nervous system. Ataxia is also used to denote a group of specific degenerative diseases of the nervous system called the hereditary and sporadic ataxias which Spino cerebellar Ataxia Australia Inc. primarily emphases.

You are not alone
Australian statistics : There are increasing dozens of SCAs being found. All dominant SCAs are at least 5/100,000 so in 22 million in Australia = about 1100 of us.

How is Ataxia Diagnosed?
Diagnosis is based on a person's medical history, family history, and a complete neurological evaluation including an MRI scan of the brain. Various blood tests may be performed to rule out other possible disorders which may present similar symptoms. Genetic blood tests to prevent previous misdiagnoses are now available for some types of hereditary ataxia to confirm a diagnosis or as a predictive test to determine if someone has inherited an ataxia gene known to affect other family members.

Testing is difficult and personal. Support in making such decisions is available from genetic counsellors

What are Common Symptoms?
Symptoms and time of onset very according to the type of ataxia. In fact there are often variations even within the same family with the same type of ataxia. Dominant ataxia often begins in the 20s or 30s or even later in life. Sometimes individuals may not show symptoms until they are in their 60s.

Typically balance and coordination are affected first. In coordination of hands, arms, and legs, and slurring of speech are other common symptoms. Walking becomes difficult and is characterized by walking with feet placed further apart to compensate for poor balance. Impaired coordination of the arms and hands affect a person's ability to perform tasks requiring fine motor control such as writing and eating. Slow eye movements can be seen in some form of ataxia. As time goes on, ataxia can affect speech and swallowing. Extreme care must be taken with any anaesthetics or operations because of poor swallowing ! TELL YOUR DOCTORS PLEASE !

All people with progressive neurological conditions are susceptible to depressive illness, moods and other psychological conditions. Anti-depressants and counselling may be helpful.

Tremor, stiffness, spasticity, sleep disorder, cold feet, sphincter disturbance etc are other symptoms.

There are many more other symptoms - too many to mention !

What is Sporadic Ataxia?
There is a large group of people who have symptoms of ataxia that usually begin in adulthood and who have no known family history of this disease. This is called sporadic ataxia and it can be difficult to diagnose. There are many acquired and hereditary causes of ataxia which must be ruled out before a diagnosis of sporadic ataxia can be made.

Management of Symptoms
It is essential to have regular reviews for treating symptoms with a good multidisciplinary team which may include a good GP + regular flu etc jabs, who may co-ordinate Neurologists, Rehabilitation physicians, Speech Therapists, Psychiatrists or Psychologists, Genetic Counsellors, Pastoral Care Workers, Physiotherapists for critical exercise, even Personal Trainers, Occupational Therapists for walking aids and home improvements, Dieticians, Sleep Specialists and others.
The goal of treatment is to improve the Quality of Life through Education and essential exercise whenever possible - even dancing, timely involvement of other specialists and medical treatment of specific symptoms
Naturopathic, homeopathic and other natural remedies may prove useful too with your Drs' knowledge.

Recreation
Have fun ! Do what you enjoy doing most ! and please help us to help you and join www.scars.org.au and come along to a meeting and meet everyone please ? We can offer companionship and information for people coping with ataxia and the challenges involved too.

How do I Get More Information?
Please discuss specific questions concerning your situation with your doctor (s). Also we encourage you to visit our website for additional information on ataxia, online chat groups and more : www.scars.org.au ABN No: 83 672 018 976 Deductible Gift Recipient status also held

Disclaimer : Information and articles contained in this leaflet is intended to provide useful information of a general nature for the reader but is not intended to be a substitute for legal or medical advice.

We are not recommending legal or medical advice and readers must seek their own legal and medical advice as may be appropriate

This leaflet was reviewed in Mar 2010 in collaboration with Prof Storey ( pls advise initials etc and contact )
Also credits to NAF (National Ataxia Foundation) USA and Ataxia UK
+ membership form : http://www.scars.org.au/forms/memberapp.doc
Photos :
First SCA meeting on first page of website: http://www.scars.org.au/OnlineGallery/pages/SCA2007.html
Melissa and Jane wearing lanyards : first pic in photo gallery : http://www.scars.org.au/OnlineGallery/pages/2009MelissaJane.html
MRI ( brain image ) from Prof Storey

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