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Ataxia describes a lack of ability to move the muscles in a coordinated fashion. People with ataxia have irregular or awkward movements.
What is going on in the body?
Though most commonly used to describe the way a person walks, this condition can affect any of the muscles in the body. Problems with coordination can be due to many different types of problems, ranging from drinking alcohol to having a stroke. Ataxia may cause problems with everyday activities, such as tying a shoelace or driving a car. What are the causes and risks of the condition?
There are many possible causes of this condition. Examples include: - damage to the brain from head injury, stroke, or multiple sclerosis - infection in the brain, such as meningitis, syphilis, AIDS, or Lyme disease - effects of a drug or toxin, such as alcohol, barbiturates, seizure medications or "sniffing glue" - poisoning - brain tumors or other cancers - vitamin deficiencies, such as lack of thiamine or vitamin B12 - hormone abnormalities, such as hypothyroidism - inherited conditions that affect the brain, such as Friedreich's ataxia or ataxia-telangiectasia - bleeding into or around the brain from injury or trauma - nerve damage, which often affects walking and may occur with diabetes, lead poisoning, or certain cancer chemotherapy medications - old age, which also commonly affects walking. Decreased vision and strength in the elderly also affect walking. - hydrocephalus, which is increased fluid on the inside of the brain - movement disorders such as Parkinson's disease or Huntington chorea - balance problems due to irritation or damage to the middle ear, which aids in balance. Balance problems may occur with infections of the middle ear, such as Meniere's disease. Other causes are also possible. Sometimes, a cause cannot be found.
What are the treatments for the condition?
Treatment is directed at the underlying cause. For example, drugs can help reduce ataxia if Parkinson's disease is the cause. Antibiotics may be needed for an infection. Surgery may remove a brain tumor. If a stroke is the cause, the only treatment may be physical therapy to improve function as much as possible. What are the side effects of the treatments?
All medications have possible side effects. These may include allergic reactions, stomach upset, and headaches. Particular side effects depend on the medicatiions used. Any surgery carries a risk of bleeding, infection, and reactions to any pain medicines used. Specific side effects depend on the surgery being done. What happens after treatment for the condition?
Treatment may be short-term or lifelong. Those with Huntington chorea, for example, may need treatment and care for the rest of their lives. Those who drank too much alcohol may need no further treatment once the alcohol leaves their system. How is the condition monitored?
Monitoring depends on the underlying cause. Those with diabetes or AIDS often need close monitoring with frequent visits to the healthcare provider and blood tests. People whose infections are treated may need no further monitoring after they recover.
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