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Doctor insights on: Ataxic Dysarthria Treatment

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Treatment for progressive gait imbalace and progressive dysarthria slurred speech?

Treatment for progressive gait imbalace and progressive dysarthria slurred speech?

Uncover cause: Likely best to see a neurologist. There are multiple problems which can cause this, and treatment follows diagnosis. ...Read more

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Dr. Louis Gallia
195 doctors shared insights

Ataxia (Definition)

Ataxia means movements without coordination. People with ataxia have incoordination because the parts of the nervous system that control movement and balance are not working properly. Ataxia can be associated with infections, injuries, or degenerative changes in the central nervous system. Ataxias may be hereditary ...Read more


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Dad(52yrs)diagnosed w/cerebral vermian atrophy. Symptoms:uncoordinated movements, speech, swallowing difficulty(at times). Non-drinker. Is there a cure

Dad(52yrs)diagnosed w/cerebral vermian atrophy. Symptoms:uncoordinated movements, speech, swallowing difficulty(at times). Non-drinker. Is there a cure

Search for cause: The term "cerebral atrophy" is generic and does not explain why your dad is impaired. You truly need to have a full neurological evaluation, as the symptoms do raise concerns regarding many potential problems. Some of these issues could be associated with vitamin deficiencies, some from an inflammatory condition. Even might be due to a prion infection. Need to vigorously pursue. ...Read more

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Could anesthesia cause progressive supranuclear palsy (psp)?

Could anesthesia cause progressive supranuclear palsy (psp)?

Not likely: No one knows for sure what causes it. It is a degenerative neurologic disease a little similar to Parkinson's disease in a comparable area of the brain. The cause may be genetic, viral, though no one really knows. It is very very rare. ...Read more

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How to treat severe spastic dysphonia accompanying dysarthria?

How to treat severe spastic dysphonia accompanying dysarthria?

Spastic dysphonia: Botox is generally the best treatment for pure isolated spasmodic dysphonia. Dysarthria is a different issue. Sounds like you need to see a laryngologist and a neurologist ...Read more

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Any treatment for heriditary spastic paraparesis? Accompanied by sensory neuropathy?

Any treatment for heriditary spastic  paraparesis? Accompanied by sensory neuropathy?

Symptomatic treatmen: Hsp is a group of inherited disorders, often insidiously progressive and severe. There are no effective treatments to the underlying damage to the nerve axons so treatment is symptomatic. Baclofen, dantrolene and tinazidine may help with spasticity; oxybutinin with urinary urgency; gabapentin, Pregabalin and duloxetine for neuropathy. Vitamins, d, e and b6 may also help. Physical therapy also. ...Read more

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What can cause progressive supranuclear palsy?

What can cause progressive supranuclear palsy?

Tau protein D/O: No, tau protein deposits & neurofibrillary tangles in neurons cause the death of these cells. Because they are in some similar areas as parkinson's disease, psp can appear similar clinically, but there are clear differences. Treatment approaches are roughly the same with different areas needing most attention. Primarily balance/falls/injury, did inhibiting dementia & dysphagia/aspiration. ...Read more

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How is progressive supranuclear palsy (psp) diagnosed?

How is progressive supranuclear palsy (psp) diagnosed?

Cannot look up: Similar to but worse prognosis than parkinson's disease sharing the rigidity and poverty of movements, inability to look up with head kept straight. ...Read more

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Explain the condition called sudden loss of coordination (cerebellar ataxia).?

Explain the condition called sudden loss of coordination (cerebellar ataxia).?

Cerebellar Ataxia: Acute cerebellar ataxia is defined as the sudden loss of coordination or abnormal gait due to abnormal function of the cerebellum. Causes are vast, and include tumors, infectious diseases, and genetic (inherited) etiologies. This is best managed by a neurologist (specialist in the nervous system). ...Read more

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How are cerebellar degeneration, cerebellar ataxia and paraneoplastic cerebellar related?

How are cerebellar degeneration, cerebellar ataxia and paraneoplastic cerebellar related?

Ataxia: Cerebellar degneration means that the part of the brain that controlls coordination and balance is losing cells and likely getting smaller. Ataxia is the clumsiness, imbalance, slurred speech and/or abnormal eye movements that can accompany cerebellar degeneration. A paraneoplastic cerebellar syndrome is when the body's immune response to cancer somewhere else damages the cerebellum "by mistake". ...Read more

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How is cerebellar ataxia treated?

How is cerebellar ataxia treated?

Supportively: The commonest acquired causes are alcoholism and viral infections. But many cases are due to genetically determined neurodegeneration. If you drink, stop--you might get better. Gait training and ambulatory aides may help. ...Read more

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Any treatment for cerebral palsy?

Supportive care: CP is a simple label for a complex collection of issues. The disorder of movement & posture is oft helped by physical & occupational therapy. Yet the child may also have vision, learning, communication, behavior & other pbs.A learned primary physician or CP clinic can coordinate the many added services needed for improved outcome. ...Read more

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Does basal ganglia stroke ever affect speech? Is speech therapy warranted?

Does basal ganglia stroke ever affect speech? Is speech therapy warranted?

Sure: The basal ganglia control gross movements talking is a motor function. If it is affected speech therapy can help. ...Read more

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Unexplained dysarthria and dystonia. Why?

Unexplained dysarthria and dystonia. Why?

Hard to say: If you were previously "normal" and now have these symptoms the problem could be in the brain. I would not wait to see if things get better...See your doctor asap. ...Read more

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Can you please suggest treatment for progressive supranuclear palsy ( psp)?

Can you please suggest treatment for progressive supranuclear palsy ( psp)?

Multidisciplinary: While there is no single effective medication to stop the progression of psp; some short term modest benefit has been shown with bromocriptine for the rigidity, Botox for dystonia and sialorrhea, methylcellulose for dry eyes, and cognitive stimulation/physical exercise for cognitive function and gait and balance training. ...Read more

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What are the treatments for progressive supranuclear palsy?

What are the treatments for progressive supranuclear palsy?

Good Rx available!!: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx & watch for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for psp patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or clozaril. Remember, response is variable, but worthwhile. ...Read more

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What is the proper treatment for progressive supranuclear palsy?

What is the proper treatment for progressive supranuclear palsy?

The right doctor: I believe it is important to be seen by a movement disorders neurologist for this neurodegenerative disease. This is a very difficult disease to treat. A patient may need very high doses of levodopa. Oftentimes issues such as feeding tubes are at the fore. A specialist will have more experience dealing with this rare disease and may have other options (i.e. Clinical trials) available. ...Read more

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Cerebral palsy and myoclonus related?

Cerebral palsy and myoclonus related?

Spasticity: CP and myoclonus involve over active stretch reflexes. They are caused by release of these reflexes from higher cortical brain control. ...Read more

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What are progressive and pseudo bulbar palsy?

What are progressive and pseudo bulbar palsy?

Upper motor neuron: Pseudobulbar palsy is a disorder of nerves located near the base of the brain, that connect the higher brain centers with the lower spinal cord. Most commonly affects chewing, swallowing, speech, emotional outbursts sometimes. It has multiple causes and the underlying disease will determine how progressive it is; examples are parkinson's, als, certain strokes, ms, brain trauma. ...Read more

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Any treatment of multifocal motor neuropathy?

Any treatment of multifocal motor neuropathy?

Neuropathy: Treatment for multifocal motor neuropathy varies. Some individuals experience only mild, modest symptoms and require no treatment. For others, treatment generally consists of intravenous immunoglobulin (ivig) or immunosuppressive therapy with cyclophosphamide. ...Read more

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38 yo male, history epilepsy (med controlled), closed tbi (12/2011). Slurred speech, hand tremor, unsteady gait, confused, lethargic, normal pupils.

38 yo male, history epilepsy (med controlled), closed tbi (12/2011). Slurred speech, hand tremor, unsteady gait, confused, lethargic, normal pupils.

Timeline?: Your description does not state if all of these changes represent a change from the baseline, are new or chronic. If they are new then i would recommend going to your closest emergency room right away, if they are chronic and old then i would discuss this with your doctor as they could be consistent with traumatic brain injury. ...Read more

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Dr. Suzanne Galli
27 doctors shared insights

Difficulty Talking (Definition)

Expressive difficulty is a clinical finding in which a person has trouble either writing words/sentences or speaking them, ...Read more


Dr. Sandra Eleczko
21 doctors shared insights

Jumbled Speech (Definition)

Jumbled speech = disorganization of speech. It may be a symptom of ...Read more