Doctor insights on:
Gait Ataxia Treatment
Gait is the way locomotion is achieved using our limbs. Gait is defined as "bipedal, biphasic forward propulsion of center of gravity of human body, in which there is alternate movements of different segments of the body" . Different gaits are characterized by differences in limb movement patterns, overall velocity, forces, ...Read more
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
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
Could sudden cessation of long term Mirapex (pramipexole) 3mg/d for RLS cause sudden marked bradykinesia type walk? R/O Parkinson's...
Yes: Mirapex (pramipexole) is a drug used to treat Parkinsons. It enhances dopamine in the brain. Parkinsons disease is due to dopamine loss. If this medication were abruptly discontinued, it could result in symptoms very similar to Parkinsons. Talk to your doctor about tapering this medication more slowly. Best wishes! ...Read more
Will an MRI without contrast show the beginning signs of MS?
Symptoms: slurred speech, memory problems, unsteady gait, confusion, etc.
Complex question: There are 3 types of MRI used to diagnose MS: T1-weighted, T-2 weighted, and FLAIR. No single test is used to diagnose MS, generally a combination of tests over time is needed to get a definitive diagnosis. You need to consult a neurologist experienced with MS and let him or her guide you. Do you have a family history of this disease? Although chronic, progression can be very slow. Good luck! ...Read more
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
I have a neurological condition no diagnoises symptoms r severe balance gait coordination problems, slow movement and speach affected ..Any ideas?
Cerebellum: Parkinsonism, which means any combination of slowness, rigity, tremor and postural instability, would not cause coordination problems. Spinocerebellar ataxias, which are often but not always familial, can also cause some of the symptoms you named. Any problem in the cerebellum or brainstem, due to stroke or tumor for example, can cause these symptoms. Multiple sclerosis a possibility too. ...Read more
Prevention: Fa is the most common hereditary ataxia. It is due in most to trinucleotide repeat expansions in the first intron of the frataxin gene resulting in a deficiency of the protein.Treament is symptomatic of the many associated complications. Molecular analysis is essential to prevent its occurrence in subsequent generations. ...Read more
Variety of causes...: The causes of spinocerebellar ataxia span several pages, but can be categorized as: hereditary, infectious, medication-related, alcohol-related, traumatic, vitamin deficiency related, etc. The start of an evaluation for ataxia includes a detailed neurological exam by a movement disorder specialist and a brain MRI to see whether the cerebellum is indeed shrinking. ...Read more
What disease causes periods of physical weakness, clumsiness of hands and legs and visual disturbances?
Doc visit: You need to see your doc for your problem. ...Read more
Most often.: Parkinson's disease. But to be certain you should have him examined by a neurologist. A common finding is what is known as resting tremor, also called "pill rolling" tremor because the patients appear to be rolling a pill between thier thumbs and index fingers at rest, but when they reach for something, often the tremor disappears. There are other causes that any good general neurologist can ID. ...Read moreSee 1 more doctor answer
My wife exhibits signs of possible early onset dementia (confusion, agitation, unsteady balanve, slurred speech). How can we get an accurate diagnosis?
Neurological Disorde: I understand your concern for your wife! unsteady balance and slurred speech generally are not due to early onset dementia . Alcohol use can cause unsteady balance and slurred speech . Please see a neurologist for the diagnosis and treatment of your wife's condition. ...Read moreSee 1 more doctor answer
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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