Donald L. Gilbert

OVERVIEW: What every practitioner needs to know Are you sure your patient has Freidreich ataxia? What are the typical findings for this disease? Freidreich ataxia (FRDA) is a slowly progressive gait ataxia with onset between ages 10 and 25 years. It is accompanied by dysarthria and leg spasticity. Loss of lower limb reflexes, bladder dysfunction,…

OVERVIEW: What every practitioner needs to know Are you sure your patient has spinocerebellar ataxia? What are the typical findings for this disease? The spinocerebellar ataxias (SCAs) are a group of diseases with gradually progressive neurological impairment that localizes to the cerebellum and sometimes to other areas of the nervous system, including cortical spinal tract,…

OVERVIEW: What every practitioner needs to know Are you sure your patient has ataxia-telangiectasia? What are the typical findings for this disease? The most common symptoms are developmental delay in motor skills and speech in early childhood, with a gradually progressive mixed movement disorder composed of ataxia, chorea, and the onset of dystonia. The movement…