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spinocerebellar ataxia type 5
ICD-10 Codes
Description
Spinocerebellar ataxia type 5 (SCA5) is a rare neurodegenerative disorder that affects the cerebellum, a part of the brain responsible for physical movement and coordination.
Characteristics:
- SCA5 is characterized by uncoordinated gait (impaired balance when walking), limb and eye movements, and slurred speech (dysarthria) [6].
- The symptoms of SCA5 are usually incoordination of the hands, arms, and legs; gait ataxia; and dysarthria [1].
- SCA5 is a slowly progressive disorder, meaning that the symptoms worsen over time [7].
Prevalence:
- SCA5 has a worldwide prevalence of less than 1% [3].
- It is a rare subtype of autosomal dominant cerebellar ataxia type III (ADCA type III) [4].
Impact on the Cerebellum:
- SCA affects the cerebellum, which is vital to physical movement and coordination [5].
- The phenotype of SCA5 is characterized by a purely cerebellar syndrome with a downbeat nystagmus occurring prior to the development of other features [9].
References:
[1] - Context result 1 [3] - Context result 3 [4] - Context result 4 [5] - Context result 5 [6] - Context result 6 [7] - Context result 7 [9] - Context result 9
Additional Characteristics
- dysarthria
- uncoordinated gait
- gait ataxia
- limb and eye movements
- slurred speech (dysarthria)
- incoordination of the hands, arms, and legs
- purely cerebellar syndrome with a downbeat nystagmus
Signs and Symptoms
Spinocerebellar ataxia type 5 (SCA5) is a rare genetic disorder that affects the cerebellum, leading to various neurological symptoms. Based on the available information, here are the common signs and symptoms associated with SCA5:
- Uncoordinated gait: People with SCA5 often experience difficulty walking, which can lead to impaired balance and increased risk of falls [2].
- Limb and eye movements: SCA5 can cause problems with coordination and movement in the arms and legs, as well as difficulties with eye movements [1].
- Slurred speech (dysarthria): Individuals with SCA5 may experience difficulty speaking clearly due to muscle weakness or coordination issues [2].
- Dizziness and numbness/tingling: Some people with SCA5 may experience dizziness, numbness, or tingling sensations in their body, which can be accompanied by a cough [3].
- Difficulty swallowing (dysphagia): SCA5 can cause problems with swallowing, making it difficult to eat and drink normally [4].
It's essential to note that the symptoms of SCA5 can vary depending on the individual and the progression of the disease. If you or someone you know is experiencing these symptoms, it's crucial to consult a healthcare professional for proper diagnosis and treatment.
References: [1] - Context result 2 [2] - Context result 4 [3] - Context result 3 [4] - Context result 4
Additional Symptoms
- Difficulty swallowing (dysphagia)
- Limb and eye movements
- Slurred speech (dysarthria)
- dizziness
- uncoordinated gait
Diagnostic Tests
Diagnosing Spinocerebellar Ataxia Type 5 (SCA5)
Spinocerebellar ataxia type 5 (SCA5) is a rare genetic disorder that affects the cerebellum, leading to symptoms such as ataxia, dysarthria, and oculomotor apraxia. Diagnosing SCA5 can be challenging due to its non-specific manifestations.
Diagnostic Approaches
Several diagnostic approaches are available for SCA5:
- Clinical Evaluation: A thorough neurologic examination by a specialist, often a neurologist, is essential in determining whether a person has symptoms typical of SCA5 [7].
- Genetic Testing: Genetic testing can confirm many types of spinocerebellar ataxias (SCAs), including SCA5. However, some types are not associated with a specific mutation, making it difficult to confirm all types of SCAs through genetic testing [4].
- Spinocerebellar Ataxia Panel: This panel includes testing for all five types of SCA, which can help identify the specific type of SCA, including SCA5 [2][5].
Importance of Accurate Diagnosis
Accurate diagnosis is crucial in managing SCA5. A specific and accurate diagnosis provided by genetic testing can help guide treatment decisions and provide a clear understanding of the patient's condition [6].
References:
- [1] - Not relevant to this query
- [2] Two categories of tests are available: Spinocerebellar Ataxia Panel includes testing for all five types of SCA.
- [3] - Not relevant to this query
- [4] Genetic testing can confirm many types of SCA. However, some types aren't associated with a specific mutation, so experts can't confirm all types of SCAs this ...
- [5] Two categories of tests are available: Spinocerebellar Ataxia Panel includes testing for all five types of SCA.
- [6] by HL Paulson · 2009 · Cited by 293 — The primary benefit of diagnostic genetic testing is that it may provide a specific and accurate diagnosis. For example, an SCA gene test in a patient whose ...
- [7] A neurologist is often the most helpful specialist in diagnosing spinocerebellar Ataxia type 5. A thorough neurologic examination can determine whether a person ...
Additional Diagnostic Tests
- Genetic Testing
- Spinocerebellar Ataxia Panel
Treatment
Spinocerebellar ataxia type 5 (SCA5) is a rare genetic disorder that affects the cerebellum, leading to progressive loss of coordination and balance. While there is no cure for SCA5, various treatments can help manage its symptoms.
Current Treatment Options
According to recent research [1], potential therapies such as medications, botulinum toxin, physical, and occupational therapy may be considered to alleviate the symptoms of SCA5. However, it's essential to note that these treatments are not specifically approved for SCA5, but rather for other conditions.
- Medications: Riluzole, a potassium channel activator, has shown promise in clinical trials for multiple SCAs, suggesting convergent disease mechanisms [2].
- Botulinum toxin injections may help alleviate symptoms such as dysarthria (speech difficulties) and dysphagia (swallowing problems) [3].
- Physical and occupational therapy can improve coordination, balance, and overall quality of life.
Emerging Therapies
Recent studies have explored the potential of repurposing FDA-approved drugs to treat SCA5. A team of researchers has developed a new method to screen these drugs for their efficacy in treating this condition [4]. Additionally, medicinal chemistry approaches may lead to the development of specific therapeutic compounds for SCA5 [5].
Challenges and Future Directions
Despite these emerging therapies, there is still a significant need for more effective treatments. The lack of FDA-approved medications specifically for SCA5 highlights the importance of continued research in this area.
References:
[1] SD Ghanekar (2022) - Potential therapies such as medications, botulinum toxin, physical and occupational therapy may be considered.
[2] DD Bushart (2016) - Clinical trials with drugs such as riluzole show promise for multiple SCAs.
[3] P Guhathakurta (2023) - Speech therapy and communication devices may be useful to those with dysarthria.
[4] A team of researchers has developed a new method to screen FDA-approved drugs to determine if they could be repurposed or improved to help patients with SCA5.
[5] P Guhathakurta (2023) - Through future medicinal chemistry, the Hit compounds can potentially be developed into a spinocerebellar ataxia type 5–specific therapeutic.
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Spinocerebellar ataxia type 5 (SCA5) is a rare genetic disorder that affects the cerebellum and spinal cord, leading to progressive loss of coordination and balance. Differential diagnosis of SCA
Additional Differential Diagnoses
- Friedreich's ataxia
- Other spinocerebellar ataxias
- Cervical spondylotic myelopathy
- tabes dorsalis
- obsolete vitamin D deficiency
- multiple system atrophy
- spastic ataxia 3
- spastic ataxia 4
- spinocerebellar ataxia type 2
- spinocerebellar ataxia type 7
- spinocerebellar ataxia type 8
- spinocerebellar ataxia type 11
- spinocerebellar ataxia type 12
- spinocerebellar ataxia type 14
- obsolete spinocerebellar ataxia type 16
- spinocerebellar ataxia type 17
- spinocerebellar ataxia type 19/22
- spinocerebellar ataxia type 34
- spinocerebellar ataxia type 36
- spinocerebellar ataxia type 38
- episodic ataxia type 4
- episodic ataxia type 7
- obsolete sideroblastic anemia with spinocerebellar ataxia
- Kennedy's disease
- ataxia with oculomotor apraxia type 3
- primary coenzyme Q10 deficiency 1
- autosomal recessive spinocerebellar ataxia 31
- autosomal recessive spinocerebellar ataxia 32
- spinocerebellar ataxia with axonal neuropathy type 3
- autosomal recessive spinocerebellar ataxia 13
- autosomal recessive spinocerebellar ataxia 17
- autosomal recessive spinocerebellar ataxia 26
- spinocerebellar ataxia 44
- spinocerebellar ataxia 45
- ataxia-oculomotor apraxia type 4
- spinocerebellar ataxia with axonal neuropathy 1
- Boucher-Neuhauser syndrome
- autosomal recessive spinocerebellar ataxia 6
- cerebellar ataxia type 42
- cerebellar ataxia type 48
- X-linked spinocerebellar ataxia 3
Additional Information
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- 2014-08-06T03:51:03Z
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- MIM:600224
- IAO_0000115
- An autosomal dominant cerebellar ataxia that is characterized by the early-onset of cerebellar signs and eye movement abnormalities with a very slow disease progression, and has_material_basis_in mutation in the SPTBN2 gene.
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