What are the Signs and Symptoms of Friedreich’s Ataxia?


  • Today's Paramedic quote:

    Blood goes round and round; air goes in and out; any variation from this is bad. - Paramedic 101.

  • PARAMEDIC HELP

    • Paramedic Study Notes
    • Paediatric Emergency Notes
    • ECG Tutorial
  • PARAMEDIC INFO

    • Ambulance FAQs
    • Ambulance News
    • Anatomy and Physiology
    • Chest Pain
    • Emergency Management
    • Health
    • Laughter is the Best Medicine
    • Medical Disorders
    • Medical Eponyms
    • Medical Liability
    • Medical Science
    • Medical Signs
    • Medical Syndromes
    • New Technologies
    • Paramedic Case Studies
    • Paramedic Education
    • Paramedic Equipment
    • Paramedic Exam Preparation
    • Paramedic Jobs
    • Paramedic Skills
    • Pathophysiology
    • Patient Assessment
    • Real Paramedic Stories
    • Trauma Assessment

What are the Signs and Symptoms of Friedreich’s Ataxia?

What are the Signs and Symptoms of Friedreich’s Ataxia?

The Signs and Symptoms of Friedrecih’s Ataxia includes the follwing:

Muscle weakness in the arms and legs

Loss of coordination

Vision impairment

Hearing impairment

Slurred speech

Curvature of the spine (scoliosis)

High plantar arches (pes cavus deformity of the foot)

Diabetes (about 20% of people with Friedreich’s ataxia develop carbohydrate intolerance and 10% develop diabetes mellitus)

Heart disorders (atrial fibrillation, which leads to tachycardia (fast heart rate) and hypertrophic cardiomyopathy

It presents before 25 years of age with progressive staggering or stumbling gait and frequent falling. Lower extremities are more severely involved. The symptoms are slow and progressive. Long-term observation shows that many patients reach a plateau in symptoms in the patient’s early adulthood.

The following physical signs may be detected on physical examination:

Cerebellar: Nystagmus, fast saccadic eye movements, truncal ataxia, dysarthria, dysmetria.

Pyramidal: absent deep tendon reflexes, extensor plantar responses, and distal weakness are commonly found.

Dorsal column: Loss of vibratory and proprioceptive sensation occurs.

Cardiac involvement occurs in 91% of patients, including cardiomegaly (up to dilated cardiomyopathy), symmetrical hypertrophy, heart murmurs, and conduction defects. Median age of death is 35 years, while females have better prognosis with a 20-year survival of 100% as compared to 63% in men.[citation needed]

20% of cases are found in association with diabetes mellitus.



Copyright: Emergency Medical Paramedic 2010-2018. All rights reserved.
All information is provided for educational purposes only and should not be taken as medical advice.
Authors  Privacy Policy  Disclaimer  Advertising Policy  Contact Us  Our Goals