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Cerebellar ataxia: both cerebellar and afferent afferent fibrous lesions can cause ataxia, which is characterized by imbalance disorders in the trunk and unsteady standing due to ataxia in the limbs, alternating dyskinesias, incoordination, delayed initiation and termination of movements, or continuity disorders.
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It is mainly caused by cerebellar injury, such as cerebellar infarction, cerebellar hemorrhage, and cerebellar compression by tumors. A finger-nose test or a standing test with eyes closed can be used. It is also possible that the cerebral blood supply is insufficient, spinal cord lesions and so on caused by cervical spondylosis.
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With the aging and certain environmental factors.
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1. Heavy drinking.
Ataxia is caused by inadequate or malabsorption of vitamin B1 and continuous intake of carbohydrates. The people with the highest incidence of this disease are those who have been drinking heavily for many years. First of all, alcoholism can disrupt the function of the gastrointestinal tract and affect the absorption of vitamin B1 in the gastrointestinal tract; Secondly, long-term alcohol abuse can also affect liver function, leading to the appearance of alcoholic liver or cirrhosis, which will also affect the liver's storage of vitamin B1.
Over time, patients develop ataxia encephalopathy.
2. Malnutrition.
It can also be caused by other reasons, such as long-term malnutrition or vitamin deficiencies. The causes of malnutrition are that there are many women who love beauty and diet for the sake of their figures, or some office workers who eat regularly for work, which can lead to malnutrition. In addition, malnutrition can also occur if there are diseases that require frequent dialysis or, or if there is long-term diarrhea and vomiting.
Giving high amounts of carbohydrates to people with vitamin B1 deficiency (eg, eating large amounts after starvation or giving glucose rehydration fluids in high-risk patients) can predispose to ataxia encephalopathy.
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What kind of people are susceptible to ataxia? Elderly people like those who are more introverted and do not suffer from cold are particularly prone to this disease.
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Ataxia is a very serious disease for the human body, the occurrence of the disease will lead to the health of our brain tissues are greatly affected and damaged, trauma, poisoning, tumors, improper use of drugs and various cerebrovascular diseases may promote the formation of ataxia, away from the ** in order to prevent ataxia.
Ataxia refers to a disease caused by abnormal damage to some systems in our body, we can divide it into four types: cerebellar ataxia, sensory ataxia, hereditary ataxia and vestibular ataxia.
Here are some of the triggers that contribute to the appearance of ataxia:
1. Poisoning is one of the causes of ataxia. Alcohol poisoning and various heavy metal poisoning may lead to the lesions of peripheral nerves in our body, and the health of peripheral nerves will directly affect our sensory function, thus promoting the occurrence of sensory disorder ataxia.
2. The occurrence of cerebrovascular diseases can also cause ataxia. Nowadays, many middle-aged and elderly people are very susceptible to various cerebrovascular diseases due to various factors, and the occurrence of cerebrovascular diseases will not only damage the health of blood vessels, but also lead to serious damage to some tissue systems of the patient's brain, thus causing ataxia.
3. The causes of ataxia also include tumors, as long as the tumor diseases that occur in our brains may induce ataxia, and brain tumors are often easy to threaten our lives.
4. Improper application of drugs may also induce ataxia, although the application of drugs is mainly to help us effectively improve the disease and protect the health of the body, but many drugs have certain toxic effects, if the improper application is very likely to cause some serious adverse drug reactions, it is naturally possible to cause ataxia.
5. The onset of ataxia may also be caused by trauma, and now our brain health function is very likely to be damaged due to accidental injury accidents, and this injury will make the incidence of ataxia increase significantly.
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Ataxia is caused by a lot of ** in various parts of the nervous system. Any simple action must have four groups of muscles: active muscles, antagonist muscles, synergistic muscles, and fixed muscles, and can only be completed by participating at the same time, and it depends on the regulation and balance of the nervous system.
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The reason why some people have imbalance is mainly because of peripheral neuropathy, or posterior spinal cord lesions, vestibular labyrinth lesions, cerebellar lesions, hemorrhage, ischemic inflammation, tumors and other factors in the frontal lobe, parietal lobe, occipital lobe and other parts of the brain.
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There are four main causes of ataxia: one is ataxia caused by sensory impairment; The other is caused by cerebellar diseases, such as tumors or cerebellar ischemia; the third is vestibular labyrinthine ataxia, which is related to the auditory nerve; The fourth is cerebral ataxia, which is caused by brain diseases that cause brain dysfunction, the most common of which is cerebellar ataxia.
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Ataxia is caused by autoimmunity and long-term stress and depression.
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Congenital, due to the use of toxic drugs during pregnancy or genetic mutations.
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Many diseases can cause supply imbalances, and it is not uncommon for people to have supply disorders. About 10% to 20% of patients who visit the neurology department will have some supply disorders. The main causes of supply imbalance are:
The first category is sensory supply disorders, which are mainly caused by vitamin B12 deficiency in patients, such as patients who have undergone gastric surgery, and vitamin B12 malabsorption will cause sensory ataxia. The main manifestations of the patient are that it is okay to walk during the day, but dare not walk at all, and with the aggravation of the disease, walking during the day also becomes wobbly, mainly with typical trunk ataxia, and vitamin B12 supplementation is required.
Second, cerebellar ataxia is more common in people. Many diseases can lead to cerebellar lesions, such as hereditary cerebellar ataxia and cerebellar thrombosis, which need to be treated.
Therefore, it is not uncommon for people with ataxia to need to go to the neurology department for corresponding consultation.
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Vestibular lesions, cerebellum, spinal cord, and extravertebral lesions can cause ataxia.
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1. If the battery of the mobile phone is removable, you can directly deduct the battery and restart the mobile phone.
2. If the phone is an all-in-one machine, that is, the battery cannot be removed, if this is the case, you can try to press and hold the power button for 10 seconds. Force power outage and then power it back on.
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Dysphysia refers to the failure of the movement coordination of the limbs in the absence of muscle strength, and the amplitude and coordination of the voluntary movements of the limbs are disturbed, and the basic balance of the body cannot be maintained. The body's muscle strength is graded from 0 to 5, and if the ability of the muscles to contract is normal, only the coordination function is disordered. Unable to maintain the balance of the body, there are some different clinical manifestations depending on its classification.
For example, cerebellar ataxia is mainly manifested by unsteadiness in standing, that is, swaying from side to side when walking, unsteady walking, etc.
The symptoms of ataxia are mainly that the patient is inflexible, the legs are very wide when walking, can not walk in a straight line, and the left and right move forward in a curve, which is manifested as a scissor step, and can also be a "Z" shape forward deviation, and strive to use both upper limbs to help maintain the stability of the body.
The first hazard is that patients are prone to falling, causing fractures, traumatic brain injuries and other risks. Secondly, ataxia in early childhood often leads to central movement disorders, developmental delay, and the limbs of sick children rarely move, especially the lower limbs are more obvious, often manifested as hemiplegia, bilateral paralysis, quadriplegia, etc. Finally, patients with ataxia tend to reduce their activities due to their limited mobility, so they will experience apraxia muscle atrophy, bringing more stability to their lives.
Pay attention to the acute onset and course of ataxia, which is usually acute onset and episodic, and is more likely to have vestibular lesions and vertigo epilepsy. Acute cerebellar lesions, inflammation of the central nervous system and traumatic brain injury are more common in patients who have a rapid onset and worsens in a short period of time. Cerebrovascular disease, traumatic brain injury, especially cerebellar hemorrhage, are more common in patients with acute onset and rapid deterioration, and sometimes life-threatening.
Ataxia due to alcoholism and vitamin deficiencies can improve ataxia after improving nutritional status. There is remission of ataxia with ** and multiple sclerosis is more common.
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What are the effects of ataxia.
1. Coordination of limb movements: ataxia is caused by problems in the nerve center in the cerebellum, so patients often have no way to control their movements, affecting the coordination function of their limbs.
2. Affected daily life: After ataxia, the patient's daily life such as dressing, buttoning, walking, and going up and down stairs will be affected to a certain extent. If you look closely, you will also find that the patient's legs are very spread apart when walking daily.
3. Patients often present scissor gait: because the patient has no way to control the balance of his body, resulting in staggering when walking, showing a "Z-shaped gait" or "scissor gait", in which case the patient is very likely to fall.
4. Inheritance to the next generation: ataxia is very likely to be inherited, so if you suffer from ataxia, it will not only affect your own life, but also affect the life of the next generation.
5. There are many complications: after suffering from ataxia, it will cause many complications, such as: cerebellar hemorrhage, cerebellar atrophy, Parkinson's and other diseases may appear one after another, and these diseases are far more terrible than ataxia.
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This severe case may cause paralysis.
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Patients with cerebellar ataxia often feel unsteady, wobbly, and unable to walk in a straight line. In severe cases, they cannot stand or sit. When turning or changing direction, the patient falls to one side, and in severe cases, the patient cannot determine the position of his lower limbs and feet when walking, and cannot make accurate judgments about the soles of his feet touching the ground, so there is a feeling of stepping on cotton, which is a manifestation of deep feeling of involvement.
Ocular motility disorders, oculomotor muscle ataxia with coarse ataxia nystagmus.
Decreased muscle tone is present, pendulum-like tendon reflexes are seen, and is seen in acute cerebellar lesions. Ataxia is observed through the patient's daily living movements, such as unsteady walking, staggering gait, inflexible movements, legs wide when walking, and inability to walk in a straight penguin step when walking in adult patients.
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The clinical symptoms of ataxia are as follows:
1. Balance disorders: unable to grasp balance when walking, shaky walking, unable to walk in a straight line, wide distance between the feet, that is, drunken gait;
2. Coordination dysfunction: tremor of the limbs, unable to correctly distinguish the distance. Finger-nose test and heel-knee-shin test can be performed during examination;
3. Abnormal pronunciation: the muscle coordination function of the articulatory organ is poor, and the rhythm and rhythm are abnormal, which is called poetry-like language, and when speaking, it is like reading and reciting poetry;
4. Tremor: intentional tremor, that is, limb tremor, head and trunk tremor, especially nystagmus, can occur due to poor discernment distance when holding objects.
The main symptoms of ataxia are as follows:
1. Balance disorder: the main manifestations are that the patient is unable to grasp balance during walking, walks swayingly, cannot walk in a straight line, has a wide distance between the feet, and walks like a drunken gait;
2. Coordination dysfunction: limbs will tremble, and the distance cannot be correctly distinguished. On examination, the patient will have a positive finger and nose test, as well as a positive heel-knee-shin test;
3. Abnormal pronunciation: the muscles of the articulatory organs have changes in coordination, that is, the coordination is abnormal. The patient's rhythm and rhythm may be abnormal, appearing as a poetic language, and the patient may speak as if reciting poetry;
4. Intention tremor: When the patient is holding something, he cannot distinguish the distance, which will cause tremor. This tremor becomes more severe the closer you get to the target.
Ataxia is not a disease, but a symptom, mainly motor dysfunction, mainly manifested as inability to maintain somatic posture and balance, staggering gait, walking with both feet away, poor coordination, poor accuracy, slow or stiff motor response, and loss of limb motor adjustment function caused by lesions of spinal nerves and cerebellar structures. It is mainly recommended to target the **** first, and generally remove the trigger before the symptoms can be improved, such as functional exercises, and improve the symptoms through learning and exercise.
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Ataxia is a manifestation of biological dysfunction, so this state can only be adjusted through some psychological counseling methods.
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The symptoms of cerebellar atrophy ataxia are mainly manifested in patients who have unsteady walking, and even some patients are unsteady on their feet and unable to sit firmly when sitting.
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