Friedreich’s ataxia is a rare, inherited disease. It causes a gradual breakdown of the nervous system. Friedreich’s ataxia affects nerves in the brain and spinal cord that control movement. It also affects sensory nerves that help with coordination. In later stages, the disease can cause injury to the heart and pancreas.
The Nervous System
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Friedreich’s ataxia is caused by a problem with a gene called the frataxin gene. This gene is found on chromosome 9q13. To develop this disease, a person must inherit a copy of the defective gene from each parent. However, there are some people with Friedreich’s ataxia that have no family history of the disorder.
There are no known risk factors other than having a parent with the frataxin gene.
Symptoms can be different for each person. The most common include: Leg weakness, including difficulty walkingLoss of coordinationDifficulty speaking and swallowingFoot deformitiesFoot ulcersHearing loss
and/or vision loss
Eye movement abnormalitiesMovement disorders such as tremor, dystonia, and chorea
Your doctor will ask about your symptoms. You will also be asked about your medical history, family history, and current medication. A physical exam will be done. If Friedrich's ataxia is suspected, you may also see a doctor who specializes in the nervous system.
Images may need to be taken of your bodily structures. This can be done with: CT scanMRI scanEchocardiogram
The function of your muscles and nerves may be tested. This can be done with: Electromyogram
(EMG)Nerve conduction studies
The electrical activity of your heart may be assessed. This can be done with: Electrocardiogram (EKG)
24-hour holter monitoring
Your bodily fluids and tissues may be tested. This can be done with: Genetic testing for the frataxin geneBlood and urine tests
Nerve or muscle
There is no known cure for this condition.
Long-term management is aimed at maintaining as much function as possible and controlling symptoms. Some treatments that may help include: Physical therapy and rehabilitation to cope with muscle weaknessPutting orthotics in your shoes to provide stability and to help with weakness
Surgery for correcting foot abnormalities and
Periodic testing for associated conditions of
There are no current guidelines to prevent Friedreich's ataxia.
Friedreich ataxia. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated August 29, 2012. Accessed May 20, 2013.
Friedrich's ataxia (FA). Muscular Dystrophy Association website. Available at:
http://mdausa.org/disease/friedreichs-ataxia. Accessed May 20, 2013.
Friedreich’s ataxia fact sheet. National Institute of Neurological Disorders and Stroke website. Available at:
http://www.ninds.nih.gov/disorders/friedreichs_ataxia/detail_friedreichs_ataxia.htm. Updated August 16, 2011. Accessed May 20, 2013.
Koeppen AH. Friedreich’s ataxia: pathology, pathogenesis, and molecular genetics.
J Neurol Sci. 2011;303(1-2):1-12.
Wilson RB. Therapeutic developments in Friedrich ataxia.
J Child Neurol. 2012;27(9):1212-1216.
Last reviewed January 2015 by Rimas Lukas, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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