Table 3.

Recommended Evaluations Following Initial Diagnosis in Individuals with Spinocerebellar Ataxia Type 14.

System/ConcernEvaluationComment
Neurologic Neurology referral to assess for cerebellar motor dysfunction (gait ataxia, dysarthria, tremor, dystonia, nystagmus)Use standardized scale to establish baseline for ataxia (SARA, ICARS, or BARS).
Speech For those w/dysarthria: speech/language evalIf dysarthria is atypical or severe enough to cause communication problems
Cognition Neuropsychiatric eval for those w/problems in learning &/or attentionFor example: MMSE, MoCA, WISC & WAIS
Miscellaneous/
Other 		Consultation w/clinical geneticist &/or genetic counselor

BARS = Brief Ataxia Rating Scale; ICARS = International Co-operative Ataxia Rating Scale; MMSE= Mini-Mental State Exam; MoCA= Montreal Cognitive Assessment; SARA= Scale for the Assessment and Rating of Ataxia; WAIS = The Wechsler Adult Intelligence Scale; WISC= Wechsler Intelligence Scales for Children

From: Spinocerebellar Ataxia Type 14

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