HARDING ATAXIA

 

HARDING ATAXIA

 

DEFINITION:

A movement disorder characterized by progressive ataxia but no cardiac, musculoskeletal, or endocrine abnormalities.

EPIDEMIOLOGY:

  • incidence: rare
  • age of onset:
    • always prior to 20 years of age
  • risk factors:
    • ? familial

PATHOGENESIS:

1. Background

  • this disorder is often confused with Friedreich Ataxia but there are several clinical distinctions between the two
  • in Harding Ataxia there is:
    • no loss of deep tendon reflexes
    • absence of cardiac, musculoskeletal, and endocrine anomalies
    • better prognosis

CLINICAL FEATURES:

1. Neurological Manifestations

1. Ataxia

  • early-onset ataxia
  • progressive

2. Others

  • soon follow after onset of ataxia
    • dysarthria
    • limb weakness (legs > arms)
    • increased tone in affected limbs
    • preservation of deep tendon reflexes

INVESTIGATIONS:

1. Imaging Studies

1. CT/MRI

  • may show cerebellar atrophy

2. EMG

  • prolonged nerve conduction velocities

MANAGEMENT:

1. Supportive

  • no treatment is available

 

 

Pediatric Database - HARDING ATAXIA

Pediatric Organization - Pedbase [at] Gmail.com