Do TIAs instigate Cerebellar Ataxia? A single subject Case Report

Abstract

Purpose: In cases with inherited ataxias an attack of stroke could prove to be instigating factor
for worsening symptoms of primary disease. A graded exercise intervention approach would
create significant improvement. The purpose of this study was to assess the applicability of an
exercise protocol to improve balance and gait abnormalities in the patient.
Materials and Methods: A 63 year old male with history of inherited cerebellar ataxia, had
an attack of stroke, after which his symptoms of cerebellar ataxia worsened. He had difficulty
in standing, walking and writing. Level of ataxia and stroke severity was calculated by Scale
for Assessment and Rating of Ataxia (SARA) and National Institutes of Health Stroke Scale.
The physiotherapy protocol was of 6 weeks duration and modified every 2
nd week depending
upon the patient’s progress. The protocol aimed at improving the balance and gait
abnormalities along with cognition. Tinneti’s Performance Oriented Mobility Scale and Timed
Up and Go Test were assessed as outcomes at the baseline, and after every two weeks of
intervention till 6 weeks.
Results: Post readings demonstrated significant changes in balance and gait of patient but the
improvement showed to be neutral after follow up assessment. Pertaining to the fact that
institution based or clinical based rehabilitation was much effective when compared to follow
ups.
Conclusion: The protocol effectively reduced patient’s symptoms and enhanced balance and
stability which propels that it could be used effectively in future for such cases.