Father II.6 | Paternal uncle II.4 | Paternal uncle II.5 | |
Age at present (y) | 32 | 31 | 33 |
Age at onset (y) | 23 | “Teens” | 16 |
First symptoms/signs | Backache, ataxia | Backache, ataxia | Ataxia, kyphoscoliosis |
Details of last neurological examination | |||
Age | 31 | 23 | 23 |
Lower limbs | |||
Tone | ↑↑ | ↑↑ | ↑↑ |
Power | ↓↓ | ↓↓ | ↓↓ |
Reflexes | All absent | All absent | All absent |
Plantar reflexes | ↑↑ | ? ? | ↑↑ |
Nystagmus | Yes | Yes | None aged 23 |
Ataxic gait | Yes | Yes | Yes |
Finger nose ataxia | Yes | Yes | Yes |
Pes cavus | + + | + + | + + |
Progression | Still ambulant | Ambulant at 23 | Wheelchair at 28 |
Echocardiography | Probable early cardiomyopathy | Normal at 23 | Normal at 25 |
Clinical diagnosis | FA | FA | FA |
DNA confirmation | Yes | Not done | Not done |
FA, Friedreich's ataxia.