Onset of Dysarthria in Third Decade of Life & Tinnitus: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Onset of Dysarthria in Third Decade of Life, Tinnitus,

Negated

None

Unsure

None

Possible Causes

Episodic Ataxia

[…] in third to fifth decade of life Pure cerebellar ataxia, nystagmus, dysarthria, dysphagia, hypotonia, and generalized and/or complex partial epilepsy Spinocerebellar ataxia [emedicine.com]

Vestibular ataxia, vertigo, tinnitus, and interictal myokymia are prominent; attacks are diminished by acetazolamide. [ncbi.nlm.nih.gov]

All but one young patient had additional neurologic symptoms that included paresthesia, weakness, headache, tinnitus, vertigo, and myotonia. [ncbi.nlm.nih.gov]

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Spastic Ataxia with Congenital Miosis

388.30 Tinnitus, unspecified 388.31 Subjective tinnitus 388.32 Objective tinnitus 388.4 Other abnormal auditory perception 388.40 Abnormal auditory perception, unspecified [theodora.com]

Malignant melanoma Obese woman, HA transient visual Sx, pulsatile tinnitus, papilledema, visual field loss, 6th nerve palsy Pseudotumor cerebri (idiopathic intracranial HTN [quizlet.com]

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Spinocerebellar Ataxia Type 5

The onset of symptoms is usually in the third or fourth decade of life; however, more subtle clinical manifestations can start in early childhood. [ncbi.nlm.nih.gov]

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [nhs.uk]

Attacks can be associated with dysarthria, diplopia, tinnitus, dystonia, hemiplegia, and headache. About 50% of individuals with EA2 have migraine headaches. [lacaf.org]

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Ataxia

These symptoms include dysarthria, vertigo, tinnitus, ataxia, bilateral paresis or paresthesia. [dictionary.cambridge.org]

[…] these episodes, many people also experience dizziness (vertigo), nausea and vomiting, migraine headaches, blurred or double vision, slurred speech, and ringing in the ears (tinnitus [ghr.nlm.nih.gov]

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Cerebellar Ataxia with Peripheral Neuropathy Type 2

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [nhs.uk]

[…] ataxia-2) - associated brainstem (cranial nerve) dysfunction if concomitant involvement of brainstem or compression of it by mass effect from cerebellum - hearing loss or tinnitus [slideshare.net]

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Autosomal Dominant Spastic Ataxia Type 1

Attacks can be associated with dysarthria, diplopia, tinnitus, dystonia, hemiplegia, and headache. About 50% of individuals with EA2 have migraine headaches. [lacaf.org]

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Optic Atrophy

(3) onset of progressive motor and sensory axonal neuropathy in late childhood/early adolescence; (4) dysarthria starting in the third decade of life; (5) exacerbated acoustic [ncbi.nlm.nih.gov]

[…] complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis ( Wei syndrome), weakness Tinnitus [americandragon.com]

This condition is characterized by (1) subnormal vision secondary to apparently nonprogressive congenital optic atrophy; (2) onset of progressive spastic paraplegia in infancy [ncbi.nlm.nih.gov]

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Adult-Onset Autosomal Recessive Cerebellar Ataxia

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [your.md]

[…] thinning of limbs, bladder/bowel complaints, cognitive decline, behavioral changes, slowness of activities, seizures, diminished vision headache, vomiting, vertigo, deafness tinnitus [jpgmonline.com]

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Spinocerebellar Ataxia Type 4

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [nhs.uk]

Dysarthria 28 49.1 Dizziness 25 43.8 Dysphagia 21 36.8 Dysphonia 19 33.3 Hearing Loss 18 31.5 Headaches 14 24.5 Falling 14 24.5 Tingling in extremities 14 24.5 Diplopia 13 22.8 Tinnitus [tinnitusjournal.com]

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Spinocerebellar Ataxia Type 20

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [nhs.uk]

[…] nystagmus, limb spasticity, limb and gait ataxia, and diminished vibration perception Progression generally slow Spinocerebellar ataxia 10 See the list below: Clinical features Onset [emedicine.medscape.com]

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Autosomal Recessive Spinocerebellar Ataxia 8

An autosomal dominant disorder with episodic ataxia, vertigo and tinnitus. Neurology 2001:57:1499-1502 Yue Q, Jen JC, Nelson SF, Baloh RW. [tchain.com]

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Spinocerebellar Ataxia Type 19

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [nhs.uk]

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Spinocerebellar Ataxia Type 30

Attacks can be associated with dysarthria, diplopia, tinnitus, dystonia, hemiplegia, and headache. About 50% of individuals with EA2 have migraine headaches. [lacaf.org]

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Spinocerebellar Ataxia Type 13

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [nhs.uk]

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Spinocerebellar Ataxia Type 6

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [nhs.uk]

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Spinocerebellar Ataxia Type 1

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [nhs.uk]

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Spinocerebellar Ataxia Type 12

• No h/o tinnitus 6. • no h/o back pain or radiating pain • No difficulty in walking /gripping slippers • No difficulty in mixing food /reaching out objects • Able to differentiate [slideshare.net]

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Autosomal Recessive Spinocerebellar Ataxia Type 17

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Autosomal Recessive Spinocerebellar Ataxia

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Infantile-Onset Autosomal Recessive Nonprogressive Cerebellar Ataxia

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Spinocerebellar Ataxia with Axonal Neuropathy

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Spastic Paraplegia - Optic Atrophy - Neuropathy

In Ménière disease an accumulation of fluid in the inner ear produces increasing deafness, tinnitus, and vertigo. [britannica.com]

Vestibulocochlear nerve When both divisions of the vestibulocochlear nerve are affected by disease, symptoms may include ringing in the ear ( tinnitus ), a sensation of spinning [britannica.com]

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Spinocerebellar Ataxia with Rigidity and Peripheral Neuropathy

multimodal sensory impairment over the face) vertigo, vomiting, tinnitus, speech difficulty ipsilateral facial palsy ipsilateral 5th cranial nerve sensory loss ipsilateral [lifeinthefastlane.com]

Disease of the cochlear nerve and its central projections causes tinnitus and hearing loss that is more pronounced for higher tones. [casemed.case.edu]

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Vestibulocerebellar Ataxia

[…] severe Often constant; usually less severe Nystagmus Always present; unidirectional, never vertical May be absent; uni- or bidirectional, may be vertical Hearing loss or tinnitus [accessmedicine.mhmedical.com]

Ménière disease is usually associated with progressive hearing loss and tinnitus as well as vertigo. [neupsykey.com]

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Early-Onset Spastic Ataxia - Neuropathy Syndrome

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [nhs.uk]

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Autosomal Dominant Sensory Ataxia

- dysarthria does not occur - vertigo is Dx - mb tinnitus or deafness dt ass cohclear nerve affection - eg: Meniere's dis. labrynthinis, acoustic neuroma more than clinical [quizlet.com]

multimodal sensory impairment over the face) vertigo, vomiting, tinnitus, speech difficulty ipsilateral facial palsy ipsilateral 5th cranial nerve sensory loss ipsilateral [lifeinthefastlane.com]

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Spinocerebellar Ataxia Type 2

[…] experience: problems with balance and co-ordination slurred, slow and unclear speech (dysarthria) muscle spasms involuntary eye movements (nystagmus) vertigo, migraines and tinnitus [nhs.uk]

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Joubert Syndrome Type 3

Attacks consist of horizontal diplopia, oscillopsia or vertigo, tinnitus, ataxia, and nausea, beginning between the ages of 30 to 60 years. [neuroophthalmology.ca]

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Cerebellar Ataxia-Hypogonadism Syndrome

Ataxia is listed among the brainstem symptoms that may occur during an attack, together with dysarthria, vertigo, tinnitus, hypoacusis, diplopia and decreased level of consciousness [scielo.br]

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Autosomal Recessive Spinocerebellar Ataxia 3

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