Ataxia

Also called Cerebellar ataxia or Friedreich's ataxia

Ataxia describes problems with coordination: walking, balance, hand movements, speech and eye movements can all be affected. It is usually caused by damage to the cerebellum. Some types are inherited, some come on later in life, and some are caused by another condition such as a stroke, multiple sclerosis or alcohol misuse.

Last updated Nov 9, 2026

What it is

Hereditary ataxias, such as Friedreich's ataxia, tend to get worse slowly over years. Acquired ataxia can come on suddenly or gradually depending on the cause.

There is often no cure, but physiotherapy, speech therapy and occupational therapy help people stay as independent as possible. Treating the cause can help in acquired ataxia.

Common signs

  • Unsteady walking and frequent falls
  • Clumsy hands and difficulty with fine tasks
  • Slurred or slow speech
  • Difficulty swallowing
  • Abnormal eye movements

How it is usually diagnosed

  • Neurological examination
  • MRI scan of the brain
  • Blood tests to look for treatable causes
  • Genetic testing if an inherited type is suspected

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • MRI reports
  • Genetic test results
  • Neurology clinic letters
  • Therapy assessments and equipment notes

Questions to ask your doctor

  • What type of ataxia is it, and what is the likely cause?
  • Is it inherited, and should relatives be tested?
  • Which therapies could help me now?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Sudden loss of balance or coordination with weakness, face drooping or speech problems: call 112, it may be a stroke

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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