小腦痿縮症, 又名脊髓小腦共濟失調 (Spinocerebellar Ataxia, SCA) 是一組遺傳性疾病,特點是由於小腦和有時其他中樞神經系統部分的退化,導致協調性問題逐漸加重。具體類型的 SCA 症狀可能有所不同,但常見的症狀包括:

1. 平衡與協調問題(共濟失調)

  • 步態異常:走路不穩,動作笨拙,難以保持平衡。

  • 手部與手臂協調障礙:進行精細動作(如寫字或扣鈕扣)時困難。

2. 言語和吞嚥困難(構音障礙和吞嚥困難

  • 說話含糊不清或速度緩慢。

  • 吞嚥困難,容易噎住或吸入異物。

3. 眼球運動問題

  • 眼球震顫:不自主的眼球運動。

  • 難以跟隨物體或專注於某物。

4. 肌肉無力與僵硬

  • 四肢無力,導致行動困難。

  • 肌肉僵硬或僵直。

5. 認知與情緒變化

  • 在某些 SCA 類型中,可能會出現輕度的認知功能障礙。

  • 有時會出現抑鬱或情緒波動。

6. 顫抖

  • 四肢出現顫抖或震動。

7. 感覺問題

  • 手腳麻木、刺痛,或感覺喪失。

8. 其他神經症狀

  • 肌肉痙攣(肌肉僵硬)、反射不良,在某些情況下,還可能出現神經病變。

SCA 是一種進行性疾病,症狀會隨著時間的推移而加重。具體進展速度和症狀組合取決於 SCA 的類型。

Spinocerebellar Ataxia (SCA) refers to a group of inherited disorders characterized by progressive problems with coordination due to the degeneration of the cerebellum and sometimes other parts of the central nervous system. The symptoms can vary depending on the specific type of SCA, but common ones include:

1. Problems with Balance and Coordination (Ataxia)

  • Gait abnormalities: Unsteady, clumsy walking, difficulty maintaining balance.

  • Hand and arm incoordination: Difficulty with fine motor tasks like writing or buttoning shirts.

2. Speech and Swallowing Difficulties (Dysarthria and Dysphagia)

  • Slurred or slow speech.

  • Difficulty in swallowing, leading to choking or aspiration.

3. Eye Movement Problems

  • Nystagmus: Involuntary eye movements.

  • Difficulty tracking objects or focusing on things.

4. Muscle Weakness and Stiffness

  • Weakness in the limbs, leading to difficulties with movement.

  • Stiff or rigid muscles.

5. Cognitive and Mood Changes

  • In some forms of SCA, there may be mild cognitive impairment.

  • Depression or mood swings are sometimes reported.

6. Tremors

  • Shaking or trembling of the limbs.

7. Sensory Issues

  • Numbness, tingling, or loss of sensation in the hands and feet.

8. Other Neurological Symptoms

  • Spasticity (muscle stiffness), poor reflexes, and in some cases, neuropathy.

SCA is a progressive condition, so symptoms worsen over time. The rate of progression and the specific combination of symptoms depend on the subtype of SCA.