There is nothing more discouraging for a patient or family member than to be given a specific diagnosis, and then be told that “there is nothing than can be done.” Physicians are equally disheartened to see exponential progress in the understanding of the pathophysiology of complex disorders, but little being made available that will yield direct benefits for the treatment of their patients. The treatment of cerebellar ataxia remains primarily a neuro-rehabilitation challenge (physical, occupational, and speech/swallowing therapy; adaptive equipment; driver safety training; nutritional counseling), with modest additional gains made with the use of symptomatic medications. From "Evaluation and Management of Ataxic Disorders: An overview for Physicians" by Dr. Susan Perlman
The National Ataxia Foundation provides this webpage for Clinicians who treat patients with ataxia. Please encourage your patients to seek out the support and educational services available from the Foundation.