Ataxia-telangiectasia (A-T) is a rare, inherited neurological disorder characterized by progressive difficulty with coordination, weakened muscles, and an increased risk of cancer. It is caused by a mutation in the ATM gene, which is responsible for regulating cell division and repair. Symptoms of A-T usually begin to appear between 2 and 5 years of age and can worsen over time.
Signs and Symptoms
Ataxia-telangiectasia can cause a variety of physical, cognitive, and medical problems. Common signs and symptoms include:
• Ataxia: Difficulty with coordination, balance, and movement
• Telangiectasias: Dilated blood vessels in the skin, eyes, and mucous membranes
• Weakness: Poor muscle tone and strength
• Immunodeficiency: A weakened immune system
• Increased risk of cancer: A-T can increase the risk of certain types of cancer, such as lymphomas and leukemias
• Neurological deficits: Poor language and cognitive development, seizures, and decreased attention span
Diagnosis
Ataxia-telangiectasia is diagnosed through a combination of physical examinations, genetic testing, imaging studies, and laboratory tests. A doctor may suspect A-T if a child presents with the characteristic signs and symptoms. Genetic testing is then used to confirm the diagnosis.
Treatment
Ataxia-telangiectasia is a progressive disorder, but treatments are available to help manage the symptoms and decrease the risk of complications. Treatment may include physical therapy, medications to control seizures, immunosuppressive drugs to help with immune deficiencies, and surveillance for cancer.