Name of the Pt.

K pravallika
Age : 13, female child
Address: Muchintala,
Student
Provisional Diagnosis Diagnosed case of Hereditary Spinocerebellar ataxia

CC:
Gait abnormalities since 6 years.
Swaying while walking since 3 years
Speech abnormalities since 3 years
P/h : - FTND child, Mother feeding done, milestones delayed
F/h : - F: Dm, M: AH, MGM: Dm, speech abnormality, br- elder similar Problem
S/h Thermals:
Bathing:warm
Fanning : dislikes
Food:warm
Covering:not specific
Cold intolerance in general

Desires: icecreams ,egg, dal, chocolates aversion: ns

App: less ,
Thirst: less
Stools: regular, offensive ness
Urine: regular
Perspiration: on nose

Sleep: position on sides., startles sleep during- < noise+++

Dreams-unremembered
Anger:

- fear:--- anxiety: ---------- weeping :-

Previous reports:
MRI: cerebral and cerebellar atrophy