Abstract

AN AYURVEDA-PANCHAKARMA APPROACH TOWARDS THE MANAGEMENT OF AUTOSOMAL RECESSIVE SPASTIC ATAXIA OF CHARLEVOIX SAGUENAY (ARSACS)– A CASE REPORT

Dr. P. Lakshmi Prasanna* and Dr. V. Lakshmana Prasad

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Abstract

Autosomal recessive spastic ataxia of Charlevoix Saguenay (ARSACS) is a neuro degenerative disease comprising cerebellar ataxia, spasticity and peripheral neuropathy. The exact prevalence of ARSACS is unknown in most of the countries. The incidence is estimated to be 1 in 1500 to 2000 individuals in Canada. In ayurvedic perspective, this can be correlated with Mastulunga kshaya as there is progressive atrophy of the cerebellar hemispheres and cervical cord. A 24-year male adult with the complaint of difficulty in walking, writing and speaking since the age of three years along with delayed mile stones and also inability to perform day to day activities got admitted in male panchakarma ward at Sri Venkateswara Ayurvedic college and hospital. On the basis of clinical features and MRI- Brain, diagnosis was done as Autosomal recessive spastic ataxia of Charlevoix Saguenay (ARSACS). Patient was treated with abhyangam and nadi swedam for 3 days followed by shashtika shali pinda swedam for a period of 14 days along with nasya karma with dhanwantara tailam 101 avartini for 14 days. Mild to moderate improvement was seen in clinical features in terms of nystagmus, pendular reflex and swaying which is reflected in DSI-ARSACS scale with an improvement of score from 16/38 to 12/38.

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