Panchakarma treatment approach on Spastic Ataxic Syndrome - A Case Report

Spastic Ataxic Syndrome is a neurological disorder characterized by the simultaneous presence of spasticity and ataxia, indicating dysfunction in both the pyramidal and cerebellar systems. Clinically, it manifests as increased muscle tone, exaggerated reflexes, and impaired coordination, often affecting gait and speech. The syndrome can arise from various aetiologies, including hereditary conditions such as complicated hereditary spastic paraplegias, neurodegenerative diseases, demyelinating disorders, metabolic deficiencies, or cerebral palsy. Here we report a case of a patient diagnosed as autosomal dominant spastic ataxic syndrome with SCA1. She complaint of sudden onset and gradually progressive gait unsteadiness, tremor of both hands, slurred speech was diagnosed as Vatavyadi and Vatahara line of treatment was adopted. The treatment adopted was Rookshana chikitsa with Udwarthana, Utsadanam, followed by Snehapana, Abhyanga ooshmasweda, Virechana, Navadhanyakizhi, Nasya, Pizhichil, Shiropichu, Shirovasti, Ksheeravasti and Pratimarshanasya. Swarna Guggulu, Mashatmaguptadi Ksheera Kashaya, Mahavatavidhwamsa Rasa was advised orally. Total duration of treatment was 60 days. Assessment of the patient was done using SARA scale before and after the treatment.