Table 4. [Recommended Evaluations Following Initial Diagnosis in Individuals with ARSACS]. - GeneReviews®

System/Concern	Evaluation	Comment
Neurologic	Complete neurologic eval; brain MRI; EMG
Neuromuscular/ Developmental	PT & OT eval	For a baseline assessment of mobility & activities of daily living
Developmental/cognitive assessment	To assess need for individualized learning plan at school
Speech	Baseline for dysarthria; for specific characteristics of ARSACS dysarthria, see Vogel et al [2018].
Hearing	Baseline hearing eval	Only if there are concerns
Other	Consultation w/clinical geneticist &/or genetic counselor	Discuss potential risks to offspring & reproductive options.

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Adam MP, Feldman J, Mirzaa GM, et al., editors.

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