instruction: hello doctor my mother is provisionally diagnosed with sca spinocerebellar ataxia is this disease treatable or her condition will worsen please help
output: hi I have read your question with care and understand that your mother is provisionally diagnosed with spin cerebellar ataxia for sca type to 28 idebenone a free radical scavenger glutamate antagonist riluzole may offer modest benefit acetazolamid can be used for treatment for other ataxias the most important step in management is to identify treatable disease entities mass lesions diagnosed by imaging treated by removal or decompression paraneoplastic disorders diagnosed by clinical patterns specific autoantibodies primary cancer treated by removal of the tutor immunotherapy ataxia with anti gliadin antibodies and gluten sensitive enteropathy treated by gluten free diet malabsorption syndromes leading to vitamin deficiency may lead to ataxia treated by vitamin supplementation vitamin deficiency form of friedrich ataxia treated by vitamin 6 vitamin be deficiency treated with vitamin be vitamin b12 deficiency treated with vitamin b12 hypothyearoidism treated with thyearoxine