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Ataxia with oculomotor apraxia is a disorder that has been associated with mobility issues that have exacerbated over time. People with oculomotor apraxia must turn their head to see what's in their side's view. Nearly all people with type 1 ataxia with oculomotor apraxia have nerve abnormalities. Many people with oculomotor apraxia have no mobility, and wheelchair assistance is needed 10 to 15 years after the onset of mobility difficulties. People with oculomotor apraxia may have definite blood abnormalities. A person's risk of suffering heart disease is raised by elevated cholesterol levels. Around age 15, ataxia with oculomotor apraxia type 2 starts at about age 15. As in type 1, susceptible individuals may have chorea or myoclonus, but these mobility issues persist throughout life in type 2. The blood contains a key characteristic of ataxia with oculomotor apraxia type 2: high amounts of alpha-fetoprotein. Individuals with type 2 may also have elevated amounts of creatine phosphokinase, a protein that causes diabetes phosphokinase. It is unknown if AFP or CPK in people with oculomotor apraxia type 2 ataxia is the cause. Although people with type 2 have normal albumin levels, cholesterol may have been elevated. Around age 4, Ataxia with oculomotor apraxia type 4 starts at age 4. Muscle wasting in the hands and feet, as well as neuropathy in people with type 4 are also typical. Intelligence is not affected by oculomotor atrophy, as a result of oculomotor apraxia, ataxia, but some people with the disorder have intellectual disabilities.
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