Cerebellar Exam
 

Cerebellar Lesions

 
 
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Overview

  • Cerebellar pathology produces a specific set of clinical findings that can be readily elicited on clinical examination. Patients with lesions within the cerebellum typically present with a wide-based, unsteady gait with dyscoordination and nystagmus.
    • Look For

    • Wide-based, ataxic gait
    • Dysarthria
    • Intention tremor
    • Dysmetria
    • Dysdiadochokinesis
    • Muscle wasting
    • Nystagmus
    • Causes of Cerebellar Lesions

    • Trauma
    • Vascular - ischaemia, haemorrhage
    • Infection - abscess, tuberculosis
    • Malignancy
    • Demyelination - multiple sclerosis
    • Drugs / toxins - alcohol, lithium, phenytoin, chemotherapy
    • Inherited - Friedrich's ataxia, spinocerebellar ataxia
    • Paraneoplastic syndrome
    • Hypothyroidism
 
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