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Upper Limb Neuro

Cerebellar Examination

February 15th, 2021


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 Dysfunction

  • Ischaemia
  • Haemorrhage
  • Tumour
  • Trauma
  • Multiple sclerosis
  • Hypothyroidism
  • Paraneoplastic
  • Infection - abscess, tubrculosis
  • Drugs / toxins - alcohol, lithium, phenytoin, chemotherapy
  • Inherited - Friedrich's ataxia, spinocerebellar ataxia
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