Difficulty with balance when walking, falls, lack of coordination, difficulty w/fine movements→ buttoning, drawing, picking up small items
Acuity of presentation varies w/etiology
Sometimes headache, nausea/vomiting, vertigo w/acute stroke
Physical Exam Findings
Wide based gait
Lurching/staggering to keep balance
Truncal instability
Impaired heel-to-toe walking
Difficulty with speech→ dysarthria (problems w/rate, rhythm and/or clarity of speech), overshooting when pointing and problems with coordination of fine movements, tremor, nystagmus