- Trauma
- Hereditary
- Hereditary
- Neurodegenerative
- Toxic/metabolic→ etoh, other illicits, meds
- 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
- Lurching/staggering to keep balance
- Truncal instability
- Impaired heel-to-toe walking
- Difficulty with speech→ dysarthria, overshooting when pointing and problems with coordination of fine movements, tremor, nystagmus