Cerebellar Disease

Etiology

  • Stroke
  • Tumor
  • Mult sclerosis
  • Etoh/toxins
  • Meds
  • Hereditary/degenerative

Symptoms

  • Assoc w/ataxia
  • Dysarthria
  • Onset/acuity varies w/Etiology
  • Slow intention type tremor→ worse w/fine movements
  • Decreased coordination

Physical Exam Findings

  • Wide based gait
  • Lurching/staggering to keep balance
  • Impaired tandem walking
  • Difficulty with speech→ dysarthria
  • Overshooting when pointing and problems with coordination of fine movements