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Cerebellar Disease
Cerebellar Deficiency Syndrome

Presentation

The diagnosis is based on the present of high serum and CSF titers of GAD antibodies, with intrathecal production of such antibodies. [ncbi.nlm.nih.gov]

Cerebellar tumours will also cause hydrocephalus as they enlarge and will present usually with headaches, imbalance and papilledema. Again positional vertigo and nystagmus might be the presenting complaint 7. [otologytextbook.net]

Flocculonodular lobe lesions present in the same way, but additional symptoms include nystagmus and vertigo. Alternatively, pretty much all the cerebellar signs may be present; we can call this 'pan-cerebellar syndrome'. [medicguide.blogspot.com]

Entire Body System

  • Falling

    (In subtle cases, only heel-to-toe walking may be impaired: the patient duly falls to one side on cue.) Truncal ataxia is manifested by the patient having difficulty keeping his/her trunk upright, whether sitting or standing. [medicguide.blogspot.com]

    The patient may have exaggerated movement of the legs and a tendency to fall to the side, forward, or backward. The stance itself will be wide-based. [casemed.case.edu]

    The number of falls in all trials and conditions were counted per patient. Frequency of falls was different between conditions (p 3 ). [cerebellumandataxias.biomedcentral.com]

    […] should they lose balance (in an examine, you risk being failed if you let a patient fall/hurt themselves!) [osce-aid.co.uk]

    I typically get them as I am falling asleep but I also noticed some very subtle action jerks while awake. [justanswer.com]

  • Difficulty Walking

    Seek immediate medical care (call 911) for sudden symptoms, such as difficulty speaking or walking, uncoordinated body movements, and severe headache or continued dizziness. [healthgrades.com]

    difficulty walking Slur your speech Have difficulty swallowing Causes Damage, degeneration or loss of nerve cells in the part of your brain that controls muscle coordination (cerebellum), results in ataxia. [mayoclinic.org]

    Abstract Background An 83-year-old man presented with hypertension, hyperlipidemia, and a previous basal cell carcinoma, having developed progressive worsening of his balance and difficulty walking at the age of 78 years. [nature.com]

    Some common symptoms that are seen are clumsy body movements and eye movements, difficulty walking, nausea, vomiting, and headaches. [ citation needed ] Causes [ edit ] Post-viral cerebellar ataxia is caused by damage to or problems with the cerebellum [en.wikipedia.org]

    In addition, the Extended Disability Status Scale was used; this scale may be insensitive to gait changes in patients with difficulty walking. [movementdisorders.org]

Neurologic

  • Ataxia

    (Adams et al., Principles of Neurology, 6th ed, p686) Gait Ataxia Ataxia of Gait | Cerebellar Gait | Cerebellar Gait Ataxia | Gait Ataxia, Sensory | Ataxia, Cerebellar Gait | Ataxia, Gait | Ataxia, Sensory Gait | Ataxias, Cerebellar Gait | Ataxias, Gait [icd9cm.chrisendres.com]

    Ataxia telangiectasia Ataxia telangiectasia is another form of cerebellar ataxia associated with telangiectasia of skin and conjunctiva. The defect is on chromosome 11q. There is often associated immune deficiency and raised serum α-fetoprotein. [otologytextbook.net]

    KEYWORDS: Action tremor; Cerebellar mutism; Dysdiadochokinesia; Dysmetria; Gait ataxia; Kinetic tremor; Limb ataxia; Nystagmus [ncbi.nlm.nih.gov]

    What does the cerebellum do It is responsible for the coordination of skilled voluntary movement, gait and posture What are some causes of cerebellar disease DISBIT Demyelination - MS Inherited - Friedrich's ataxia, spinocerebellar ataxias Space-occupying [brainscape.com]

  • Cerebellar Disease

    Results are discussed in terms of the effects of cerebellar disease on neuromuscular function. [ncbi.nlm.nih.gov]

  • Cerebellar Ataxia

    (Adams et al., Principles of Neurology, 6th ed, p686) Gait Ataxia Ataxia of Gait | Cerebellar Gait | Cerebellar Gait Ataxia | Gait Ataxia, Sensory | Ataxia, Cerebellar Gait | Ataxia, Gait | Ataxia, Sensory Gait | Ataxias, Cerebellar Gait | Ataxias, Gait [icd9cm.chrisendres.com]

    PURPOSE: There is a lack of evidence-based recommendations for the physiotherapeutic intervention specifically for locomotor training in patients with cerebellar ataxia. [ncbi.nlm.nih.gov]

    ataxia associated with another disorder Secondary cerebellar ataxia ICD-10-CM G32.81 is grouped within Diagnostic Related Group(s) (MS-DRG v 36.0): 058 Multiple sclerosis and cerebellar ataxia with mcc 059 Multiple sclerosis and cerebellar ataxia with [icd10data.com]

  • Nystagmus

    The graphs in this article illustrate ocular flutter, dysmetria, abnormal (nonsmooth) pursuit, instability of fixation, faulty vestibular suppression, impaired optokinetic response, end-position nystagmus, and rebound nystagmus. [ncbi.nlm.nih.gov]

  • Tremor

    Abstract Tremor that occurs as a result of a cerebellar lesion, cerebellar tremor, is characteristically an intention tremor. [ncbi.nlm.nih.gov]

    Patients will past-point (i.e., reach past a target, or fall short of the target) • Tremor. The tremor in cerebellar disorders is an action intention tremor (i.e., it is brought out by voluntary movement). [casemed.case.edu]

    Tremor Coarse, rapid, side-to-side oscillations on the affected side. A sign of ipsilateral lateral lobe dysfunction. Drift With the arm outstretched, the arm will drift aimlessly. [derangedphysiology.com]

Workup

The image below illustrates the workup of paraneoplastic cerebellar degeneration. The workup of paraneoplastic cerebellar degeneration. [emedicine.medscape.com]

Treatment

All tests were performed before and after treatment. RESULTS: Before treatment, both groups showed comparable values in all sway and gait variables and in BBS. FIM score was higher in degenerative than vascular patients. [ncbi.nlm.nih.gov]

[…] of the underlying cause. [8] For example, paraneoplastic cerebellar degeneration may improve after successful treatment of the underlying cancer. [rarediseases.info.nih.gov]

To identify relevant publications, a PubMed search using the terms “treatments of cerebellar ataxias,” “degenerative cerebellar ataxia treatment,” and “treatment of hereditary cerebellar ataxia” was conducted. [movementdisorders.org]

Prognosis

Over the 6-month follow-up period, 57.9% of patients showed a poor prognosis (mRS: ≥3), while 42.1% showed a good prognosis (mRS: Conclusion: Determination and evaluation of the factors that could influence the prognosis and mortality of patients with [ncbi.nlm.nih.gov]

Correct clinical and genetic diagnosis is important for appropriate genetic counseling and prognosis and, in some instances, pharmacological treatment. [orpha.net]

[…] spectroscopy elevated lactate 1,2 slightly reduced NAA (by about 10%) 1,2 reduced myo-inositol (by 30-80%) reduced choline (by 20-50%) reduced Cho/Cr ratio 2 PET/SPECT FDG-PET: shows increased uptake Tl- 201 SPECT: shows increased uptake Treatment and prognosis [radiopaedia.org]

For alcoholic/nutritional cerebellar degeneration, symptoms are often relieved with discontinuation of alcohol abuse, a normal diet and dietary supplementation with thiamine and other B vitamins. [9] Last updated: 12/15/2014 The long-term outlook ( prognosis [rarediseases.info.nih.gov]

Etiology

Code First Code First Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]

Etiology The exact etiology of MSC-c is unknown while the presence of cytoplasmic aggregates of α-synuclein, primarily in the oligodendroglia, in combination with predominant neurodegeneration of the olivopontocerebellar structures are pathological hallmark [orpha.net]

Cerebellar agenesis is a descriptive term implying complete absence of the cerebellum, irrespective of its underlying cause (etiology). [rarediseases.org]

CCA was defined as an SCA of unknown etiology with imaging evidence of isolated cerebellar atrophy. [movementdisorders.org]

Epidemiology

He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]

Summary Epidemiology This group encompasses a large number of rare diseases, the most frequent in the Caucasian population being Friedreich ataxia (estimated prevalence 2-4/100,000), ataxia-telangiectasia (1-2.5/100,000) and early onset cerebellar ataxia [orpha.net]

The descriptions of the clinical conditions each systematically cover, as appropriate, epidemiology, prevalence, diagnostic criteria, clinical features (including course and prognosis), pathophysiology, genetics, investigations, differential diagnosis [wiley.com]

Epidemiology Frequency United States In one study, paraneoplastic cerebellar degeneration was observed in 25% of paraneoplastic neurologic syndromes, occurring in 2 of every 1000 patients with cancer. [12] Mortality/Morbidity In the study cited above, [emedicine.medscape.com]

Pathophysiology

This in turn will permit a greater understanding of cerebellar pathophysiology to inform mechanistically rationalised therapies, which are desperately needed in this field. [ncbi.nlm.nih.gov]

Minagar has significant interest in pathophysiology and neuroimaging features of the inflammatory disease of human central nervous system, in general, and multiple sclerosis, in particular. [elsevier.com]

The descriptions of the clinical conditions each systematically cover, as appropriate, epidemiology, prevalence, diagnostic criteria, clinical features (including course and prognosis), pathophysiology, genetics, investigations, differential diagnosis [wiley.com]

"Pathophysiology of cerebellar ataxia". Movement Disorders. 7 (2): 95–109. doi : 10.1002/mds.870070202. PMID 1584245. ^ Multiple System Atrophy~differential at eMedicine ^ Manto, Mario; Marien, Peter (2015). [en.wikipedia.org]

Reciprocal neuroanatomical connections linking the cerebral association areas and paralimbic regions with the cerebellum constitute the basis to explain the pathophysiological mechanisms of the cerebellar induced cognitive and affective deficits. [cerebellumandataxias.biomedcentral.com]

Prevention

For decades, the most it could do for people with HIV was to prevent them from dying of AIDS. Now, new therapies are raising hopes for something more: a world in which the virus will no longer cause suffering or fear. [rockefeller.edu]

Distinct from the shuffling gait of Parkinsonism, the wide stance of cerebellar ataxia helps patients feel more stable and prevents falls and injuries. [multiplesystematrophy.org]

Reducing your risk of stroke by exercising, maintaining a healthy weight, and keeping blood pressure and cholesterol in check can also be helpful in preventing ACA. [healthline.com]

Beginning treatment early is crucial to preventing neurological deterioration. Gluten ataxia can be treated with a strict gluten-free diet. Glutose transporter type 1 deficiency can be treated with a high-fat, low-carb ketogenic diet. [sciencedaily.com]

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