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Neurology > 3: Cerebellar Disorders > Flashcards

3: Cerebellar Disorders Flashcards

1
Q

How can aetiology of cerebellar lesions be divided

A

Acute and Chronic

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2
Q

What are acute causes of cerebellar lesions

A

Trauma
Infarction - stroke
Infection - VZV

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3
Q

What are chronic causes of cerebellar lesions

A 
Alcoholism: wernicke's encephalopathy 
Neoplastic: cerebellar hemangioma 
Genetic: Freidrich ataxia and ataxia telangiectasia 
MS
Hypothyroidism 
Medication: phenytoin, lead
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4
Q

What is a mnemonic to remember causes of cerebellar disease

A

MAVIS:

MS
Alcohol
Vascular
Infection
SOL
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5
Q

Will cerebellar lesions be ipsilateral or contralateral

A

Ipsilateral

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6
Q

What is the mnemonic to remember clinical presentation of cerebellar lesions

A

DANISH

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7
Q

What are symptoms of cerebellar lesion

A

DDK

Ataxia

Nystagmus

Intention tremor

Hypotonia

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8
Q

What is included in DDK

A 
Dysmetria = pass-pointing 
Dysarthrtia = slurred speech
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9
Q

What does damage to cerebellar hemispheres cause

A

Ataxia in pass-pointing

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10
Q

What does damage to cerebellar vermis cause

A

Gait ataxia

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11
Q

What nystagmus occurs in cerebellar lesions

A

Horizontal

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12
Q

What is the inheritance pattern of Friedrich’s ataxia

A

Autosomal recessive

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13
Q

What genetic anomaly is present in Friedrich’s ataxia

A

GAA repeat in chromosome 9

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14
Q

What age does Friedrich’s ataxia onset

A

10-15 years

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15
Q

How does Friedrich’s ataxia present clinically

A

Gait Ataxia
Kyphoscoliosis
HOCM

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16
Q

What causes death in 90% Friedrich’s ataxia

A

HOCM

17
Q

What is the inheritance of ataxia telangiectasia

A

Autosomal recessive

18
Q

When does ataxia telangiectasia present

A

Childhood -with gait ataxia and telegectasia

19
Q

What is ataxia telangiectasia associated with and what does this cause

A

IgA deficiency = causing recurrent chest infections

Neurology (26 decks)

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