Cerebellar Syndrome

Question 1

What is caused by unilateral cerebellar lesions?

Answer 1

Ipsilateral signs

Question 2

List 6 S/S of cerebellar syndrome

Answer 2

D- dysdiadochokinesia, dysmetria (past-pointing), patients may appear ‘drunk’
A- ataxia (limb, truncal)
N- nystagmus (horizontal = ipsilateral hemisphere)
I- intention tremor
S- slurred staccato speech, scanning dysarthria
H- hypotonia

Question 3

Name 2 drugs that can cause cerebellar syndrome

Answer 3

Phenytoin
Lead poisoning

Question 4

Name 2 inherited conditions that can cause cerebellar syndrome

Answer 4

Friedreich’s ataxia
Ataxic Telangiectasia

Question 5

Name 2 causes of cerebellar syndrome related to malignancy

Answer 5

Neoplastic: cerebellar haemangioma
Paraneoplastic: secondary to lung cancer

Question 6

List 4 causes of cerebellar syndrom

Answer 6

Stroke
Alcohol
MS
Hypothyroidism