Cerebellar Syndrome

Question 1

Signs

Answer 1

Finger nose dysmetria
Intention tremor
Disdiadochokinesis
Abnormal heel shin
Broad based ataxic gait and abnormal tandem
Horizontal nystagmus towards side of lesion
Broken smooth pursuit
Hypermetric saccades
Dysarthria- scanning/explosive speech

Question 2

Cerebellar syndrome causes

Answer 2

Posterior fossa space occupying lesion
Vascular event
Alcoholic degeneration 
Drugs-phenytoin, lithium
Demyelination
Brain stem lesion
Paraneoplastic syndrome
MSA
Inherited causes: friedreich's ataxia, spinocerebellar ataxia

Question 3

Anything else you would like to do

Answer 3

Fundoscopy: pappiloedema, optic atrophy
GI exam: stigmata of CLD
Peripheral neuropathy
Assess thyroid status
Assess malignancy: clubbing, horners, breast exam
Friedreich’s: pes caves, pyramidal and dorsal column signs in LL