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🌟 Cerebellar lesions

🩺 Signs of cerebellar disease

  • remember ‘DANISH’

    • Dysdiadochokinesia

    • Ataxia

    • Nystagmus

    • Intention tremor

    • Speech abnormality (slurring/staccato)

    • Hypotonia

 

🧠 Causes of cerebellar disease

  • remember ‘MAVIS’

    • Multiple sclerosis

    • Alcohol

    • Vascular

    • Inherited ataxias (e.g. Friedreich’s ataxia)

    • Space-occupying lesion (e.g. tumour)

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🧲 High-yield tips

  • cerebellar lesions cause signs on the ipsilateral side

  • lesions of the cerebellar vermis lead to gait/truncal ataxia

  • lesions of the cerebellar hemispheres cause limb ataxia on the ipsilateral side

  • staccato speech = a pattern of speech where there is a slight pause after every syllable

  • acute alcohol intoxication causes symptoms similar to cerebellar disease

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