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Congenital Hereditary Dominant Recessive X-linked Congenital DNA repair defects Episodic Metabolic disorders Mitochondrial Multisystem disorders Comparative pathology Immune Acute cerebellar ataxia Miller-Fisher Multiple sclerosis Opsoclonus-Myoclonus Paraneoplastic |
Infections: CNS Acute ataxia: Viral Creutzfeldt-Jakob Meningitis Mass lesion Abscess Neoplasm Sarcoid Paroxysmal Epilepsy Febrile Hereditary Migraine Polyneuropathy Anti-MAG GALOP Sensory Neuron Large fiber |
Supratentorial Gait disorders Elderly Extrapyramidal Hydrocephalus Systemic Amyloid Autoimmune GAD antibodies Endocrine Hypoparathyroid Thyroid GI disorders Celiac disease; Sprue Vitamin E malabsorb Whipple's Trauma Vascular Vestibular |
Toxins & Drugs Drugs Amiodarone Cyclosporine Isoniazid Lithium Metronidazole Phenytoin Platins Carbo Oxali Toxins Buckthorn fruit Cyanide (Sensory) Ethanol Heavy metals Lead Mercury Methyl bromide Podophyllin (Sensory) Solvents TOCP |
From: R Bucelli Post-infectious Cerebellitis (T1 MRI)
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Cerebellar lesion | Signs or Function |
Posterior (Flocculo-nodular lobe; Archicerebellum) |
Eye movement disorders: Nystagmus; Vestibulo-ocular reflex (VOR) Postural and gait dysfunction |
Midline (Vermis; paleocerebellum) | Truncal & gait ataxia |
Hemisphere (Neocerebellum) | Limb ataxia: Dysmetria, Dysdiadochokinesis, "Intention" tremor Dysarthria Hypotonia |
Afferent defect: Mossy fibers Vestibulopontine pathway Spinocerebellar system (Clarke) via: Inferior cerebellar peduncle |
Dysmetria Impaired stance & gait Information about body parts in space |
Vestibulocerebellar system Vestibular nucleus to Flocculonodular lobe |
Situation & location of head |
Outflow pathways: Dentate nucleus | Postural instability Limb ataxia |
Inferior olive | Disturbed teaching error signals Ataxia developing over time: Especially trained limb movements (writing) |
Disease | Dorsal root ganglion |
Clarke's column |
Vestibular nucleus |
Pontine nucleus |
Granule cells |
Purkinje cells |
Dentate nucleus |
Red nucleus |
Inferior olive |
DRPLA | + | +++ | + | ||||||
SCA6 | + | +++ | ++ | + | |||||
SCA31 | +++ | ||||||||
MSA | + | +++ | + | +++ | |||||
SCA2 | ++ | +++ | +++ | +++ | ++ | + | +++ | ||
SCA1 | ++ | + | + | ++ | ++ | ++ | ++ | ||
SCA3 | +++ | ++ | ++ | + | +++ | ||||
FRDA | +++ | +++ | ++ | + | +++ | ||||
AOA1 | +++ | +++ | + | +++ | + | + |