This site is intended for healthcare professionals
General Practice Notebook
Login | Register
Medical search

clinical features of cerebellar disease

FREE subscriptions for doctors and students... click here
You have 3 open access pages.

The clinical features of cerebellar disease are:

  • from unilateral hemisphere damage - ipsilateral signs:
    • intention tremor - increases as limb reaches target
    • dysdiadochokinesis - alternating hand, heel-knee-shin
    • dysmetria - overshooting in finger-nose test
    • ataxia of extremities - unsteadiness of gait towards side of lesion
    • pendular reflexes - legs swing back and forth when knee jerk elicited
    • rebound phenomena - outstretched arm swings excessively when displaced

  • from damage to midline structures:
    • disturbance of equilibrium - manifest as unsteadiness in walking: a drunken gait which is wide based or reeling on a narrow base; sitting - truncal ataxia

  • eye movements:
    • nystagmus - in unilateral diseases, amplitude and rate increase when looking towards the diseased side; this is an inconsistent finding
    • ocular dysmetria - overshoot when eyes voluntarily fixate

  • speech:
    • scanning dysarthria - especially with explosive speech - an inconsistent finding

  • involuntary movements:
    • myoclonic jerks and choreiform motions if deep nuclei involved

  • abnormal head tilt - also in trochlear palsy, tonsillar herniation

  • rhythmic nodding tremor of head - side to side or 'to and fro' - titubation


General Practice Notebook
General Practice Notebook
The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions LtdĀ®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions LtdĀ® receives funding from advertising but maintains editorial independence. GPnotebook stores small data files on your computer called cookies so that we can recognise you and provide you with the best service. If you do not want to receive cookies please do not use GPnotebook.