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  • Cerebellar Disorders

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    Syed Usama Rashid
    33 visualizzazioni26 pagine
    This document discusses cerebellar disorders and provides information about their causes, signs, and vascular supply. Some key points: 1. Cerebellar disorders can cause clumsiness, difficulty with fine movements, tremors, and gait issues. Common causes include inherited ataxias, developmental malformations, strokes, infections, tumors, and certain toxins. 2. Examination may reveal signs like nystagmus, dysarthria, loss of sensation, absent reflexes, and optic atrophy. 3. The cerebellum receives blood supply from three major arteries on each side. Common stroke syndromes include Wallenberg's syndrome and lateral medullary syndrome. 4

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    A detailed study.

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    This document discusses cerebellar disorders and provides information about their causes, signs, and vascular supply. Some key points: 1. Cerebellar disorders can cause clumsiness, difficulty with fine movements, tremors, and gait issues. Common causes include inherited ataxias, developmental malformations, strokes, infections, tumors, and certain toxins. 2. Examination may reveal signs like nystagmus, dysarthria, loss of sensation, absent reflexes, and optic atrophy. 3. The cerebellum receives blood supply from three major arteries on each side. Common stroke syndromes include Wallenberg's syndrome and lateral medullary syndrome. 4

    Copyright:

    © All Rights Reserved
    Scarica in formato PPT, PDF, TXT o leggi online su Scribd
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    33 visualizzazioni26 pagine

    Cerebellar Disorders

    Caricato da

    Syed Usama Rashid
    This document discusses cerebellar disorders and provides information about their causes, signs, and vascular supply. Some key points: 1. Cerebellar disorders can cause clumsiness, difficulty with fine movements, tremors, and gait issues. Common causes include inherited ataxias, developmental malformations, strokes, infections, tumors, and certain toxins. 2. Examination may reveal signs like nystagmus, dysarthria, loss of sensation, absent reflexes, and optic atrophy. 3. The cerebellum receives blood supply from three major arteries on each side. Common stroke syndromes include Wallenberg's syndrome and lateral medullary syndrome. 4

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    di 26

    Cerebellar disorders

    Some activities require


    MORE COORDINATION

    Relevant Points in the HISTORY:


    - Frequent falls
    - Clumsiness & difficulty with fine
    coordinated movements
    - Tremors
    - Waxing & Waning of symptomsMS
    - Stroke- Drug toxicity: Phenytoin, alcohol
    abuse, lead poisoning & solvent abuse
    - History of HYPOTHYROIDISM
    - F.H--------FA & other hereditary ataxias

    SIGNS

    HYPOTONIA

    Cerebellar
    Ataxia

    Causes: 1-Inhereted

    Autosomal recessive
    Progressive degeneration of dorsal root ganglia,
    spinocerebellar tracts, corticospinal tracts and
    cerebellar Purkinje cells.
    Chromosome 9q13
    Fraxatin
    Progressive difficulty in walking occurs around
    the age of 12. Death is usual before 40.

    ataxia of gait and trunk


    nystagmus (25%)
    dysarthria
    absent lower limb joint position and vibration
    sense
    absent lower limb reflexes
    optic atrophy (30%)
    pes cavus
    cardiomyopathy.

    ATAXIA TELANGIECTASIA

    2.DEVELOPMENTAL
    ARNOLD-CHIARI MALFORMATION
    BASILAR INVAGINATION
    CEREBRAL PALSY

    3-VASCULAR

    BLOOD SUPPLY
    Superior surface-SUPERIOR
    CEREBELLAR
    Branch of BASILAR Artery

    Inferior surface Anterior part:


    ANTERIOR
    INFERIOR CEREBELLAR
    Branch of BASILAR Artery

    Inferior surfacePosterior part:


    POSTERIOR
    INFERIOR CEREBELLAR
    Branch of
    VERTEBRAL Artery

    VEINS: Straight sinus, Occipital


    sinus, Transverse sinus

    The Cerebellum is supplied by 3 major


    arteries on each side:
    1. PICA..The MOST common syndrome:
    Lateral Medullary
    syndrome.Wallenberg's
    2. AICA, the second most common
    syndrome
    3. SCA; the least frequent syndrome

    Wallenberg's Syndrome is typified by:


    Vertigo
    Ipsilateral hemiataxia
    Dysarthria
    Ipsilateral Horner's Syndrome (Central)
    Most patients with this stroke
    recover very well and often resume their
    previous activities
    Diagnosis is generally via MRI

    Infectious:
    - Abscess
    - Acute cerebellitis---VIRAL
    - Creutzfeldt-Jacob disease

    Metabolic:
    - Antiepileptic drugs
    - CO poisoning
    - Alcoholvitamin B1
    deficiency
    - Lead poisoning

    4.Tumours

    If you are allowed to perform ONE


    investigation, which one you choose in a
    Pt with a suspected cerebellar lesion?
    MRI..

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