Cerebellar Ataxia

Cerebellar ataxia is the result of many diseases and Refer to an inability to coordinate balance, gait, extremity and eye movements. Cerebellar refers to the part of the brain called the cerebellum. The cerebellum is located inside the back and base of the skull just above the top of the spinal cord. It processes input from other areas of The brain, The spinal cord, and Sensory Receptors. It is responsible for coordination and balance.

cerebellar

SYMPTOMS:

  • Clumsiness in daily activities
  • Difficulty speaking or clumsy speech (dysarthria)
  • Difficulty walking or unsteady gait
  • Dizziness and headache
  • Nausea and vomiting
  • Uncoordinated body movements
  • Uncoordinated eye movements (nystagmus)

CAUSES:

  • Congenital-
  • Agenesis (failure of the cerebellum to fully develop)
  • Chiari malformation (herniation of the cerebellum through the opening in the base of the skull)
  • Genetic-
  • Multiple systems atrophy (rare, progressive neurological disorder)
  • Neuropathy, ataxia, retinitis pigmentosa (NARP, a metabolic disorder)
  • Spastic ataxia of Charlevoix-Saguenay (gene mutation)
  • Infectious-
  • Chickenpox
  • Encephalitis or brain abscess (brain inflammation or infection)
  • Epstein-Barr virus
  • HIV (human immunodeficiency virus)
  • Metabolic-
  • Thyroid diseases
  • Vitamin B12 deficiency
  • Vitamin E deficiency
  • Toxic-
  • Alcohol
  • Carbon monoxide
  • Heavy metals, such as mercury, lead and thallium
  • Heroin
  • Others –
  • Brain Tumors
  • Stroke and other vascular conditions
  • Trauma

GOALS OF PHYSIOTHERAPY:

  • To maintain and improve mobility
  • Flexibility
  • Strength
  • Gait
  • Balance
  • Coordination
  • Quality of life
  • Rehabilitate to ADL