Cerebellar examination

• Introduce yourself
• Look around the room for environmental clues e.g. walking frame or wheelchair

Take a general approach:

• Unwell or well
• Comment on growth - reduced growth can be from ataxia telangiectasia, metabolic disorder, or abetalipoproteinaemia
• Look for obvious nystagmus, tremor, truncal ataxia
• Comment on head size
• Vitals - BP (raised in neuroblastoma or raised intracranial pressure), pyrexia (cerebellar abscess, meningitis, encephalitis)
• IQ - reduced in ataxia telangiectasia and normal in Friedrich's ataxia
• Dysmorphology
• Limb movements (chorea in ataxia telangiectasia)
• Lesions of skin - telangiectasia (bulbar conjunctivae and other areas of skin exposed to sun)