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Cerebellar examination
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1. Introduction
2. Speech
3. Eyes
4. Upper limbs
5. Lower limbs
6. Truncal ataxia
7. Standing
8. Gait
9. Extras
10. Causes of cerebellar ataxia
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Upper limbs
Hypotonia
Arms extended (drift or static tremor, due to hypotonia to agonist muscles)
Rebound (if older child – cerebellar hypotonia)
Finger-nose test (intention tremor and past pointing)
Dysdiadochokinesis (definition - impairment of rapid alternating movements)
Alternate tapping with palm and back of hand
Piano playing
Touch fingers of hand alternately with thumb of same hand
Diadochokinesia should be smooth and rapid by 8 years
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