Cerebellar examination

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Lower limbs
  • Inspection - pes cavus (Friedrich's ataxia, spinocerebellar degeneration, hereditary motor/sensory neuropathy)
  • Hypotonia
  • Lower limb coordination
    • Heel-shin, toe-finger, rapid foot tap
    • If heel-shin with eye shut is worse – “sensory ataxia”
  • Pendular knee jerks (severe cases)
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