Thursday, 29 September 2011

Cerebellar signs

Level 1: As a follow-up to the case of alcoholic cerebellar degeneration we saw yesterday.

The mnemonic you need to remember is VANISH-3D or VANISH-DDD

V - Vertigo
A - Ataxia (remember it should be Romberg's negative)
N - Nystagmus (horizontal gaze-evoked jerk nystagmus that typically changes phase across the mid-line)
I - Intention tremor
S - Slurred or Staccato Speech
H - Hypotonia (this refers to static not dynamic tone)
D - Dysmetria
D - Dysdiadochokinesia
D - Dysarthria

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