Cerebellar syndrome

Classification according to ICD-10
G46.4 *	Cerebellar syndrome (I60-I67 †)
ICD-10 online (WHO version 2019)

As cerebellar syndrome one is symptom complex of clinically evident symptoms referred to in damage to the cerebellum often occur together.

Depending on the extent and location of the damage, the cerebellar syndromes differ in individual cases, as the cerebellum performs very different tasks. Under certain circumstances, analysis of the symptoms alone allows the damaged region to be narrowed down ( topical diagnostics ).

Clinical signs

All symptoms can be traced back to two basic disorders: cerebellar ataxia and muscle hypotonia . Other impairments in motor skills and coordination are weakness of the supporting muscles of the trunk, nystagmus and coordinative impairment of speech (slurred or chanting speech).

In addition, disturbances can be observed in rapidly alternating movements ( dysdiadochokinesis ), in target movements ( dysmetry and intention tremor ) and in the interaction of different muscle groups ( asynergy ). Nystagmus , intention tremor and chanting language are summarized as the Charcot triad (after Jean-Martin Charcot ).

Werner Hacke (2010) lists the following common cerebellar syndromes, whereby it should be noted that here the syndromes are related to the supply areas of the most important arteries, which also supply parts of the brain stem:

designation	localization	Symptoms
Upper cerebellar artery syndrome	Superior cerebellar artery	ipsilateral : hemiataxia, Horner syndrome ; contralateral : impaired sensation
Lower anterior cerebellar artery syndrome	Inferior anterior cerebellar artery	ipsilateral (variable): hemiataxia, vestibulocochlear failure, facial paresis, nystagmus, opsoclonus
Posterior lower cerebellar artery syndrome	Inferior posterior cerebellar artery	ipsilateral : hemiataxia, dysmetria, lateropulsion, dysdiadochokinesis, nystagmus, hoarseness, dysphagia; contralateral : dissociated sensitivity disorder

literature

Peter Berlit: Basic knowledge of neurology. 5. revised and exp. Edition. Springer, 2007, ISBN 978-3-540-33110-0 , pp. 232/233: 14.7.2 cerebellar syndromes
Walter Gehlen, Heinz-Walter Delank: Neurology. 12th, completely revised edition. Thieme, Stuttgart 2010, ISBN 978-3-13-129772-3 , pp. 174-176: 13.2.5 cerebellar syndromes .

Web links

Cerebellar syndrome - definition at Gesundheit.de

Individual evidence

↑ Alphabetical index for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 449
^ Walter Gehlen, Heinz-Walter Delank: Neurology. 12th, completely revised edition. Thieme, Stuttgart 2010, ISBN 978-3-13-129772-3 , pp. 174-176.
↑ Werner Hacke: Neurology. 13th edition. Springer, 2010, ISBN 978-3-642-12381-8 , p. 190.

[1] Alphabetical index for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 449

[2] Walter Gehlen, Heinz-Walter Delank: Neurology. 12th, completely revised edition. Thieme, Stuttgart 2010, ISBN 978-3-13-129772-3 , pp. 174-176.

[3] Werner Hacke: Neurology. 13th edition. Springer, 2010, ISBN 978-3-642-12381-8 , p. 190.