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Ataxia: Cerebellar degneration means that the part of the brain that controlls coordination and balance is losing cells and likely getting smaller. Ataxia is the clumsiness, imbalance, slurred speech and/or abnormal eye movements that can accompany cerebellar degeneration. A paraneoplastic cerebellar syndrome is when the body's immune response to cancer somewhere else damages the cerebellum "by mistake". ...Read more
Progressive disorder: Genetic and familial conditions can lead to a progressive degeneration of the cerebellum and brainstem structures. There are many different types. Multiple sclerosis can also cause progressive balance problems that can mimic degenerative disease. Tumors can also mimic degenerative disease. A quality MRI and good neurological evaluation is necessary. ...Read more
Degenerative disease: A large group of sporadic and inherited disorders with symptom onset in the 5th decade of life. Main manifestations include ataxia, first in the legs then arms, hands and facial muscles.Characterized by extensive degeneration of the cerebellum, pontine nuclei and medullary olivary nuclei, opca's have been described with many other clinical findings. Treatment is symtom specific and variable. ...Read more
My son has cerebral palsy, autism, catatonic schizophrenia, seizures, mental retardation, lower left lobe of brain is missing, strabismus and was born?
Pls comment regarding ventricles(dysmorphic?)and cerebellar tonsils(borderline Chiari?).Frontal lobe atrophy ?MRI images in profile.
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Chiari malformation: The definition for chiari malformation is the presence of cerbellar ectopia of greater than 3 mm below the foramen magnum. Thus you fulfill at least part of the criteria for chiari 1 malformation. The key is the presence of symptoms. If present, then phase-contrast mr flow studieshave a role in determining whether symptomatic chairi malformation patients may benefit from surgical intervention. ...Read more
No: But I have encountered several patients incorrectly diagnosed with schizophrenia who were instead suffering from undiagnosed and untreated focal epilepsy (TLE). Focal epilepsy can be very hard to spot, particularly if temporal or on undersurface of the brain. Continuous videotelemetry EEG (EMU) are key, though I have picked up several on routine EEG. ...Read moreSee 2 more doctor answers
Loss of balance: And muscular control. Speech may be slurred and the patient behaves as though she were drunk with alcohol. A rare cause is vitamin b1 dependency. This is the same as deficiency but the patient needs huge doses of the vitamin. There are published cases of this. It can even be intermittent and inititiated by head injury, or a simple infection. ...Read more
Adults fear it too.: Fear of abandonment is, if we're honest, wide spread. Panic and terrible reactive behaviors are, fortunately, rare and might be seen in bpd. I think the word "infantile" refers to the basis of the problem. That it begins when a baby experiences ongoing stress from questionable parenting - even including actual or temporary abandonment. It disrupts the development of trust which is critical. ...Read more
38 yo male, history epilepsy (med controlled), closed tbi (12/2011). Slurred speech, hand tremor, unsteady gait, confused, lethargic, normal pupils.
Timeline?: Your description does not state if all of these changes represent a change from the baseline, are new or chronic. If they are new then i would recommend going to your closest emergency room right away, if they are chronic and old then i would discuss this with your doctor as they could be consistent with traumatic brain injury. ...Read moreSee 1 more doctor answer
Borderline inferior cerebellar ectopia present, the cerebellar tonsils demonstrate mild
inferior herniation, measuring 4 mm sagittal sequence, means?
It most likely: doesn't mean anything. If that is the only finding, and the tonsils are otherwise normally shaped, some use less than 5mm as the normal range, so by that criteria 4mm would be normal. Others call 3-5mm benign tonsillar ectopia, an incidental asymptomatic finding. Most consider greater than 5mm to be abnormal(Chiari 1 malformation). The measurement is from the skull base to the tonsil tip. ...Read more
It can be: Cerebellar ataxia is a description of examination. Causes can be congenital, degenerative, caused by chronic damage from alcohol or dilantin, or associated with structural defects of the cerebellum. It can also be an indication of cerebellar tumor. Many patients following head injury recover with poor coordination and ataxia due to damage to the deep structures of the brain. ...Read more