Podcast
Questions and Answers
Which of the following is a primary function of the cerebellum?
Which of the following is a primary function of the cerebellum?
- Initiating voluntary muscle contractions
- Coordinating movement and balance (correct)
- Processing olfactory information
- Regulating hormones
Which of the following is NOT typically considered one of the main anatomical structures of the cerebellum?
Which of the following is NOT typically considered one of the main anatomical structures of the cerebellum?
- Vermis
- Flocculonodular lobe
- Cerebellar cortex
- Olfactory bulb (correct)
Which cerebellar nuclei is the most lateral?
Which cerebellar nuclei is the most lateral?
- Fastigial nucleus
- Dentate nucleus (correct)
- Interposed nucleus
- Nodulus
What is the main function of the pontocerebellar module?
What is the main function of the pontocerebellar module?
Which of the following best describes dysdiadochokinesia?
Which of the following best describes dysdiadochokinesia?
What is the primary function of the spinocerebellar module?
What is the primary function of the spinocerebellar module?
A lesion in the vestibulocerebellar module is most likely to result in which of the following?
A lesion in the vestibulocerebellar module is most likely to result in which of the following?
Which clinical sign is most associated with lesions affecting the vestibulocerebellum?
Which clinical sign is most associated with lesions affecting the vestibulocerebellum?
Paradoxical vestibular signs related to cerebellar lesions may result from damage to which structure?
Paradoxical vestibular signs related to cerebellar lesions may result from damage to which structure?
Which of the following is a common cause of cerebellar disorders?
Which of the following is a common cause of cerebellar disorders?
Which of the following is a known cause of acquired cerebellar disease?
Which of the following is a known cause of acquired cerebellar disease?
Metronidazole toxicity primarily affects which part of the nervous system?
Metronidazole toxicity primarily affects which part of the nervous system?
Which inherited condition leads to premature degeneration of Purkinje cells?
Which inherited condition leads to premature degeneration of Purkinje cells?
Which of the following is a typical characteristic of cerebellar abiotrophy?
Which of the following is a typical characteristic of cerebellar abiotrophy?
Which is a common sign associated with cerebellar abiotrophy?
Which is a common sign associated with cerebellar abiotrophy?
Which of the following breeds is predisposed to cerebellar abiotrophy?
Which of the following breeds is predisposed to cerebellar abiotrophy?
Storage diseases primarily affect the cerebellum due to:
Storage diseases primarily affect the cerebellum due to:
Which of the following is a characteristic feature of storage diseases affecting the cerebellum?
Which of the following is a characteristic feature of storage diseases affecting the cerebellum?
Which diagnostic finding is most indicative of a storage disease affecting the cerebellum?
Which diagnostic finding is most indicative of a storage disease affecting the cerebellum?
What is the typical prognosis for animals affected by storage diseases?
What is the typical prognosis for animals affected by storage diseases?
A dog presents with intention tremors and dysmetria. Lesions in which region of the cerebellum are most likely to be responsible?
A dog presents with intention tremors and dysmetria. Lesions in which region of the cerebellum are most likely to be responsible?
A dog exhibits truncal ataxia and a wide-based stance. Which area of the cerebellum is most likely affected?
A dog exhibits truncal ataxia and a wide-based stance. Which area of the cerebellum is most likely affected?
A Shih Tzu presents with acute inability to walk and stiffness in the front legs. This presentation is most consistent with a disorder affecting which part of the brain?
A Shih Tzu presents with acute inability to walk and stiffness in the front legs. This presentation is most consistent with a disorder affecting which part of the brain?
Which of the following best describes hypermetria?
Which of the following best describes hypermetria?
A veterinarian suspects a cerebellar lesion in a canine patient and performs a neurological exam. Which of the following deficits would be most indicative of cerebellar dysfunction?
A veterinarian suspects a cerebellar lesion in a canine patient and performs a neurological exam. Which of the following deficits would be most indicative of cerebellar dysfunction?
Which imaging modality is most useful for evaluating cerebellar structure and identifying abnormalities such as tumors or infarcts?
Which imaging modality is most useful for evaluating cerebellar structure and identifying abnormalities such as tumors or infarcts?
What is the role of the fastigial nucleus in relation to the vestibulocerebellum?
What is the role of the fastigial nucleus in relation to the vestibulocerebellum?
Which best describes the function of the olivo-cerebellar pathway?
Which best describes the function of the olivo-cerebellar pathway?
Which gait abnormality is most commonly observed in patients with cerebellar lesions?
Which gait abnormality is most commonly observed in patients with cerebellar lesions?
What is the primary role of Purkinje cells in the cerebellar cortex?
What is the primary role of Purkinje cells in the cerebellar cortex?
The term 'decomposition of movement' refers to what clinical finding in cerebellar disease?
The term 'decomposition of movement' refers to what clinical finding in cerebellar disease?
A 3-year-old Terrier presents to the clinic with a chronic progressive ataxia, what is the most likely cause?
A 3-year-old Terrier presents to the clinic with a chronic progressive ataxia, what is the most likely cause?
What diagnostic test is commonly used to confirm storage diseases?
What diagnostic test is commonly used to confirm storage diseases?
A veterinarian is explaining the function of the cerebellum to a client. Which analogy would be most accurate?
A veterinarian is explaining the function of the cerebellum to a client. Which analogy would be most accurate?
What are the anatomical components of the cerebellomedullary cistern?
What are the anatomical components of the cerebellomedullary cistern?
In a case of cerebellar disease, which of the following signs would indicate involvement of the flocculonodular lobe?
In a case of cerebellar disease, which of the following signs would indicate involvement of the flocculonodular lobe?
In storage diseases, which cellular organelle is most directly involved in the disease pathophysiology?
In storage diseases, which cellular organelle is most directly involved in the disease pathophysiology?
When examining a patient with a suspected cerebellar disorder, which test evaluates the animal's ability to precisely touch its nose?
When examining a patient with a suspected cerebellar disorder, which test evaluates the animal's ability to precisely touch its nose?
Which of the following is the best way to differentiate a cerebellar disorder from a similar spinal cord disorder?
Which of the following is the best way to differentiate a cerebellar disorder from a similar spinal cord disorder?
Why do storage diseases particularly affect the cerebellum?
Why do storage diseases particularly affect the cerebellum?
Which of the following is a key characteristic of cerebellar abiotrophy?
Which of the following is a key characteristic of cerebellar abiotrophy?
Which of the following best describes the role of the spinocerebellar module?
Which of the following best describes the role of the spinocerebellar module?
In cases of cerebellar disorders affecting the vestibulocerebellum, which clinical sign is the LEAST likely to be observed?
In cases of cerebellar disorders affecting the vestibulocerebellum, which clinical sign is the LEAST likely to be observed?
A veterinarian is presented with a 3-year-old Terrier exhibiting progressive ataxia and absence of menace reflex. What is a highly likely differential diagnosis?
A veterinarian is presented with a 3-year-old Terrier exhibiting progressive ataxia and absence of menace reflex. What is a highly likely differential diagnosis?
In a canine patient presenting with paradoxical vestibular signs due to a cerebellar lesion, which neuroanatomical structure is most likely affected, leading to this unusual presentation?
In a canine patient presenting with paradoxical vestibular signs due to a cerebellar lesion, which neuroanatomical structure is most likely affected, leading to this unusual presentation?
Obstruction of the lateral apertures of the fourth ventricle is most likely to result in what condition?
Obstruction of the lateral apertures of the fourth ventricle is most likely to result in what condition?
Which anatomical structure is part of the central vestibular system and, when affected, can produce vestibular clinical signs?
Which anatomical structure is part of the central vestibular system and, when affected, can produce vestibular clinical signs?
A lesion in the rostral vermis of the cerebellum is most likely to result in which clinical sign?
A lesion in the rostral vermis of the cerebellum is most likely to result in which clinical sign?
Which of the following clinical signs is typically associated with lesions affecting the cerebellar hemispheres (lateral zones)?
Which of the following clinical signs is typically associated with lesions affecting the cerebellar hemispheres (lateral zones)?
Which of the following best describes the function of the pontocerebellar pathway?
Which of the following best describes the function of the pontocerebellar pathway?
What clinical sign is most indicative of paradoxical vestibular disease associated with a cerebellar lesion?
What clinical sign is most indicative of paradoxical vestibular disease associated with a cerebellar lesion?
Which vascular event is a common cause of acute cerebellar dysfunction in dogs?
Which vascular event is a common cause of acute cerebellar dysfunction in dogs?
Which of the following infectious diseases can, in some cases, directly affect the cerebellum?
Which of the following infectious diseases can, in some cases, directly affect the cerebellum?
Which of the following is a potential consequence of administering excessive doses of metronidazole?
Which of the following is a potential consequence of administering excessive doses of metronidazole?
In the context of cerebellar disorders, what is cerebellar abiotrophy?
In the context of cerebellar disorders, what is cerebellar abiotrophy?
Which of the following is a typical clinical sign associated with cerebellar abiotrophy?
Which of the following is a typical clinical sign associated with cerebellar abiotrophy?
What is the underlying cause of neurological deficits observed in storage diseases affecting the cerebellum?
What is the underlying cause of neurological deficits observed in storage diseases affecting the cerebellum?
Which clinical sign is commonly observed in animals affected by storage diseases, particularly those involving the cerebellum?
Which clinical sign is commonly observed in animals affected by storage diseases, particularly those involving the cerebellum?
Which of the following neurological deficits would be most indicative of cerebellar dysfunction?
Which of the following neurological deficits would be most indicative of cerebellar dysfunction?
A dog exhibits a head tilt to the right, positional vestibular strabismus on the right, and is non-ambulatory. What is the most likely localization?
A dog exhibits a head tilt to the right, positional vestibular strabismus on the right, and is non-ambulatory. What is the most likely localization?
A dog presents with a head tilt to the right and a lesion on the left side of the cerebellum seen on MRI. What condition is most likely?
A dog presents with a head tilt to the right and a lesion on the left side of the cerebellum seen on MRI. What condition is most likely?
A dog presents with severe vestibular ataxia, a head tilt to the left, and increased muscle tone in all four legs. Which area of the brain is most likely affected?
A dog presents with severe vestibular ataxia, a head tilt to the left, and increased muscle tone in all four legs. Which area of the brain is most likely affected?
A cat is diagnosed with alpha-mannosidosis. What cellular change would be expected in the Purkinje cells?
A cat is diagnosed with alpha-mannosidosis. What cellular change would be expected in the Purkinje cells?
Which of the following features is characteristic of degenerative brain diseases?
Which of the following features is characteristic of degenerative brain diseases?
What is the function of the lateral apertures located in the fourth ventricle?
What is the function of the lateral apertures located in the fourth ventricle?
What is the most likely diagnosis for a three-year-old dog presenting with prancing, incoordination, bunny hopping, and hypermetria in all four limbs?
What is the most likely diagnosis for a three-year-old dog presenting with prancing, incoordination, bunny hopping, and hypermetria in all four limbs?
What are the three nuclei of the cerebellum?
What are the three nuclei of the cerebellum?
Which of the following is a potential cause of cerebellar malformation?
Which of the following is a potential cause of cerebellar malformation?
Where are the vestibular nuclei located relative to the brainstem?
Where are the vestibular nuclei located relative to the brainstem?
If a dog is suspected of having a cerebellar infarction, which area of the cerebellum is most likely affected?
If a dog is suspected of having a cerebellar infarction, which area of the cerebellum is most likely affected?
Which clinical sign is associated with damage to the vermis of the cerebellum?
Which clinical sign is associated with damage to the vermis of the cerebellum?
What clinical sign is commonly observed in animals with diffuse cerebellar disease when they attempt coordinated movements?
What clinical sign is commonly observed in animals with diffuse cerebellar disease when they attempt coordinated movements?
Which of the following is a key characteristic of degenerative conditions affecting the cerebellum?
Which of the following is a key characteristic of degenerative conditions affecting the cerebellum?
A cat presents with intermittent intention tremors, difficulty walking on slippery floors, and decreased menace response bilaterally. What is the most likely localization of the lesion?
A cat presents with intermittent intention tremors, difficulty walking on slippery floors, and decreased menace response bilaterally. What is the most likely localization of the lesion?
Which diagnostic method is used to measure enzyme activities in erythrocytes to diagnose lysosomal storage disorders?
Which diagnostic method is used to measure enzyme activities in erythrocytes to diagnose lysosomal storage disorders?
In cases of suspected cerebellar disease, which of the following clinical signs would be LEAST likely to be observed?
In cases of suspected cerebellar disease, which of the following clinical signs would be LEAST likely to be observed?
A 10-year-old dog presents with ataxia, head tremors, and seizures. MRI reveals a shrunken cerebellum. What is the most likely diagnosis?
A 10-year-old dog presents with ataxia, head tremors, and seizures. MRI reveals a shrunken cerebellum. What is the most likely diagnosis?
Which component of the cerebellum would you suspect is affected if a patient shows signs of vestibular ataxia, vertical nystagmus and a head tilt?
Which component of the cerebellum would you suspect is affected if a patient shows signs of vestibular ataxia, vertical nystagmus and a head tilt?
What is a key difference between degenerative brain diseases and other types of neurological disorders?
What is a key difference between degenerative brain diseases and other types of neurological disorders?
If you have damage to the lateral hemispheres of the cerebellum, but NOT an affect on the vermis nor flocculonodular lobe, what clinical signs might you observe?
If you have damage to the lateral hemispheres of the cerebellum, but NOT an affect on the vermis nor flocculonodular lobe, what clinical signs might you observe?
In a patient with a pontocerebellar lesion. What is the connection that is interrupted that causes them to not be able to perform precise movements?
In a patient with a pontocerebellar lesion. What is the connection that is interrupted that causes them to not be able to perform precise movements?
Why do storage diseases affect the cerebellum more than any other location in the brain?
Why do storage diseases affect the cerebellum more than any other location in the brain?
Why might a veterinarian opt to move a dog around, versus watching it stand, to recognize Opisthotonus?
Why might a veterinarian opt to move a dog around, versus watching it stand, to recognize Opisthotonus?
What is a potential negative effect from performing a brain biopsy?
What is a potential negative effect from performing a brain biopsy?
Which of the following best describes the role of lysosomes in the cell, relevant to storage disorders?
Which of the following best describes the role of lysosomes in the cell, relevant to storage disorders?
Which statement accurately describes the typical onset and progression of clinical signs in animals with storage disorders?
Which statement accurately describes the typical onset and progression of clinical signs in animals with storage disorders?
If an animal is non-ambulatory, and suffering from right-sided strabismus and a head tilt, how can a veterinarian confirm the localization of the lesion to the cerebellum?
If an animal is non-ambulatory, and suffering from right-sided strabismus and a head tilt, how can a veterinarian confirm the localization of the lesion to the cerebellum?
The cerebellum is anatomically located:
The cerebellum is anatomically located:
Which anatomical structure is formed by the space between the brainstem and the cerebellum?
Which anatomical structure is formed by the space between the brainstem and the cerebellum?
The cerebellar vermis is located:
The cerebellar vermis is located:
Which cerebellar structures are considered part of the central vestibular system?
Which cerebellar structures are considered part of the central vestibular system?
Obstruction of the lateral apertures of the fourth ventricle would most directly lead to:
Obstruction of the lateral apertures of the fourth ventricle would most directly lead to:
Which cerebellar nucleus primarily receives input from the vermis?
Which cerebellar nucleus primarily receives input from the vermis?
The pontocerebellar module is primarily associated with the function of the:
The pontocerebellar module is primarily associated with the function of the:
A lesion in the rostral vermis of the cerebellum is most likely to result in:
A lesion in the rostral vermis of the cerebellum is most likely to result in:
Hypermetria, characterized by exaggerated movements, is primarily associated with dysfunction of the:
Hypermetria, characterized by exaggerated movements, is primarily associated with dysfunction of the:
Paradoxical vestibular disease in cerebellar lesions refers to:
Paradoxical vestibular disease in cerebellar lesions refers to:
Cerebellar infarctions in dogs most commonly occur in the:
Cerebellar infarctions in dogs most commonly occur in the:
Metronidazole toxicity primarily affects the cerebellum due to its impact on:
Metronidazole toxicity primarily affects the cerebellum due to its impact on:
Cerebellar abiotrophy is characterized by premature degeneration primarily of which cell type?
Cerebellar abiotrophy is characterized by premature degeneration primarily of which cell type?
In storage diseases affecting the cerebellum, the primary cellular organelle involved in the pathophysiology is the:
In storage diseases affecting the cerebellum, the primary cellular organelle involved in the pathophysiology is the:
Which clinical sign is LEAST likely to be associated with a lesion predominantly affecting the flocculonodular lobe?
Which clinical sign is LEAST likely to be associated with a lesion predominantly affecting the flocculonodular lobe?
In cerebellar disease, opisthotonus is most indicative of a lesion in the:
In cerebellar disease, opisthotonus is most indicative of a lesion in the:
The term 'intention tremor' in cerebellar disease refers to tremors that:
The term 'intention tremor' in cerebellar disease refers to tremors that:
Medial strabismus (deviation of the eye inwards) can be associated with a deficit of which cranial nerve?
Medial strabismus (deviation of the eye inwards) can be associated with a deficit of which cranial nerve?
In a dog with a cerebellar lesion causing paradoxical vestibular signs and a right head tilt, the lesion is most likely located in the:
In a dog with a cerebellar lesion causing paradoxical vestibular signs and a right head tilt, the lesion is most likely located in the:
Which of the following clinical signs is most suggestive of diffuse cerebellar disease rather than a focal lesion?
Which of the following clinical signs is most suggestive of diffuse cerebellar disease rather than a focal lesion?
In a young animal presenting with progressive cerebellar signs, which diagnostic category should be considered high on the differential list?
In a young animal presenting with progressive cerebellar signs, which diagnostic category should be considered high on the differential list?
Which diagnostic test is most useful for visualizing structural changes in the cerebellum, such as infarction or atrophy?
Which diagnostic test is most useful for visualizing structural changes in the cerebellum, such as infarction or atrophy?
In cases of suspected storage diseases, enzyme activity assays are typically performed on:
In cases of suspected storage diseases, enzyme activity assays are typically performed on:
Compared to peripheral vestibular disease, central vestibular disease due to cerebellar lesions is MORE likely to present with:
Compared to peripheral vestibular disease, central vestibular disease due to cerebellar lesions is MORE likely to present with:
The hierarchical structure of the cerebellum, from gray matter leaflets to white matter and nuclei, reflects its organization for:
The hierarchical structure of the cerebellum, from gray matter leaflets to white matter and nuclei, reflects its organization for:
Which of the following is a key differentiating factor between degenerative brain diseases and acute conditions like cerebellar infarction?
Which of the following is a key differentiating factor between degenerative brain diseases and acute conditions like cerebellar infarction?
In the context of storage diseases, the accumulation of undigested metabolites within cells leads to cellular dysfunction primarily by:
In the context of storage diseases, the accumulation of undigested metabolites within cells leads to cellular dysfunction primarily by:
The presence of increased muscle tone in all four limbs, alongside vestibular ataxia and head tilt, in a canine patient is most suggestive of involvement of the cerebellar:
The presence of increased muscle tone in all four limbs, alongside vestibular ataxia and head tilt, in a canine patient is most suggestive of involvement of the cerebellar:
Which of the following best describes the typical progression of clinical signs in cerebellar abiotrophy?
Which of the following best describes the typical progression of clinical signs in cerebellar abiotrophy?
The function of the lateral apertures of the fourth ventricle is most crucial for:
The function of the lateral apertures of the fourth ventricle is most crucial for:
A 3-year-old Terrier presenting with chronic, progressive ataxia and a shrunken cerebellum on MRI is most likely suffering from:
A 3-year-old Terrier presenting with chronic, progressive ataxia and a shrunken cerebellum on MRI is most likely suffering from:
In a patient with a pontocerebellar lesion, the interrupted connection that leads to impaired precise movements is primarily between the cerebellum and the:
In a patient with a pontocerebellar lesion, the interrupted connection that leads to impaired precise movements is primarily between the cerebellum and the:
Why does the cerebellum appear to be particularly vulnerable in storage diseases compared to other brain regions?
Why does the cerebellum appear to be particularly vulnerable in storage diseases compared to other brain regions?
To best differentiate between cerebellar disease and a spinal cord disorder causing ataxia, a veterinarian should primarily assess:
To best differentiate between cerebellar disease and a spinal cord disorder causing ataxia, a veterinarian should primarily assess:
A dog exhibits truncal ataxia, a wide-based stance, and postural instability. Which area of the cerebellum is most likely affected?
A dog exhibits truncal ataxia, a wide-based stance, and postural instability. Which area of the cerebellum is most likely affected?
Which of the following clinical signs is LEAST likely to be observed in a patient with cerebellar disease?
Which of the following clinical signs is LEAST likely to be observed in a patient with cerebellar disease?
In a cat with alpha-mannosidosis, the foamy cytoplasm observed in Purkinje cells during autopsy is due to the accumulation of:
In a cat with alpha-mannosidosis, the foamy cytoplasm observed in Purkinje cells during autopsy is due to the accumulation of:
If a dog is suspected of having a cerebellar infarction, which vascular territory is most likely to be affected?
If a dog is suspected of having a cerebellar infarction, which vascular territory is most likely to be affected?
In a neurological exam for cerebellar function, evaluating the animal's ability to precisely touch its nose assesses primarily the:
In a neurological exam for cerebellar function, evaluating the animal's ability to precisely touch its nose assesses primarily the:
The vestibular nuclei, crucial for balance and vestibular reflexes, are located:
The vestibular nuclei, crucial for balance and vestibular reflexes, are located:
In advanced degenerative conditions affecting the brain, cerebellar signs are often observed first because:
In advanced degenerative conditions affecting the brain, cerebellar signs are often observed first because:
What is the anatomical relationship between the cerebellum and the brainstem?
What is the anatomical relationship between the cerebellum and the brainstem?
Which of the following statements about the lateral apertures of the fourth ventricle is most accurate?
Which of the following statements about the lateral apertures of the fourth ventricle is most accurate?
A lesion in the vermis of the cerebellum is most likely to result in which specific clinical sign?
A lesion in the vermis of the cerebellum is most likely to result in which specific clinical sign?
Why might clinical signs of cerebellar disease be observed even when degenerative conditions primarily affect broader regions of the brain?
Why might clinical signs of cerebellar disease be observed even when degenerative conditions primarily affect broader regions of the brain?
Flashcards
Cerebellar cortex divisions?
Cerebellar cortex divisions?
Flocculonodular lobe, Vermis and intermediate zone, Lateral zone.
Cerebellar nuclei?
Cerebellar nuclei?
Fastigial nucleus, Interposed nucleus, and Dentate nucleus.
Connections to brainstem and forebrain?
Connections to brainstem and forebrain?
Caudal cerebellar peduncle, Middle cerebellar peduncle, Rostral cerebellar peduncle.
Function of Pontocerebellar?
Function of Pontocerebellar?
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Pontocerebellar movements?
Pontocerebellar movements?
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Pontocerebellar movement timing?
Pontocerebellar movement timing?
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Pontocerebellar Ataxia/Dysmetria?
Pontocerebellar Ataxia/Dysmetria?
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Pontocerebellar Tremors?
Pontocerebellar Tremors?
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Decomposition of movement?
Decomposition of movement?
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Dysdiadochokinesia?
Dysdiadochokinesia?
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Spinocerebellar function?
Spinocerebellar function?
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Spinocerebellar muscle control?
Spinocerebellar muscle control?
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Spinocerebellar posture?
Spinocerebellar posture?
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Spinocerebellar deficits?
Spinocerebellar deficits?
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Function of vestibulocerebellum?
Function of vestibulocerebellum?
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Vestibulocerebellar ataxia?
Vestibulocerebellar ataxia?
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Vestibulocerebellar stance?
Vestibulocerebellar stance?
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Vestibulocerebellar nystagmus?
Vestibulocerebellar nystagmus?
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Cerebellar disorders?
Cerebellar disorders?
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Paradoxical head tilt?
Paradoxical head tilt?
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Lesion location?
Lesion location?
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Pathophysiology of lesion?
Pathophysiology of lesion?
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Sensory input from peripheral receptors?
Sensory input from peripheral receptors?
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Vestibular input due to lower.
Vestibular input due to lower.
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V Cerebellar disorders?
V Cerebellar disorders?
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I Cerebellar disorders?
I Cerebellar disorders?
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T Cerebellar disorders?
T Cerebellar disorders?
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M Cerebellar disorders?
M Cerebellar disorders?
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D Cerebellar disorders?
D Cerebellar disorders?
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Additional tests?
Additional tests?
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Rare disorders?
Rare disorders?
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Signs and results?
Signs and results?
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Disorder at birth?
Disorder at birth?
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Cells equals apoptosis?
Cells equals apoptosis?
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All Cells is normal at birth?
All Cells is normal at birth?
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Difficulty Menace
Difficulty Menace
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Normal Reflexes?
Normal Reflexes?
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Persistant Signs?
Persistant Signs?
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Most common disorder?
Most common disorder?
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Storage disease in dogs?
Storage disease in dogs?
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Spinocerebellar sign?
Spinocerebellar sign?
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Spinocerebellar?
Spinocerebellar?
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A Cerebellar disorder?
A Cerebellar disorder?
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Vestibulocerebellar sign?
Vestibulocerebellar sign?
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Cerebellum location
Cerebellum location
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Medullary System
Medullary System
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Cerebellar Structure
Cerebellar Structure
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Nodulus and Flocculus
Nodulus and Flocculus
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Hydrocephalus
Hydrocephalus
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Opisthotonus
Opisthotonus
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Intention Tremor
Intention Tremor
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Metronidazole Intoxication
Metronidazole Intoxication
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Cerebellar Infarction Case Study
Cerebellar Infarction Case Study
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Chief's Cerebellar Atrophy
Chief's Cerebellar Atrophy
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Storage Disorders - Brain
Storage Disorders - Brain
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Lysosomes
Lysosomes
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Degenerative Brain Diseases
Degenerative Brain Diseases
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Cerebellar Abiotrophy
Cerebellar Abiotrophy
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Study Notes
- This lecture is complex, focusing on an overview of the cerebellum to explain clinical signs.
- The goal is to understand how much physiology is needed to explain clinical observations.
Basic Anatomy
- The cerebellum sits on top of the brainstem, forming the fourth ventricle.
- The medullary system is filled with fluids, allowing for spinal fluid taps.
- The cerebellum has a structure like a tree, with gray matter leaflets and white matter trunk.
- The dorsal view shows hemispheres, rostral, and caudal vermis; the ventral view shows nodulus, flocculus, and cerebellar peduncles.
- The nodulus and flocculus are part of the central vestibular system, affecting vestibular function.
- The cerebellum includes the vermis, intermediate zone, and large hemispheres.
- Transverse view: leaflets of gray matter, white matter, lateral, interposital, and fastigous nuclei and the fourth ventricle with choroid plexus.
- Lateral apertures are important for CSF exit into the subarachnoid space.
- Obstruction of the lateral apertures leads to hydrocephalus.
- Vestibular nuclei are located on top of the brainstem.
- Cerebellar peduncles: medial, rostral, caudal (middle), and lateral.
Functional Relevance
- The hierarchical organization consists of the vermis, intermediate zone, and lateral zone.
- Vermis reports to the fascicle nucleus, intermediate zone to the interposed nucleus, and lateral zone to the dentate nucleus.
- The flocculus and nodulus are close to the vestibular nuclei.
Clinical Modules
- Damage to specific areas results in varied clinical signs.
- Flocculonodular lobe issues cause vestibular signs like head tilt and nystagmus.
- The vermis controls head and leg posture; lesions in the rostral vermis cause opisthotonus.
- Hemispheres lesions cause pontocerebellar signs: intention tremor and ataxia.
Clinical Signs Pontocerebellar
- Interruption of the pontocerebellar loop results in hypermetria, tremors, and ataxia.
Clinical Signs Spinocerebellar
- Damage to the vermis leads to opisthotonos.
Paradoxical Vestibular Disease
- Head tilt on the opposite side of the lesion is paradoxical.
- Physiology is unclear.
- Left-sided damage can cause a right-sided head tilt.
Cerebellar Disorders
- Cerebellar infarctions are the most common type of infarction.
- Neospora canis is rare infection.
- GME is multifocal, affecting more than just the cerebellum.
- Metronidazole intoxication can cause cerebellar signs.
- Tumors can occur in the cerebellum.
- Degenerative conditions and abiotrophy can affect the entire brain, with cerebellar signs appearing first.
Vascular Cerebellar Disorders
Case 1
- Shih Tzu unable to walk and stiff in front legs.
- Displayed a head tilt to the right, a slight head turn to the left, and an inability to maintain head control.
- Exhibited an opisthotonic position, good hopping on the right front leg but not the left, preserved conscious proprioception, and vestibular strabismus.
- Central vestibular system deficits were suspected.
- Cerebellar infarction was considered most likely.
- MRI confirmed an infarction in the rostral part of the cerebellum, extending into the vermis on the left side.
Case 2
- Pembroke Welsh Corgi presented with sudden thrashing, inability to walk, and rolling.
- Exhibited severe vestibular ataxia, medial strabismus in the left eye (cranial nerve VI deficit), and increased muscle tone in all limbs.
- Central vestibular involvement was suspected.
- MRI showed hyperintensity in the nodulus, indicating flocculonodular lobe involvement.
- The dog rolled to the left which again demonstrates paradoxical vestibular disease.
Degenerative Disorders
- Degenerative disorders are breed-associated, inherited, and rare, with juvenile onset.
- Associated with accumulation of toxic products or premature cell loss.
- Diagnosis is difficult.
Cerebellar Abiotrophy
- Affected animals are normal at birth, then experience premature cell loss.
- Purkinje cells are most affected.
- Onset is often at a young age, with slow progression.
- Clinical signs: intention tremors, ataxia, hypermetria, and abnormal menace response.
- Breeds affected are Australian Kelpie, Brittany Spaniel, and Gordon Setter.
Case 3
- A Terrier presented with ataxia and hind end weakness.
- Examination revealed hypermetria and ataxia in both front and hind legs in MRI.
- MRI showed a small, shrunken cerebellum (height nearly equal to brainstem height), and changes resembled abiotrophy.
Case 4
- Australian Terrier with ataxia and head tremors.
- Progressively worsened over the years, leading to walking difficulties and severe tremors.
- Intention tremors (tremors worsen with intention) were pronounced.
Storage Disease
- Storage disorders involve a deficiency in lysosomal enzymes.
- Deficiency results in accumulation of non-degradable molecules.
- Affected animals are normal at birth.
- Deficits are progressive and without treatment.
- Cerebellar disease is most common.
Neurological Exam
- Intermittent intention tremors and difficulty on slippery floors were noted.
- Tests revealed decreased menace reflex bilaterally and reduced physiological nystagmus.
- Abnormal proprioception was present in all four legs.
- Exaggerated movements occurred when eating and drinking.
- Opisthotonic posture was seen when holding the cat vertically.
Diagnostics
- Chemistry profile showed persistent leukocytosis and lymphocytosis.
- FeLV and FIV tests were negative.
- Cardiomyopathy signs were observed.
- Alpha-mannosidosis activity in leukocytes was significantly low.
Summary of Cerebellar Notes
- Intention tremor is a clear sign of diffuse cerebellum disease.
- Complex anatomical structure of the cerebellum.
- Storage changes were found in other parts of the brain, liver, and kidneys.
- Lesions in specific areas produces different clinical patterns, depending on the part, its function, muscle tone, position of head trunk and legs.
- Disorders of the cerebellum includes: Cerebellar infarction, tumors, and degenerative conditions.
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