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Acute cerebellar ataxia

Contents of this page:

Alternative Names   

Cerebellar ataxia; Ataxia - acute cerebellar; Cerebellitis

Definition    Return to top

Acute cerebellar ataxia is sudden onset of uncoordinated muscle movement.

Causes    Return to top

Acute cerebellar ataxia is most common in children, especially those younger than age 3. It often occurs several weeks after a viral illness.

Viral infections that may cause this include chickenpox, Coxsackie disease, Epstein-Barr, and mycoplasma pneumonia.

Exposure to older insecticides called organophosphates or other toxins may also cause ataxia.

Symptoms    Return to top

Ataxia may affect movement of the middle part of the body from the neck to the hip area (the trunk) or the arms and legs (limbs).

When the person is sitting, the body may move side-to-side, back-to-front, or both, and quickly move back to an upright position.

When a person with ataxia of the arms reaches for an object, their hand may sway back and forth.

Common symptoms of ataxia are listed below.

Exams and Tests    Return to top

The doctor will ask you if you have been recently sick, and try to rule out any other causes for the problem. . A full neurological examination will be done to identify the areas of the nervous system most affected.

The following tests may be done:

Treatment    Return to top

Ataxia may go away without treatment after a few weeks to months. However, physical therapy may be helpful in improving coordination.

Outlook (Prognosis)    Return to top

Full recovery usually occurs without treatment within a few months.

Possible Complications    Return to top

Movement or behavioral disorders may (rarely) persist.

When to Contact a Medical Professional    Return to top

Call your health care provider if any symptoms of ataxia appear.

References    Return to top

Johnston M. Movement disorders. In: Kliegman R, Behrman R, Jenson H, Stanton B, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 597.

Timmann D, Diener H. Coordination and ataxia. In: Goetz, CG, ed. Textbook of Clinical Neurology. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 17.

Update Date: 3/26/2009

Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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