Cerebellar Disorders in Children – Chapter 3: Approach to the Neurological Examination of Children with Cerebellar Disorders (ebook)


Chapter 3 – Approach to the Neurological Examination of Children with Cerebellar Disorders

Peter Tsai, Katherine B. Sims, and Jeremy D. Schmahmann

In this chapter we present an approach to the clinical assessment of children with symptoms and signs suggestive of cerebellar dysfunction in order to arrive at a differential diagnosis and strategy for management. Diseases that afflict the cerebellum in childhood are frequently complex or multisystem disorders, and the evaluation should be sufficiently detailed to capture the essential features of the case. We commence with a general approach to the history and examination, and then focus particularly on the examination of the cerebellar system.

Please note that Chapters 2, 3 and 4 are also available in Part 2: Cerebellar Anatomy and Functions.

About the Complete Book:

This clinically orientated text by an international group of experts is the first definitive reference book on disorders of the cerebellum in children. It presents a wealth of practical clinical experience backed up by a strong scientific basis for the information and guidance given. The first part sets out the theoretical underpinnings of cerebellar disorders. This is followed by sections on clinical conditions grouped according to common characteristics such as aetiology and symptomatology. The descriptions of the clinical conditions each systematically cover, as appropriate, epidemiology, prevalence, diagnostic criteria, clinical features (including course and prognosis), pathophysiology, genetics, investigations, differential diagnosis, and management and treatment. This book will be an invaluable resource for all those caring for children affected by cerebellar disorders, including malformations, genetic and metabolic disorders, acquired cerebellar damage, vascular disorders and acute ataxias. This comprehensive reference text on cerebellar disorders in children includes chapters on cerebellar development, prenatal cerebellar imaging, imaging of the posterior fossa, with coverage of a broad range of malformations, genetic and metabolic disorders involving the cerebellum, prenatal cerebellar disruptions (as related to prematurity), vascular disorders, tumors and paraneoplastic syndromes, as well as acute ataxia and trauma to the posterior fossa. Numerous checklists are provided to assist in the differential diagnosis of clinical signs and neuroimaging findings.

Paediatric neurologists, paediatricians, neurologists, developmental paediatricians, neuroimaging specialists, geneticists, neonatologists

Clinics in Developmental Medicine No. 191-192