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Old 04-13-2013
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Neuro Cerebellum Autopsy Question

An autopsy is done on a 50 year old man who died of pneumonia despite 5 days of abx in the icu. 15 year h/o EtOH abuse. Saggital section of cerebellum is shown. Based on this pathology which of the following findings was most likely present on neurological examination?

A. Dysdiadochokinisea
B. Dysmetria finger nose finger
C. Essential tremor
D. Gait Ataxia
E. Present Romberg sign

I know that C and E is wrong. Please give explanation!
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Old 04-13-2013
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D. Gait Ataxia
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Old 04-13-2013
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Default my asnwer D

yep , I am agree w/ MedicalExaminer

Chronic alcohol abuse --> thiamine def. --> degeneration of cerebellar cortex (starting at the anterior lobe)

Anterior lobe affected --> vermis --> ataxia in IPSILATERAL SIDE
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remenber VERMIS --> conects w/ spinal cord
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Old 04-13-2013
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D....because of chronic use of alcohol and degeneration of ant. vermis
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Old 04-14-2013
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yes anterior vermal lesion : Alcohol , gait ataxia

Posterior Vermal lesion: Medulloblastoma, ependymoma , truncal ataxia
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Old 04-15-2013
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D. Gait Ataxia
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