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Hello friends, according to your description, cerebellar atrophy is not a disease to be precise, but a neuroimaging manifestation. It can be seen in some hereditary and degenerative diseases. It can also be seen in some acute courses such as the later stage of acute cerebellitis and some drug poisoning, and even in some clinically asymptomatic people, cerebellar atrophy can also be seen in imaging examinations, especially in the elderly.
Common features are decreased cerebellar volume and widened sulci on neuroimaging. It can be divided into localized and generalized cerebellar atrophy. Because the cerebellum is mainly involved in the regulation of somatic balance and muscle tone, patients with cerebellar atrophy often have symptoms such as gait instability, ataxia, and slurred speech.
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Signs of cerebellar atrophy before death include: incontinence, paralysis, loss of cognitive function, manifestations of severe dementia, complete inability to take care of oneself and even life-threatening.
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Cerebellar atrophy is premonitored, and the pathogenesis of cerebellar atrophy is due to the apoptosis of brain cells, resulting in a decrease in cerebellar cells, at which time the cerebellum will shrink in size and the weight of the cerebellum will be reduced. Patients will show some slowness of movement, slow movement of the limbs.
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Poor memory, often making mistakes in doing things, saying that I didn't eat after breakfast, going out, not knowing the way home, etc.
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Insomnia and dreams, numbness in the hands and feet, unresponsiveness, memory loss, mental decline, etc.
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Cerebellar atrophy does have the risk of death in the second half of the stage, and the inflexibility of the human body will be greater in the middle and later stages, and the speech will become more and more slurred, so that others will not be able to distinguish the patient's requirements. At the level of the cause of death, the key is due to the paralysis of the inspiratory muscles, the inability to cough and produce sputum, the more severe bulbar palsy symptoms, the patient has a more serious lung infection, or a more severe respiratory failure. At this time, the patient will have further central nervous system circulatory failure, resulting in lower blood pressure, hemodynamic instability and death Cerebellar atrophy** At this stage of medical science, there is still a lack of reasonable methods for the already produced cerebellar atrophy.
Therefore, it is mainly to interfere with some controllable pathogenesis factors, and on this basis, some drugs that can improve the patient's overall fitness exercise can be used to partially improve the patient's clinical performance. Neural stem cell transplantation is one of the research contents for the treatment of cerebellar atrophy in the future, but it is limited by ethics and morality at this stage, and the technical strength is not mature, so it is rarely used in clinical medicine. **** 1.
Language**** Language **** should start within 6 months after the language function is hindered, and formulate a plan with an appropriate difficulty coefficient, with a purposeful aspect ratio; Enhance tongue fitness exercises, which can improve the posture of the tongue; According to the laryngeal vibration, the larynx can be exercised; According to the inspiratory training, the cyclone is regulated; Perseverance in "seeing, listening, speaking, and writing" at the same time; If possible, group training will also be assigned, which can lead to mutual reinforcement and motivation, as well as a clear state of mind that is resistant and afraid to speak. 2.Fitness exercises**** include balance training and foot drop training.
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Early symptoms of cerebellar atrophy:
1.Autonomic dysfunction: Patients with early cerebellar atrophy will have autonomic dysfunction such as orthostatic hypotension, flaccid bladder (urinary incontinence or retention), sexual dysfunction, and sweating disorders.
2.Cerebellar ataxia: Functional impairment in patients with cerebellar atrophy is the most prominent symptom of the disease, accounting for 73% of patients, presenting as progressive cerebellar ataxia.
It usually appears in the early stage of the disease, and the first symptoms are bilateral lower limb weakness and ataxia (88%). It is first manifested in both lower limbs, and often complains of weakness, weakness, and easy falling, and is a symptom of early cerebellar atrophy.
3.Ocular motility disorders: patients with early cerebellar atrophy may present with divergence disorders and extraocular muscle motility disorders, and slow ocular movements or saccade slowing may be characteristic clinical markers of OPCA, and the mechanism is unknown.
Electronystagmography may show horizontal gaze nystagmus, abnormal smooth tracking, optokinetic nystagmus, and failure of visual suppression in cold and warm experiments, and optic nerve atrophy.
4.Others: e.g., slow and inflexible voluntary movements, unsteady gait, impaired balance, and widening of the base.
Patients with cerebellar atrophy will gradually develop fine motor inability of both upper limbs, clumsiness and instability. Symptoms of cranial nerve damage due to cerebellar dysfunction are dizziness, dysarthria, intermittent speech, dysphagia, choking on water, nystagmus, and intention tremor. In some cases, fasciculations of the tongue and facial muscles may occur.
Facial nerve paralysis can also occur, which is one of the symptoms of early cerebellar atrophy.
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Cerebellar atrophy is a brain problem that older people are more likely to have. It is a hereditary and degenerative disease, and some patients will also have lesions due to drug poisoning and other factors. After the disease, the patient's body will suffer a lot, because in the early stage of the disease, there will be many abnormal symptoms.
1. Ataxia.
Ataxia is the most common symptom of cerebellar atrophy and the first symptom of the disease. The main manifestation of this symptom is an unsteady gait, and after the disease, the patient will have a drunken or scissor-like gait. When the disease reaches an advanced stage, there may be a reaction of not being able to walk, and the patient needs to take more bed rest and take timely measures to deal with it.
2. Dysarthria.
Dysarthria is also a precerebellar atrophy symptom. It is mainly manifested as slurred speech, and may also manifest as explosive speech or poetry-like speech, which will directly affect normal work and life. Therefore, after discovering the symptoms, we must pay attention to them and carry out targeted improvement measures as soon as possible to avoid more serious consequences.
3. Cranial nerve dysfunction.
Patients with cerebellar atrophy will also have cranial nerve dysfunction in the early stage, and patients will mainly have dizziness, forgetfulness, memory loss, nervous sluggishness, unresponsiveness, hand and foot tremor and other reactions. If these symptoms are not improved in time, as the disease progresses, when it reaches an advanced stage, the patient will have facial and tongue paralysis, paresthesia, limb movement disorders and other conditions.
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Signs of cerebellar atrophy are ataxia: 1. The main symptom of cerebellar atrophy, gait instability is the most common first symptom, manifested as drunkenness or scissor gait; Patients with advanced disease may not be able to walk and need to stay in bed for long periods of time.
2. Cranial nerve dysfunction: dizziness, forgetfulness, memory loss, dullness, slow reaction, tremor of the hands and feet.
3. Dysarthria: slurred speech, which can be manifested as explosive speech or poetic speech.
4. Cognitive impairment: forgetfulness, loss; Inability to understand what others are saying; Patients with advanced disease may not be able to take care of themselves.
5. Nystagmus. The patient has eyeball swings from side to side.
Accompanying symptoms. There are many precursors of cerebellar atrophy: first, when going up and down stairs, the legs are uncoordinated, the muscles are relatively stiff, and the actions such as running, climbing, and playing ball cannot be completed accurately. Second, when standing still, the body may shake back and forth, and the water is unstable, and it is easy to hit the door or wall when walking.
Thirdly, the action response is not flexible, it is difficult to lift heavy objects, and some simple movements cannot be completed smoothly and quickly. Fourth, there may be a feeling of dizziness in the head, and in severe cases, it will be accompanied by vomiting symptoms. This is the early omen.
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Symptoms before cerebellar atrophy include incontinence, paralysis, cognitive loss, and long-term bed rest can lead to complications such as lung infections, urinary tract infections, bedsores, deep vein thrombosis of the lower limbs, malnutrition, fractures, and can be life-threatening. If the patient has multiple system atrophy. For patients with cerebellar atrophy, they should pay more attention to functional exercise in daily life, increase social interaction activities, read more books, read more newspapers, often participate in group activities, participate in physical exercise appropriately, improve nutrition, reasonable diet, maintain nutritional balance, and mental health.
Have a friend by your side and don't make the patient feel lonely. For cerebellar atrophy, the first thing to do is to be active and actively cooperate with the doctor. Signs of cerebellar atrophy before death include:
Incontinence, paralysis, cognitive loss, manifestations of severe dementia, complete inability to take care of oneself and even life-threatening. For patients with cerebellar atrophy, it is necessary to pay more attention to functional exercises in daily life, increase social activities, read more books, read more newspapers, often participate in group activities, participate in exercise activities moderately, improve nutritional status, and maintain balanced nutrition and mental health with a reasonable diet. Be with us and don't make the patient feel lonely.
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As a precursor to cerebellar atrophy, patients will develop symptoms of autonomic dysfunction, such as orthostatic hypotension, sexual dysfunction, and sweating disorders, and ataxia is the most prominent symptom of cerebellar dysfunction. Patients may also present with symptoms such as weakness and weakness in both lower limbs.
Secondly, patients with cerebellar atrophy will also have eye movement disorders in the early stage, as well as slow spontaneous activities, inflexibility, unsteady gait, and balance disorders. Patients may also experience dizziness, dysarthria, difficulty swallowing, and choking on water. Once clinical symptoms appear, it is necessary to go to the hospital for examination as soon as possible, because cerebellar atrophy is a relatively serious disease.
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In the past, there will be some symptoms, such as memory loss, I or always want to go to the past, there are some precursor symptoms of headaches, it is best to pay attention to the examination in advance.
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