Clinical Presentation
• Progressive unsteadiness when
walking over weeks to months
• Truncal ataxia with
wide-based gait and tandem difficulty
• Mild limb ataxia possible,
legs > arms due to anterior vermis involvement
• Nystagmus / ocular dysmetria
(less common but present sometimes; more often in Wernike’s encephalopathy)
• Rare findings of dysarthria,
tremor, and hypotonia
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