How is the cerebellar system assessed in the evaluation of transient ischemic attack (TIA)?

Updated: Dec 03, 2018
  • Author: Ashish Nanda, MD; Chief Editor: Andrew K Chang, MD, MS  more...
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Answer

The cerebellar system can be tested by assessing ocular movement, gait, and finger-to-nose and heel-to-knee movements, with an eye to signs of past-pointing and dystaxia, hypotonia, overshooting, gait dystaxia, and nystagmus. The speech and language system can be tested to assess for both aphasia and dysarthria. Mental status can be assessed formally (eg, with the Mini-Mental Status Examination or Quick Confusion Scale) or as part of the patient’s overall response to questions and interactions with the examiner.


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