15 Warning Signs Of Cerebellar Degeneration

13. Wide-Based Gait

A classic hallmark of cerebellar ataxia is a broad, unsteady walking pattern—feet placed more widely than shoulder-width apart to compensate for poor balance. Patients may stagger, veer off course, or take irregular steps. Gait training with a physical therapist can improve safety since such exercises emphasize weight shifting, trunk control, and the use of assistive devices (e.g., walkers with wide bases). Occupational therapists may also recommend home modifications, like grab bars and non-slip flooring, to prevent falls.

14. Cognitive and Emotional Changes

Although primarily a motor disorder, cerebellar degeneration can also influence cognition and mood—a constellation sometimes called “cerebellar cognitive affective syndrome.” Patients may experience executive dysfunction (difficulty planning or multitasking), slowed thinking, or emotional blunting. Some develop irritability, disinhibition, or apathy. Neuropsychological assessment helps identify specific deficits, which can be addressed through cognitive rehabilitation, mood-stabilizing medications, and psychotherapy focusing on coping strategies for frustration and social communication.