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Cerebellar atrophy is a degeneration of the cerebellum, a section of the brain responsible for balance, voluntary muscle movements, and posture.People with damage to the cerebellum can experience symptoms like unsteady gait, poor muscle control, and trouble speaking or swallowing.erebellar atrophy is a degeneration of the cerebellum, a section of the brain responsible for balance, voluntary muscle movements, and posture.
There are many types of cells that make up the cerebellum. The most important is called Purkinje cell, which gives out information from the cerebellum back to the cerebrum and also to the brain stem and spinal cord. Loss (death) of the Purkinje cell is the most common finding in cerebellar ataxia from any cause. The absence of a functioning Purkinje cell causes the cerebellum to shrink. This shrinkage can sometimes be seen through magnetic resonance imaging (MRI) scans. The Purkinje cell is quite sensitive to decreased blood flow, alcohol, and other toxins, including some medications. It is also sensitive to heat stroke.