title: [Cerebellar cognitive affective syndrome].
abstract: BACKGROUND
  The diagnosis of Cerebellar Cognitive Affective Syndrome should be considered in patients with cerebellar lesions who also suffer cognitive deficits associated with visuospatial or executive neuropsychological disorders, expressive language disorders and affective disorders.
  
  
  METHODS
  A 16 year old adolescent diagnosed with Attention Deficit Hyperactivity Disorder at the age of 7 presents with emotional instability, apathy, and speech and reading difficulties. Neuropsychological tests show visuospatial difficulties. A brain magnetic resonance imaging is performed due to impaired coordination and fine motor movements and shows atrophy of the cerebellar vermis. The clinical picture suggests a diagnosis of Cerebellar Cognitive Affective Syndrome. The cerebellum is mostly known for its motor role. However, it is also involved in higher cognitive functions, expression of emotion and behavioral regulation. Cerebellar Cognitive Affective Syndrome is a relatively unknown diagnosis and should be included in the differential diagnosis of neuropsychiatric disorders with cerebellar lesion.
authors: Servicio de Pediatría, Hospital del Mar.
authors: Laura
authors: L
authors: Garriga-Grimau
authors: Unidad de Neuropediatría, Hospital del Mar, Barcelona, España.
authors: Gemma
authors: G
authors: Aznar Lain
authors: Centro de Salud Mental Infanto-Juvenil.
authors: María T
authors: MT
authors: Nascimiento
authors: Centro de Salud Mental Infanto-Juvenil.
authors: Araitz
authors: A
authors: Petrizan Aleman
mesh_terms: D000293:Adolescent; D002526:Cerebellar Diseases / Q000175:diagnosis; D003072:Cognition Disorders / Q000175:diagnosis; D005260:Female; D006801:Humans; D019964:Mood Disorders / Q000175:diagnosis