It seems like cerebellar stroke recovery doesn’t get much online coverage, making it rather mysterious.
Why is that?
Well, cerebellar strokes only account for about 2% of all strokes, so they get less attention — but we’re trying to change that.
In this article, you’ll learn the major symptoms, side effects, and treatments for cerebellar stroke recovery.
Let’s get started.
Cerebellar Stroke Symptoms
Most strokes are quickly diagnosed using the F.A.S.T. test, which checks for facial drooping, weakness in the arm, and slurred speech.
While 90% of people with stroke will exhibit these symptoms, cerebellar strokes might exude none.
Sometimes, people suffering from cerebellar stroke have intense vertigo and headaches, among other seemingly “benign” symptoms.
In fact, about 1-3% of people admitted to the emergency room for extreme vertigo are actually having cerebellar strokes!
Other cerebellar stroke symptoms include:
- Muscle weakness or paralysis
- Vision problems (like blindness)
Next, we’ll talk about the cerebellum and the potential side effects of cerebellar stroke.
Side Effects of Cerebellar Stroke
Your cerebellum controls your movement, balance, speech muscles, eye muscles, and sensation.
Therefore, common side effects from cerebellar stroke are:
- Weakness or paralysis on one side of the body
- Impaired balance (often extreme)
- Vision problems
- Speech problems (aphasia)
- Sensory issues
You may experience other stroke side effects, but these are the most common ones.
Treatment for Cerebellar Stroke
Treatment for cerebellar stroke depends on the type of stroke: ischemic or hemorrhagic.
Ischemic cerebellar stroke occurs when a blood clot clogs one of the arteries in the cerebellum. Treatment for this type of stroke includes clot-busting drugs like tPA or aspirin.
Hemorrhagic cerebellar stroke occurs when an artery in the cerebellum bursts. This severe type of stroke is often treated through surgery.
Once the stroke has been treated, stroke rehabilitation can begin to heal the aftermath.
Rehabilitation for Cerebellar Stroke
Next we’ll look at the treatment options available for recovering from cerebellar stroke.
1. Massed Practice
The best way to treat movement problems after stroke is with massed practice.
Meaning, if you want to get better at moving your right side, for example, then you need to practice moving your right side.
When you practice something, you activate neuroplasticity, the mechanism your brain uses to rewire itself.
For example, each time you repeat a leg exercise, you strengthen the neural connections in your brain responsible for moving your leg.
The more you strengthen these neural connections through repetitive practice, the smoother your leg coordination will become.
2. Passive Rehabilitation Exercise
But what if you don’t have enough movement to start? How can you engage neuroplasticity when you can’t even move half of your body?
Don’t worry. There’s still hope!
In order to recover from paralysis, you need to begin with passive exercise.
During passive exercise, you move your paralyzed muscles with either the help of your non-affected side or a therapist/caregiver.
Although you aren’t “doing the movement yourself,” this still helps activate neuroplasticity and rewire your brain.
As long as the intention to move your affected muscles is there, then you can work on relinking mind to muscle through neuroplasticity.
For more information, see The Ultimate Guide to Stroke Paralysis Recovery.
3. Core and Stability Training
The balance issues that cerebellar stroke survivors face are often severe. However, you can overcome hard challenges with hard work.
The best way to treat balance issues is with physical therapy (i.e. stroke rehab exercise) and plenty of repetition.
Also, be sure to focus on more than just your legs.
Balance requires effort from your full-body, so make sure to exercise your legs, feet, and core! All these muscles work together to maintain coordination.
4. Vision Restoration Therapy
Good news! Repetitive practice is not limited to movement improvement.
You can use practice to get better at just about everything, including your vision.
Since your eyes are controlled by 6 different muscles, it’s possible to improve your vision by retraining those eye muscles.
Also, sometimes the vision center of the brain is damaged by stroke, and it’s possible to retrain your brain through vision therapy.
It can get tricky, but it’s worth a try, in our opinion.
For more information, see The Ultimate Guide to Treating Vision Problems After Stroke.
5. Speech Therapy
Sometimes cerebellar stroke affects your ability to understand speech or produce speech yourself.
This is a condition known as aphasia that can be treated with (…can you guess where we’re going to go with this?…) repetition!
You can practice various speech exercises to regain language skills after stroke.
We recommend starting by working with a speech-language pathologist.
Then, once you’ve maxed out your therapy sessions, try practicing with free language apps. (You can also use these apps in between therapy sessions!)
6. Sensory Reeducation
These are sensation problems that can be fixed with sensory reeducation exercises.
These exercises help retrain your brain and nervous system how to feel again.
Again, the more you practice, the more your brain begins to rewire itself, and the more your sensation will improve.
Cerebellar Stroke Recovery
Overall, cerebellar stroke recovery is the least-studied type of stroke because it’s rare and difficult to diagnose.
Cerebellar stroke survivors are often left with physical disability, balance problems, vision impairments, and/or language difficulties.
Luckily, all of these side effects can be remedied with massed practice that helps rewire the brain.
If you are a cerebellar stroke survivor, hold faith that there’s hope for your recovery!
With hard work, you might even be able to achieve a full recovery from stroke.