1.  What accounts for this patient’s difficulty with speech?  What is the term that describes her speech pattern?

2.  Involvement of which structures account for the findings on cerebellar examination?

3.  What accounts for this patient’s gait disorder?

4.  Does this patient exhibit any upper motor neuron signs or symptoms?  Does she exhibit any evidence of a movement disorder?

5.  This patient’s illness constitutes a classic neurologic syndrome.  What is the name of this syndrome?  

6.  In general, what type of pathologic process is involved in this case?