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From:
Vestibular Disorders Association
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Cerebellar Ataxia & Downbeat Nystagmus - Vestibular Disorders Association
https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/cerebellar-ataxia-downbeat-nystagmus/
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Patients with cerebellar ataxia Patients typically report oscillopsia, imbalance, and unsteadiness that worsens with downgaze, head movement, or walking. Certain medications can help.