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. Author manuscript; available in PMC: 2017 Aug 21.
Published in final edited form as: Cerebellum. 2016 Jun;15(3):369–391. doi: 10.1007/s12311-015-0687-3

Table 5.

Neuropsychiatric features of the cerebellar cognitive affective syndrome. Five domains, each with hyper/hypometric manifestations (from [150])

Positive (exaggerated) symptoms Negative (diminished) symptoms
Attentional Control Inattentiveness Ruminativeness
Distractibility Perseveration
Hyperactivity Difficulty shifting focus of attention
Compulsive and ritualistic behaviors Obsessional thoughts
Emotional control Impulsiveness, disinhibition Anergy, anhedonia
Lability, unpredictability Sadness, hopelessness
Incongruous feelings, pathological laughing/crying Dysphoria
Anxiety, agitation, panic Depression
Autism spectrum Stereotypical behaviors Avoidant behaviors, tactile defensiveness
Self stimulation behaviors Easy sensory overload
Psychosis spectrum Illogical thought Lack of empathy
Paranoia Muted affect, emotional blunting
Hallucinations Apathy
Social skill set Anger, aggression Passivity, immaturity, childishness
Irritability Difficulty with social cues and interactions
Overly territorial Unawareness of social boundaries
Oppositional behavior Overly gullible and trusting