The most severe cerebellar atrophy will result in swallowing dysfunction, swallowing difficulties, and eventually nasal feeding for liquid diet, because the cerebellum will also affect the language function, and eventually there will be slurred words. The cerebellum has a role in maintaining body balance, and if it is severely atrophied, there will eventually be changes in muscle tone, body incoordination, limb incoordination, affecting limb movement, and eventually bedridden. 2. Patients with cerebellar atrophy will also have a severe tremor of the limbs, showing Parkinson’s-like episodes, so the most serious cerebellar atrophy is affecting the function of language, and there will be a complete inability to speak. It also affects the swallowing function and requires nasal feeding to maintain the diet. Finally, the motor function is affected, with complete immobility and tremor of the limbs.