Cerebellar atrophy is mainly due to degenerative lesions of the cerebellum and is mostly seen in the elderly. The number of years that a 60-year-old person with cerebellar atrophy can live depends on the degree of the disease, the patient’s own condition and many other factors. If the primary disease can be detected at an early stage and treated in time, it can help to prolong the survival time, and most elderly people can exist for more than 10 years; while for late detection, heavy disease and poor physical condition, it is difficult to predict the survival time. First of all, the physiological function of the cerebellum is to maintain the balance of the body and coordinate motor functions, when it atrophies, it will appear unstable gait, dizziness, forgetfulness, slurred speech, forgetfulness and other manifestations, and in serious cases, it will be accompanied by physical activity disorders, or even paralysis in bed. Therefore, once the above symptoms appear in the elderly, it is recommended to consult a doctor promptly for imaging and related examinations to confirm the diagnosis and severity of the disease. Secondly, for elderly people with early detection, mild disease and good physical condition, such as occasional memory loss, motor disorders, dizziness, etc., but they have been physically fit and have no underlying diseases, they can improve their ataxia symptoms with medication after consultation. At the same time, they should quit smoking and drinking, eat light and nutritious food, and avoid spicy, greasy and other stimulating food. They should participate in sports and light physical work to help strengthen their body, delay the development of the disease and prolong their survival period. In such cases, the elderly may survive for more than 10 years. In the case of late detection or severe disease, and the elderly themselves suffer from coronary heart disease, hypertension, etc., it is difficult to predict the survival time of the 60-year-old, mainly because the late stage is prone to induce various complications, such as urinary tract infections and lung infections. At this time, whether the primary disease and cerebellar atrophy are treated in time directly affects the survival time of the elderly. At this time, in order to prolong the survival time, the elderly need to timely treat the primary disease such as hypertension to take medication regularly, stabilize blood pressure, return to the hospital for regular review, monitor the medication, and promptly deal with any complications related to hypertension; meanwhile, for cerebellar atrophy, clonazepam, tandospirone, buspirone, liluzole and other drugs can be used for treatment under the guidance of professional doctors to relieve the epilepsy, convulsions, depression and other uncomfortable symptoms caused by cerebellar atrophy. In addition, for paralyzed elderly people, it is recommended to add bedside stalls to prevent bed fall; and to regularly turn over and help the elderly people to buckle their backs and discharge phlegm in time to avoid pressure sores and lung infections, which may affect survival time. In addition, for cerebellar atrophy, it is important to return to the hospital regularly to follow up the progress of the disease, so that the doctor can adjust the drug regimen. Daily attention should be paid to avoid walking too fast and maintaining balance to avoid falls, which may cause fractures in the elderly.