{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:39:54Z","timestamp":1792791594931,"version":"4.5.0"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nEmerging research expands our understanding of the cerebellum beyond motor control to include cognitive, emotional, and autonomic functions. This review examines the cerebellum\u2019s complex role, spotlighting Schmahmann\u2019s syndrome, or cerebellar cognitive affective syndrome (CCAS), which impairs executive functions, language, and spatial processing. It emphasizes advancements in diagnosing CCAS and the imperative of developing superior diagnostic tools for managing cerebellar pathologies effectively.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nA comprehensive literature search was performed using databases such as PubMed, OVID Embase, and OVID Medline. Using the keywords \u201ccerebellar cognitive, affective syndrome\u201d and \u201cSchmahmann syndrome,\u201d the search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines for systemic review, in which the selection process narrowed down an initial set of 54 articles to 12, focusing on the impact of the CCAS scale on diagnosing and understanding Schmahmann\u2019s syndrome.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nThe review\u2019s analysis confirms the cerebellum\u2019s roles in motor and cognitive functions and underscores the CCAS scale as a significant advancement in detecting cerebellar deficits, surpassing traditional assessments such as the mini-mental state examination and Montreal cognitive assessment.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThis review emphasizes the importance of understanding the cerebellum\u2019s involvement in cognition and emotion and the crucial role of the CCAS scale for identifying cerebellar impairments. It calls for better diagnostic tools to assess CCAS accurately and suggests enhancing the CCAS Scale to reflect cultural and educational diversity. This will improve the diagnosis and treatment of cerebellar disorders, promoting a comprehensive neurological perspective on the cerebellum\u2019s functions.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_226_2024","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T05:14:17Z","timestamp":1714108457000},"page":"141","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Redefining cerebellar assessment: A comprehensive review of the cerebellum\u2019s cognitive and affective roles and the efficacy of CCAS scales"],"prefix":"10.25259","volume":"15","author":[{"given":"Albert","family":"Alan","sequence":"first","affiliation":[{"name":"Global Neurosurgical Alliance, Tucson, Arizona, United States"},{"name":"College of Medicine, The University of Arizona College of Medicine - Tucson, Arizona, United States"},{"name":"Department of Neurosurgery, University of Arizona, Tucson, Arizona, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Ennabe","sequence":"additional","affiliation":[{"name":"Global Neurosurgical Alliance, Tucson, Arizona, United States"},{"name":"College of Medicine, The University of Arizona College of Medicine - Phoenix, Arizona, United States,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muath","family":"Alsarafandi","sequence":"additional","affiliation":[{"name":"Global Neurosurgical Alliance, Tucson, Arizona, United States"},{"name":"Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine, Palestinian Territory, Occupied"},{"name":"College of Medicine, Islamic University of Gaza, Rafah Refugee Camp, Rafah, Palestinian Territory, Occupied"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noor","family":"Malik","sequence":"additional","affiliation":[{"name":"Global Neurosurgical Alliance, Tucson, Arizona, United States"},{"name":"Department of Neurosurgery, Mayo 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