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Handb Clin Neurol. 2018;154:167-180. doi: 10.1016/B978-0-444-63956-1.00010-2.

Cognitive aspects: sequencing, behavior, and executive functions.

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Department of Neurorehabilitation, Fondazione Santa Lucia, Rome, Italy. Electronic address:
Translational Clinical Research Division, Fondazione Santa Lucia, Rome, Italy.
Translational Clinical Research Division, Fondazione Santa Lucia, Rome, Italy; Carlo Besta Neurological Institute, Milan, Italy.


The question posed today is not whether the cerebellum plays a role in cognition, but instead, how the cerebellum contributes to cognitive processes, even in the developmental age. The central role of the cerebellum in many areas of human abilities, motor as well as cognitive, in childhood as well as in adulthood, is well established but cerebellar basic functioning is still not clear and is much debated. Of particular interest is the changing face of cerebellar influence on motor, higher cognitive, and behavioral functioning when adult and developmental lesions are compared. The idea that the cerebellum might play quite different roles during development and in adulthood has been proposed, and evidence from experimental and clinical literature has been provided, including for sequencing, behavioral aspects, and executive functions Still, more data are needed to fully understand the changes of cerebrocerebellar interactions within the segregated loops which connect cerebrum and cerebellum, not only between childhood and adulthood but also in health and disease.


adulthood; behavior; cerebellum; cognition; developmental; executive function; sequencing

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