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  • The most common secondary cerebellar ataxias are those caused by toxicity, including alcoholic cerebellar degeneration and drug induced (e.g., lithium, phenytoin, toluene, and anticancer drugs); immune-mediated ataxias, including paraneoplastic cerebellar degeneration, ataxia associated with celiac disease (gluten ataxia) and ataxia with glutamic acid decarboxylase antibodies (anti-GAD); and ataxi
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