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Patients with cerebellar system involvement had significantly lower physical and social functioning scores compared with those who did not. Patients with brain stem involvement were found to have higher role limitation due to emotional problems, vitality, social functioning, physical pain, and general health perception scores compared with those without brain stem findings. NBD negatively affects many aspects of the quality of life. NBD negatively affects many aspects of the quality of life.Bone represents the second most common site of