Cerebellum coordinates and regulates the movements of the body. Cerebellar atrophy is a condition characterised by degeneration of the cerebellum. Cerebellar atrophy results in impairment in day to day life activities since it alters the body movement, posture, gait and speech. In this case study, a 42 year old male patient approached OPD complaining of progressive decline in memory, occasional imbalance while walking and decreased sleep. The patient was treated with Shirodhara with Jatamansi Siddha Ksheera Dhara, Nasya with Jatamansi Siddha Taila for 7 days, Dhanvantaram Taila Talam, Sarvanga Abhyanga along with internal administration of Vidaryadi Kashaya, Chandraprabha Gudika and Dhanvantaram Gudika. The patient had significant overall relief of signs and symptoms of Cerebellar atrophy. This case study focuses on the effect of Ayurvedic Management Cerebellar Atrophy.