Cerebellar Degenration Associated with NNTTR/DNE Antibodies is a Rare Condition that is Seen in Case of Malignancy. However many recent studies have suggested ZIC-4 Antibodies Association with Paraneoplastic Cerebellar Degenration Particularly seen with Small Cell Carcinoma of Lung. However ZIC-4 Antibodt Associated Cases are underestimated beacuse of Prevalence of anti Hu Related Cases. Keywords: Paraneoplastic Cerebellar degeneration, Zic 4 antibody, anti Hu antibody.