Alteraciones en la marcha

Question 1

Lift one or both legs when walking, respectively, in order to prevent the foot dragging on the floor.

Answer 1

Stepage / Neuropathic gait

Question 2

Loss of natural arm swing and dragging of the affected leg in a semicircle (circumduction)
On the affected side, the arm may be flexed, adducted, and internally rotated, while the leg is extended and the foot is plantarflexed.

Answer 2

Hemiplejia en EVC

Question 3

Stooped, stomping gait
Gait is exacerbated when patients cannot see their feet (e.g., in the dark)
Romberg test is positive.

Answer 3

Sensory ataxic gait

*Disorders of the dorsal columns (e.g., vitamin B12 deficiency, tabes dorsalis)

Peripheral neuropathies

Question 4

Small, slow steps (bradykinesia), shuffling, and sometimes accelerating, with the head, neck, and trunk leaning forward and flexion at the knees
Difficulty initiating steps (rigidity)

Answer 4

Parkinsoniana

Question 5

Inability to raise the foot off of the floor (magnetic gait), resulting in shuffling
Poor balance and truncal mobility
Difficulty initiating steps

Answer 5

Apraxia de la marcha:
*Bilateral frontal lobe disorders
*Cerebrovascular disease

Question 6

¿A qué nivel se acaba la médula espinal y se puede hacer una punción lumbar?

Answer 6

Debajo de L1

Question 7

Resultados normales de LCR (células, proteínas, glucosa)

Answer 7

Celularidad: 0 a 5

Proteínas: Hasta 60

Glucosa: 2/3 de la glucosa en sangre