Clinical Flashcards
How would Cerebellar ataxia present?
patient stands with wide base, and has irregular unsteady steps. In the videos it looks like they’re testing the ground like a person on a suspension bridge tests the next wooden board.
Sensory ataxia would present how?
abrupt leg movement with slapping impact of the feet and looking down.
Describe a Festinating gait
narrow base. Miniature shuffling steps as in parkinsons disease.
Describe an apraxic gait
Difficulty initiating gait. “Feet glued to the floor.” Seen in Parkinsons Disease and NPH.
Make sure you know the physiologic reason for the challenges PD patients have with initiating and stopping motion such as walking.
Describe a Stork gait
LMN. High stepping gait, due to peroneal nerve weakness, foot drop compensation
Describe a spastic gait
UMN. scissoring (legs turned inward), stiff legged
What is astasia-abasia?
Functional disorder where someone is unable to walk regular, despite normal motor, sensory, and cerebellar function.
How might you test suspected cerebellar dysfunction other than using the romberg, or rapid alternating movements. tests?
Steward Homes rebound test
arms flexed at elbow, you pull on them (normal part of neuro exam) and when you release they pull their arms in and may punch themselves in the face.
Which of the following is a pathologic finding associated with Alzheimer Dementia?
A. All are pathologic findings B. Amyloid angiopathy C. Granulovacuolar degeneration D. Neuritic plaques E. Neurofibrillary tangles
A
