Gait

Question 1

Spastic gait is a manifestation of

Answer 1

Stroke or Demyelination, Cerebral Palsy
Paraplegia if scissoring
Hemiplegia

Question 2

If the gait is spastic you would examine for

Answer 2

upper motor neuron signs

sensory level if paraplegia

Question 3

Cerebellar gait is a manifestation of

Answer 3

Alcohol or cerebellar degeneration

Question 4

If the gait is cerebellar examine

Answer 4

for other cerebellar signs

Question 5

Parkinsonian

Answer 5

Parkinson’s disease: lack of arm swing, stooped posture

Question 6

If gait is parkinsonian

Answer 6

Examine for bradykinesia, hypomimia, rigidity, assymetric tremor
Exclude DDx incontinence, frontal release signs
alien limb sign, PSP, cerebellar signs

Question 7

Marche à petits pas

Answer 7

Preserved arm swing and upright posture

Diffuse small vessel disease

Question 8

Sensory ataxic gait

Answer 8

Stamping gait, wide based and apprehensive

Friedrich’s Ataxia, Subacute combined degeneration, Tabes Dorsalis, Cervical myelopathy

Question 9

If the gait is a sensory ataxic gait

Answer 9

Examine for loss of vibration and proprioception sense