Neurology FC from ppt

Question 1

what are the features of an ataxic gait

Answer 1

wide based gait
falls
cannot walk toe to heel
often worse in dark or with eyes closed

Question 2

what are the 2 main causes of an ataxic gait

Answer 2

1. cerebellar problem
2. issue with proprioception

Question 3

what are the cerebellar causes of an ataxic gait

Answer 3

MS
posterior fossa tumour
alcohol
phenytoin toxicity

deficit on same side as lesion (ataxia on right side = right side of cerebellum)

Question 4

what are the features of cerebellar syndrome

Answer 4

ataxia + nsytagmus

Question 5

what are the proprioceptive causes of an ataxic gait

Answer 5

sensory neuropathies - low B12

inner ear problems - affecting the vestibular system

Question 6

what helps you distinguish between proprioceptive and cerebellar causes of ataxic gait

Answer 6

if they can walk normally with their eyes open and the problem starts when they close their eyes - proprioceptive cause

if the problem is there all the time - cerebellar cause

Question 7

what are the features and the causes of a circumduction (spastic) gait

Answer 7

features:
- stiff
- circumduction of the legs
- +/- scuffing of the toe of the shoes

causes:
- stroke (hemiplegia)

Question 8

what are the features and