Gait disturbance resident survival guide
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Moises Romo M.D.
Synonyms and Keywords:
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
Common Causes
- Cerebellar lesions
- Cerebellar degeneration
Diagnosis
Shown below is an algorithm summarizing the diagnosis of Gait disturbance according to the American Academy of Neurology guidelines.
Gait disturbance | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Occurs consistently with locomotion (can vary in severity) | Occurs intermittently during locomotion (may vary in severity and frequency) | Suffers from more than one continuous disturbance, or continuous and episodic disturbances, for example, are possible. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Continuous | Episodic | Mixed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Transient inability to create effective stepping | Unintentional increase in speed, usually with small steps | Transient loss of balance | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Freezing | Festination | Disequilibrium | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Disequilibrium and hypermetria of stance and gait | Associated with increased postural tone | Slow or small steps and/or slow or small postural | Involuntary movements | Associated with muscle weakness or paralysis | Static, axial postural deformities | Secondary to musculo-skeletal or central pain | Higher level | Sometimes it may be difficult to classify the continuous nature of the gait disturbance | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Ataxic | Spastic | Bradykinetic/hypokinetic | Dyskinetic/Choreic/Dystonic | Paretic | Trunkal | Antalgic | Frontal | Undetermined | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according to the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.