FN: Gait Disturbance Flashcards Preview

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Flashcards in FN: Gait Disturbance Deck (17):
1

Motor causes

Basal ganglia
UMN bilateral
UMN unilateral
LMN bilateral
LMN unilateral
Mixed UMN and LMN: MAST

2

Basal ganglia defect gait type

Festinating/shuffling

3

Basal ganglia causes

PD
Parkinosnia: MSA, PSP, Lewy body dementia, CBD

4

UMN bilateral gait type

Spastic, scissoring

5

UMN bilateral causes

1. Cord: compression, trauma, hereditary spastic paraparesis, syrinomyelia, transverse myelitis

2. Bihemispheric: CP, MS

6

UMN unilateral gait type

Spastic circumducting

7

UMN unilateral causes

Hemipshere lesion: CMT, GBS
Hemicord: MS, tumour

8

LMN bilateral gait presentation

foot drop bilateral

9

LMN bilateral caues

Polyneuropathy: CMT, GBS
Cora equina

10

LMN unilateral presentation

foot drop - high stepping gait

11

LMN unilateral causes

An horn: polio
Radicular: L5 root lesion
Sciatic/common peroneal nerve: trauma, DM

12

Mix UMN and LMN : MAST

MND
Ataxia: friedrichs
SACD
Taboparesis

13

Sensory causes of Gait disturbance causes

1. Vestibular (Rombergs +ve)
2. Cerebellar
3. Proprioceptive loss
4. Visual loss

14

Vestibular

- Menieres
- Viral labyrinthitis
- Brainstem lesion

15

Cerebellar presentation and causes

Ataxic
- EtOH
- Infarct

16

Proprioceptive Loss (Rombergs+ve)

- Dorsal columns: B12 defiency
- Peripheral neuropathy: DM, EtOH, uraemia

17

Other non sensory no motor causes of gait disturbance

Myopathy, MG/LEMS
Medical: postural hypotension, Stokes-Adams, arthritis

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