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55 Possible Causes for Abnormal Finger-to-Nose Test, Abnormal Gait, Extremity Ataxia

  • Primary Progressive Multiple Sclerosis

    Later in the course of the disease there may be extreme emotional lability, ataxia, abnormal reflexes, and difficulty in urinating.[medical-dictionary.thefreedictionary.com] A key symptom associated with PPMS is difficulty walking. This may result from the damage to the spinal cord that occurs with PPMS.[medicalnewstoday.com] People with PPMS may have trouble with balance and coordination or have difficulty walking.[healthline.com]

  • Alcoholic Cerebellar Degeneration

    Other impairments on the neurologic exam that may raise suspicion for a cerebellar disorder include: impaired heel-shin test, impaired finger-nose-finger test (dysmetria),[mdedge.com] In Friedreich ataxia, gait unsteadiness begins between ages 5 and 15; it is followed by upper-extremity ataxia, dysarthria, and paresis, particularly of the lower extremities[merckmanuals.com] Cerebellar ataxia differs from gait problems due to abnormalities in other parts of the nervous system, such as the abnormal gait seen in Parkinson’s disease, normal pressure[hopkinsmedicine.org]

  • Tabes Dorsalis

    The condition tends to present 15 to 20 years after the initial infection and is characterized by lightening-like pains in the lower extremities, URINARY INCONTINENCE; ATAXIA[profiles.umassmed.edu] The condition tends to present 15 to 20 years after the initial infection and is characterized by lightening-like pains in the lower extremities, Urinary incontinence ; Ataxia[jove.com] gait (see GAIT DISORDERS, NEUROLOGIC), OPTIC ATROPHY; Argyll-Robertson pupils, hypotonia, hyperreflexia, and trophic joint degeneration (Charcot's Joint; see ARTHROPATHY,[profiles.umassmed.edu]

  • Parkinson's Disease

    […] insomnia. 54 Less frequently reported effects in 1% to 5% of patients are depression, anxiety and irritability, hallucinations, confusion, anorexia, dry mouth, constipation, ataxia[ncbi.nlm.nih.gov] […] disturbance Abnormal gait Abnormal walk Impaired gait [ more ] 0001288 Hallucinations Hallucination Sensory hallucination [ more ] 0000738 Hyperreflexia Increased reflexes[rarediseases.info.nih.gov] […] somnolence, nervousness, dream abnormality, agitation, dry nose, diarrhea, mild fatigue and reversible dizziness, lethargy, anticholinergic effects, livedo reticularis, and lower-extremity[ncbi.nlm.nih.gov]

  • Cerebellar Infarction

    Her examination was significant for lethargy, dysarthria, bilateral upper extremity ataxia, and bilateral inferomedial gaze deviation.[stroke.ahajournals.org] The most frequent symptoms (vertigo, nausea, vomiting, headaches, dysarthria, abnormal gait) were not different from what was found in the main series of cerebellar infarcts[jnnp.bmj.com] Examine arms for limb ataxia (see above): rebound of outstretched arms, finger-nose test for past pointing, check for dysdiadochokinesis.[patient.info]

  • Cerebellar Hemorrhage

    The neurological examination showed ataxia, myoclonus and dystonia in the right upper extremity.[ncbi.nlm.nih.gov] walking.[jamanetwork.com] […] to avoid the development of hearing loss, ataxia, and tonsillar herniation.[ncbi.nlm.nih.gov]

  • Wernicke Encephalopathy

    […] voice, inattention, ataxia, and binocular diplopia after a voluntary 59-kg weight loss over 5 months.[ncbi.nlm.nih.gov] Wernicke encephalopathy (WE) commonly presents with oculomotor abnormalities, gait ataxia and confusion.[ncbi.nlm.nih.gov] The diagnosis was supported by abnormal serum thiamine and disappearance of the gait disturbance after administration of intravenous thiamine.[ncbi.nlm.nih.gov]

  • Cerebellar Mass Lesion

    […] to nose test abnormality Gait disturbance/abnormality Headache Headache improved with position change Headache worse with position change Headache worse with valsalva/Bowel[howmed.net] This will be due to ataxia involving the lower extremities (not the truncal ataxia with vermis lesions (see below).[casemed.case.edu] ., “double crossed’) between the cerebellum and spinal cord Lesions of the cerebellar hemispheres cause ataxia in the extremities ipsilateral to the side of the lesion Lesions[brainaacn.org]

  • Subacute Combined Degeneration of Spinal Cord

    Case Presentation: A 28‐year‐old nursing student with a history of bipolar disorder presented to Tucson Medical Center with symptoms of ataxia and bilateral lower‐extremity[shmabstracts.com] Numbness of the limbs and trunk is an early symptom; weakness, clumsiness and spasticity, abnormal reflexes, gait ataxia develop later.[neuroanatomy.wisc.edu] He presented acutely with tremors, diaphoresis, insomnia, ataxia (progressive over the last three months), lower extremity paresthesias, decreased somatosensory perception[em-consulte.com]

  • Huntington's Disease

    Muscles may become extremely rigid and gait may show signs of ataxia. Chorea may also be mixed with other movement disorders such as dystonia.[encyclopedia.com] Gait abnormalities: Gait abnormalities start developing in the intermediate stage of the disease. The gait is irregular and unsteady.[symptoma.com] He had depression, poor cognitive function, choreiform movements, difficulty pronouncing words, and difficulty walking.[ncbi.nlm.nih.gov]

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