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822 Possible Causes for Abnormal Gait, Confusion, Extremity Ataxia

  • Stroke

    Ataxia, imbalance, unsteadiness, or disequilibrium. Vertigo, with or without nausea and vomiting. Diplopia (ophthalmoplegia). Dysphagia or dysarthria.[patient.info] Asymmetric step length is a common abnormal gait pattern in hemiplegic stroke patients.[ncbi.nlm.nih.gov] The symptoms of a stroke include sudden numbness or weakness, especially on one side of the body; sudden confusion or trouble speaking or understanding speech; sudden trouble[ninds.nih.gov]

  • Pernicious Anemia

    We describe a case of a young black woman with gradually progressive lower extremity paresthesias, weakness, and ataxia as the primary presenting symptoms of pernicious anemia[ncbi.nlm.nih.gov] Neurological symptoms may include muscular weakness and abnormal gait.[orpha.net] Severe vitamin B12 deficiency can cause neurological problems, such as confusion, dementia, depression, and memory loss.[web.archive.org]

  • 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] […] weeks, and include progressive weakness on one side of the body or clumsiness of limbs, disturbance of vision, and changes in thinking, memory, and orientation leading to confusion[ocrevus.com]

  • Vitamin B12 Deficiency

    In later stages, spasticity, extensor plantar responses, greater loss of position and vibratory sensation in the lower extremities, and ataxia emerge.[merckmanuals.com] Neurologic signs and symptoms: Numbness—tingling Weakness of legs, arms, trunk Impaired vibration—position sense Abnormal reflexes Unsteady or abnormal gait Balance problems[b12awareness.org] Treating this condition promptly can help prevent serious complications, like confusion and depression.[everydayhealth.com]

  • 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] Two patients had confusion, ataxia, or ocular changes and low serum thiamine levels, which resolved with parenteral thiamine.[ncbi.nlm.nih.gov]

  • 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] Lethargy, irritability, mood swings and confusion have been registered in SCD patients. Dementia is a rare finding.[symptoma.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] The dementia symptom I noticed the most was how easily she was confused by things.[hdlf.org]

  • Creutzfeldt Jakob Disease

    , gait abnormalities, dementia, dysarthria, ocular dysmetria, and hyporeflexia or areflexia in the lower extremities.[doi.org] People with CJD will have ataxia, or difficulty controlling body movements, abnormal gait, speech, and dementia. It is always fatal, and there is no cure.[medicalnewstoday.com] She was mildly confused, with left-sided hyperreflexia, a wide-based gait, and intention tremor in her left upper limb.[ncbi.nlm.nih.gov]

  • Tick Paralysis

    We report the case of a 5-year-old girl with TPS manifested as lower extremity ataxia and paralysis and briefly discuss the salient features of TPS.[ncbi.nlm.nih.gov] The child’s problems began some 30 hours earlier with a tingling in her fingers and progressed over the next day to leg weakness and difficulty walking.[sciencedaily.com] Tick paralysis (tick toxicosis)--one of the eight most common tickborne diseases in the United States (1)--is an acute, ascending, flaccid motor paralysis that can be confused[ncbi.nlm.nih.gov]

  • Subacute Sclerosing Panencephalitis

    SSPE has been extremely rare since the early 1980s.[cdc.gov] Soon after, she developed difficulty walking and often talked to a “friend” who was not present.[pediatrics.aappublications.org] SSPE should not be confused with acute disseminated encephalomyelitis which has a similar cause but very different timing and course.[en.wikipedia.org]

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