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228 Possible Causes for Abnormal Gait, Extremity Ataxia, MRI Scan of the Brain Abnormal

  • Stroke

    Ataxia, imbalance, unsteadiness, or disequilibrium. Vertigo, with or without nausea and vomiting. Diplopia (ophthalmoplegia). Dysphagia or dysarthria.[] Asymmetric step length is a common abnormal gait pattern in hemiplegic stroke patients.[] […] to identify abnormalities in the brain arteries (such as aneurysms) or other sources of bleeding, and structural MRI if this shows no cause.[]

  • Primary Progressive Multiple Sclerosis

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

  • Cerebellar Hemorrhage

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

  • Cerebellar Infarction

    Her examination was significant for lethargy, dysarthria, bilateral upper extremity ataxia, and bilateral inferomedial gaze deviation.[] 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[] On neurological examination he had right cerebellar ataxia.[]

  • Lyme Neuroborreliosis

    The most remarkable finding was her ataxia, both truncal and right upper and lower extremity. There was no meningism.[] Despite the potential complications of Lyme disease -- the difficulty walking, extreme fatigue, numbness and severe joint pain that can linger for years -- many residents[] Rarely, early neuroborreliosis may involve inflammation of the brain or spinal cord, with symptoms such as confusion, abnormal gait, ocular movements, or speech, impaired[]

  • Cerebellar Mass Lesion

    This will be due to ataxia involving the lower extremities (not the truncal ataxia with vermis lesions (see below).[] Gait disturbance/abnormality Headache Headache improved with position change Headache worse with position change Headache worse with valsalva/Bowel movement Headache/worsened[] Month #6 MRI brain scan with and without contrast showed no significant change compared to previous MRI.[]

  • Pelizaeus-Merzbacher Disease

    SPG2-like disease - there is spastic paraplegia from childhood, mild cognitive impairment, ataxia and athetosis (continual slow movements, especially of the extremities).[] He developed normally until 5 years of age when he began to deteriorate with scanning speech and gait abnormality. Auditory brainstem responses were normally preserved.[] Neurologic examination revealed cerebellar ataxia and tremor, choreoathetosis, proximal extremity weakness, and dystonic posturing.[]

  • Diffuse Cerebral Sclerosis of Schilder

    Clinical findings Onset at age 5 and 10 with reversal of neurologic milestones, seizures, ataxia, Addison's disease, degeneration of visual and auditory function.[] The most common symptoms are usually behavioral changes such as abnormal withdrawal or aggression, poor memory, and poor school performance.[] Upper abdomen computed tomography scan showed no structural abnormalities.[]

  • Creutzfeldt Jakob Disease

    , gait abnormalities, dementia, dysarthria, ocular dysmetria, and hyporeflexia or areflexia in the lower extremities.[] 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.[] Other non-invasive tests can be very helpful, however: Computed tomography (CT) and magnetic resonance imaging (MRI) scans may be done to look for atrophied (shrunken) brain[]

  • Cerebellar Hemangioblastoma

    Ataxia in the extremities, dysmetria, and intention tremor are observed in cerebellar hemispheric lesions, whereas vermis lesions produce a broad-based gait and truncal ataxia[] In about 20% of cases, patients undergoing surgery on a tumor in the spinal cord or brain stem temporarily experience slight difficulty walking.[] A 26-year-old woman presented with visual changes in her left eye and difficulty walking.[]

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