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42 Possible Causes for Broad-Based Gait, Positive Romberg Sign

  • Tabes Dorsalis

    The patient's ataxia was evident as she walked with a broad-based gait.[] Romberg's sign. 05:36 And as you know, a positive Romberg is a measure of how the posterior columns are working. 05:45 So you have the patient stand with feet together, hands[] The Romberg sign was positive and the gait was ataxic and high stepping.[]

  • Subacute Combined Degeneration of Spinal Cord

    His gait was broad based with spinal ataxia. Decreased graphaesthesia was found on the lower limbs, the lower part of the trunk and on the upper limbs.[] ; and a positive Romberg test.[] Older age, sensory deficits, anemia, positive Romberg and Babinski signs are negatively correlated with complete resolution.[]

  • Ataxia Telangiectasia

    In addition, the spinal signs involving posterior and lateral columns along the positive Romberg's sign (inability to maintain balance when the eyes are shut and feet are[] These patients do, however, have scoliosis and a positive Romberg's sign.[]

  • Nitrous Oxide

    A broad-based gait and a positive Romberg sign were noted. The level of vitamin B12 was low (76 pmol/l).[] He was found to have dysmetria, poor proprioception, decreased sensation to vibration and light touch over his extremities, and a mildly positive Romberg sign.[] A broad-based gait and a positive Romberg sign were noted. The level of vitamin B12 was low (76 pmol/l).[]

  • Hereditary Areflexic Dystasia

    Romberg sign Gliosis Adult onset Congestive heart failure Limb ataxia Impaired vibratory sensation Acidosis Myelin tomacula Dystonia Sensorineural hearing impairment Hearing[] […] deterioration Confusion Rigidity Hypertonia Spasticity Gait instability, worse in the dark Distal sensory impairment of all modalities Distal sensory loss of all modalities Positive[]

  • Diabetic Pseudotabes

    In addition to the broad-based, stamping gait, which becomes worse when patients try to walk in the dark, abnormal findings included diminished vision owing to optic atrophy[] […] and vibration sensibility Tabetic gait; positive Romberg sign Absent reflexes Frequent foot ulcers and arthropathy Mononeuritis or Mononeuritis Multiplex General features[] Romberg's sign): · vitamin B 12 deficiency (subacute combined degeneration of the cord) tabes dorsalis (syphilis) CEREBELLO-PONTINE ANGLE LESION · acoustic / vestibular neuroma[]

  • Bickerstaff Brainstem Encephalitis

    On exam, he had right arm and leg ataxia, symmetrically hyperactive reflexes, broad-based ataxic gait, and nausea with vomiting.[] She had positive Romberg sign and failed the right heel-knee-tibia tests.[] based ataxic gait.[]

  • Sensory Ataxic Neuropathy - Dysarthria - Ophthalmoparesis Syndrome

    Truncal ataxia Impaired vibratory sensation Broad-based gait Brisk reflexes Ankle clonus Head tremor Abnormal pyramidal sign Jerky ocular pursuit movements Coma Hepatomegaly[] Romberg sign * Depression * Dysphagia * Nystagmus * Reduced position sense * Mild cognitive impairment * Reduced vibration sense * Balance problems * Frequent falls * Muscle[] Broad-based, staggering 18 19.[]

  • Autosomal Dominant Sensory Ataxia

    Gait and posture The patient may have a broad-based gait, with a poor turn; there is often a lurching quality to the overall sequence.[] A loss of balance upon eye closure is a positive Romberg sign and is interpreted as indicating a deficit in proprioception.[] Romberg's sign .[]

  • Idiopathic Bilateral Vestibulopathy

    Bilateral vestibulopathy As mentioned above, these patients have minimal vertigo, but present with postural imbalance, broad-based gait, increased gait variability, and oscillopsia[] They complained of oscillopsia while moving their body or head and showed positive Romberg’s signs.[] All three patients had episodes of recurrent vertigo without spontaneous, gaze-evoked, or positional nystagmus at the time of examination.[]

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