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11 Possible Causes for High-Stepping Gait, Positive Romberg Sign

  • Tabes Dorsalis

    “Tabes dorsalgia” is a related back pain. “ Tabetic gait ” is a characteristic high-stepping gait of untreated syphilis where the patient’s feet slap the ground as they strike[medical-institution.com] 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[lecturio.com] "Tabetic gait" is a characteristic high- stepping gait - Tabetic Ataxia Deafness 6.[slideshare.net]

  • Eating Disorder

    Tabes would cause lancinating pains to the abdomen and high-stepping gait called "walking on cotton."[priory.com] Symptoms begin with sensory loss and progress to lightning pains secondary to atrophy and fibrosis of muscle nerve roots, wasting, Argyll Robertson pupils, a positive Romberg[priory.com] sign, and diminished deep tendon reflexes.[priory.com]

  • Guillain-Barré Syndrome

    Waddling gait..high stepping gait Other systems normal. 11. Key points Rapid progressive ascending paralysis.[slideshare.net] sign.21 The nosological position of acute sensory ataxic neuropathy became clear when affected individuals were compared with patients who had ataxic GBS.33 AntiGQ1b antibodies[vdocuments.net] Hyporeflexia all DTRs,absent ankle Foot drop b/l Babinskinegative,abdominal present Sensory intact Gait –stance narrow based Buckling of knees while walking.[slideshare.net]

  • Ataxia

    Subjects may walk with a high-stepping gait (due to associated motor weakness) or feet-slapping gait (to assist with sound-induced sensory feedback).[ncbi.nlm.nih.gov] An unstable stance - Romberg's sign .[mult-sclerosis.org] As the condition progresses, walking is characterized by a widened base and high stepping, as well as staggering and lurching from side to side.[en.wikipedia.org]

  • Hereditary Areflexic Dystasia

    A typical feature includes weakness of the foot and lower leg muscles, which may result in foot drop and a high-stepped gait with frequent tripping or falls.[mydr.com.au] Romberg sign Gliosis Adult onset Congestive heart failure Limb ataxia Impaired vibratory sensation Acidosis Myelin tomacula Dystonia Sensorineural hearing impairment Hearing[mendelian.co] Foot abnormalities, such as high arches and hammertoes (a condition in which the middle joint of a toe bends upwards), are also characteristic due to weakness of the small[mydr.com.au]

  • Inherited Neuropathy

    A typical feature includes weakness of the foot and lower leg muscles, which may result in foot drop and a high-stepped gait with frequent tripping or falls CMT is caused[mcvitamins.com] Romberg may be positive, but pure cerebellar (nystagmus, dysmetria) or upper motor neuron signs should not be present.[now.aapmr.org] […] toes (hammertoes) Decreased ability to run Difficulty lifting your foot at the ankle (footdrop) Awkward or higher than normal step (gait) Frequent tripping or falling Decreased[mayoclinic.org]

  • Hereditary Motor and Sensory Neuropathy

    […] toes (hammertoes) Decreased ability to run Difficulty lifting your foot at the ankle (footdrop) Awkward or higher than normal step (gait) Frequent tripping or falling Decreased[mayoclinic.org] Romberg may be positive, but pure cerebellar (nystagmus, dysmetria) or upper motor neuron signs should not be present.[now.aapmr.org] Symptoms Signs and symptoms of Charcot-Marie-Tooth disease may include: Weakness in your legs, ankles and feet Loss of muscle bulk in your legs and feet High foot arches Curled[mayoclinic.org]

  • Primary Orthostatic Tremor

    . ( C ) On the other hand, high intensity of tremor activity during walking is accompanied by specific gait alterations, namely increased stride time and length variability[nature.com] The Romberg and Fukuda manoeuvres were normal. Tandem gait was normal. A neurological examination confirmed the absence of associated neurological signs.[elsevier.es] This assumption was further supported by a positive Romberg’s sign, i.e., an aggravated balance disequilibrium in patients with OT while standing with eyes closed 13.[nature.com]

  • Peripheral Motor Neuropathy

    When the patient is walking look for a high stepping gait suggestive of foot drop.[ptpaces.wordpress.com] In patients with severe loss of position sense, there may be athetoid movement of the fingers or arms when the eyes are closed (pseudoathetosis) or a Romberg sign.[aafp.org]

  • Hypobetalipoproteinemia

    stepping gait, can develop in early adulthood in untreated individuals [ Tanyel & Mancano 1997 ].[ncbi.nlm.nih.gov] Romberg sign [ 8 ].[doi.org] stepping gait Loss of proprioception Loss of deep tendon reflexes Affected individuals have normal lipid profiles & no manifestations of fat-soluble vitamin deficiency (e.g[ncbi.nlm.nih.gov]

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