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Description

A condition affecting the cerebellum can affect the patient's gait as well as other motor activities.


Clinical features of an ataxic gait:

(1) unsteady with side-to-side sway

(2) broad-based with high steppage

(3) inability to control and coordinate movements accurately (dysmetria), with difficulty walking in tandem

(4) problems with balance

 

The overall appearance is that of a person intoxicated with alcohol.

 

Other findings may be present depending on cause:

(1) gaze-evoked nystagmus

(2) intention tremor

(3) past pointing

(4) difficulty making rapid alternative movements (dysdiadochokinesis)

(5) slurred or scanning speech

(6) muscle hypotonia

 

Complications may include:

(1) falls

(2) impaired mobility

(3) disability


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