Tandem Gait Neurological Exam

It is informative in a wide variety of disorders ranging from cerebellar disease to vestibular and peripheral neuropathies parkinsonism and other neurodegenerative conditions. She also demonstrated fine motor weakness affecting the left hand more than the right. It is informative in a wide variety of disorders ranging from cerebellar disease to vestibular and peripheral neuropathies parkinsonism and other neurodegenerative conditions.

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Records of recent lab work demonstrated significant vitamin b12 and folate deficiencies which supported a nutritional optic neuropathy diagnosis.

Tandem gait neurological exam. Tandem gait testing is an integral part of the neurological exam. Exam results for natural gait heel toe walking and tandem gait are all normal. Perhaps the most important part of the 5 minute neurological exam b. Comprehensive single system exam neurological with auscultation of either the carotid or the heart.

The patient should be able to balance without falling or stepping to the side. Neurologic examination for adults videos and descriptions an anatomical approach. Test tandem gait by asking the patient to walk a straight line while touching the heel of one foot to the toe of the other with each step. Tandem gait have the patient walk heel to toe.

Heel to toe walking is highly useful in testing for ethanol inebriation and is often used by police officers in examining potential drunk drivers. Return to the list of exams. Patients with truncal ataxia caused by damage to the cerebellar vermis or associated pathways will have particular difficulty with this task since they tend to have a wide based unsteady gait and become more unsteady when attempting to keep their feet close together. Most elderly patients have difficulty with tandem gait purportedly due to general neuronal loss impairing a combination of position sense strength and coordination.

Tandem gait testing is an integral part of the neurological exam. Look for asymmetries and sustained clonus c. The tandem gait test is a physical exam technique in which the patient is asked to walk in a straight line with one foot immediately in front of the other heel to toe with arms down by their side. Look at the base stride arm swing turns and symmetry.

Don t over interpret the babinski sign 7. The normal adult exam and its paragraph and neuromuscular versions are compatible with comprehensive exam requirements for highest level of billing level iii for admissions v for consults and office visits according to cms. A neurologic exam revealed tandem gait ataxia and a positive romberg test suggestive of cerebellar dysfunction. Heel and toe walking video.

The only purely objective part of the neurological exam b.