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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e Chapter 163. Ataxia and Gait Disturbances Sections: Ataxia and Gait Disturbances: Introduction, Pathophysiology, Clinical Features, Diagnosis, Special Populations, References. Topics Discussed: ataxia; gait ataxia; gait disorders, neurologic. Excerpt:"Ataxia and gait disturbances may be symptoms of a variety of
disease processes and generally are not themselves diagnoses. Ataxia
is the failure to produce smooth intentional movements. Gait disorders
include ataxic gait as well as a variety of other conditions. The
presenting complaint may be articulated by the patient or family
as weakness, dizziness, stroke, falling, or another nonspecific
or even inaccurate chief complaint. These symptoms must always be
viewed in the context of the patient's overall clinical
picture. For example, in a patient with the inability to walk, hemiplegia
would not be considered primarily a gait disturbance. However, if
the intraparenchymal hemorrhage were in the cerebellum, the inability
to walk may be one of the dominating signs and symptoms. In this
chapter, acute ataxia and disorders of gait are emphasized and the
more common disorders are listed in Table 163-1...."
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