Truncal ataxia: Difference between revisions

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(Created page with "=== Clinic === * '''Truncal ataxia''' is a gait characterized by uncertain starts and stops, lateral deviations and unequal steps. * It is an instability of the trunk and often seen during sitting. * It is most visible when shifting position or walking heel-to-toe. * It affects proximal muscles such as trunk, shoulder girdle and hip girdle. * Truncal ataxia is different from appendicular ataxia. Appendicular ataxia affects the movements of the arms and legs. It is c...")
 
 
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=== Causes ===
=== Causes ===
Truncal ataxia is caused by midline damage to the cerebellar vermis.  
Truncal ataxia is caused by midline damage to the cerebellar vermis.  
 
{| class="wikitable"
==== Dynamic causes ====
|+
 
!Dynamic causes
* Cerebellar ataxia
! colspan="2" |Static causes
|-
|
*[[Cerebellar ataxia]]
* [[MS, Multiple Sclerosis|Multiple sclerosis]]
* [[MS, Multiple Sclerosis|Multiple sclerosis]]
* [[Post viral cerebellar ataxia]]
* [[Post viral cerebellar ataxia]]


* [[GSS, Gerstmann Straussler Scheinker syndrome|GSS]]
* [[GSS, Gerstmann Straussler Scheinker syndrome|GSS]]
* Rett syndrome
* Epilepsy
 
|
==== Static causes ====
*Alcohol intoxication
 
* Cerebral Infarction / Hemorrhage
* Alcohol intoxication
* Cerebral infarction
* Cerebral hemorrhage
* Friedreich's ataxia
* Friedreich's ataxia
* Drugs such as Benzodiazepines, Lithium, Phenytoin
* Drugs: Benzodiazepines, Lithium, Phenytoin


* Adrenoleukodystrophy
* Adrenoleukodystrophy
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* Dandy–Walker syndrome
* Dandy–Walker syndrome
* Dysequilibrium syndrome
* Dysequilibrium syndrome
* Epilepsy
|
* Episodic ataxia: EA is an autosomal dominant disorder characterized by sporadic bouts of ataxia (severe discoordination) with or without [[Myokymia miasms|myokymia]]
*Microcephaly
* Machado–Joseph disease: It  is a rare autosomal dominantly inherited neurodegenerative disease that causes progressive cerebellar ataxia, which results in a lack of muscle control and coordination of the upper and lower extremities.
* Microcephaly
* N-acetylaspartate deficiency
* N-acetylaspartate deficiency
* Neuhauser–Eichner–Opitz syndrome
* Neuhauser–Eichner–Opitz syndrome
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* Spinocerebellar ataxia
* Spinocerebellar ataxia
* Vertebral dissection
* Vertebral dissection
* [[Episodic ataxia]]
* [[Machado Joseph disease|Machado–Joseph disease]]
* [[Rett syndrome]]
|}

Latest revision as of 00:40, 8 December 2023

Clinic

  • Truncal ataxia is a gait characterized by uncertain starts and stops, lateral deviations and unequal steps.
  • It is an instability of the trunk and often seen during sitting.
  • It is most visible when shifting position or walking heel-to-toe.
  • It affects proximal muscles such as trunk, shoulder girdle and hip girdle.
  • Truncal ataxia is different from appendicular ataxia. Appendicular ataxia affects the movements of the arms and legs. It is caused by lesions of the cerebellar hemispheres.


Causes

Truncal ataxia is caused by midline damage to the cerebellar vermis.

Dynamic causes Static causes
  • Alcohol intoxication
  • Cerebral Infarction / Hemorrhage
  • Friedreich's ataxia
  • Drugs: Benzodiazepines, Lithium, Phenytoin
  • Adrenoleukodystrophy
  • Ataxia oculomotor apraxia type 1
  • Branchial myoclonus
  • Christianson syndrome
  • Dandy–Walker syndrome
  • Dysequilibrium syndrome