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Chapter 10 - Gait Disturbances

from Section 2 - Common Neurologic Presentations: A Symptom-Based Approach

Published online by Cambridge University Press:  10 January 2024

Thomas P. Campbell
Affiliation:
Allegheny Health Network, Pittsburgh
Kevin M. Kelly
Affiliation:
Allegheny Health Network, Pittsburgh
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Summary

Abnormalities of gait are commonly seen in the emergency department (ED) and often reflect some disorder of the nervous system. Station and gait is unique to each individual and reflects gender, age, body habitus, mood, and even culture. The goal of evaluation is to determine what part(s) of the nervous system are involved by the type of gait observed. The evaluation is individualized depending on the patient’s ability to ambulate safely. Patients may be observed standing with eyes open, eyes closed, and ambulating. They may be asked to walk on their toes, heels, or tandem walk, or hop on one foot at a time. The use of assistive devices may be indicated. Different types of gait disturbance are described with regard to neuroanatomical localization and specific neurological disorders.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

Ropper, AH, Samuels, MA, Klein, J, Prasad, S (eds.). Adams and Victor’s Principles of Neurology, 11th ed. McGraw-Hill, 2019.Google Scholar

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