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10 - Gait Disturbances

from SECTION II - COMMON NEUROLOGICAL PRESENTATIONS

Published online by Cambridge University Press:  06 August 2009

Jon Brillman
Affiliation:
Department of Neurology Allegheny General Hospital Pittsburgh, Pennsylvania
Sid M. Shah
Affiliation:
Michigan State University
Kevin M. Kelly
Affiliation:
Drexel University, Philadelphia
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Summary

The gait abnormalities are indicative of some disorder of the nervous system. This chapter describes different types of gait disturbance with regard to localization and specific neurological disorders. The different gait disturbances are: senescent gait or early gait apraxia, advanced senescent gait (late gait apraxia), hemiparetic gait, spastic gait, ataxic gait, staggering gait, steppage gait, waddling gait, hysterical gait and antalgic gait. Antalgic gait results from a shortened stance phase or a painful limb. Osteoarthritis is a common cause. The gait of patients with Parkinson's disease and related disorders is stereotyped but may be confused with senescent gait. There is usually a flexion of all limbs and trunk and a tendency to lean forward and accelerate with walking, a disturbance referred to as festination. Tremor commonly accompanies the gait disturbance. Universal flexion is typically associated with the gait of Parkinson's disease.
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Principles and Practice of Emergency Neurology
Handbook for Emergency Physicians
, pp. 109 - 112
Publisher: Cambridge University Press
Print publication year: 2003

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  • Gait Disturbances
    • By Jon Brillman, Department of Neurology Allegheny General Hospital Pittsburgh, Pennsylvania
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.011
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  • Gait Disturbances
    • By Jon Brillman, Department of Neurology Allegheny General Hospital Pittsburgh, Pennsylvania
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.011
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Gait Disturbances
    • By Jon Brillman, Department of Neurology Allegheny General Hospital Pittsburgh, Pennsylvania
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.011
Available formats
×