PassPACES-MRCP Neurology Station
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what about Magnetic gait caused by frontal lobe lesion
brebesh 1 year ago
it goes more with festinates gait of parkinsonisim..it woud be supported by finding rigidity of the limbs plus tremor.nph more presnt with gait apraxia and march apetits pas the limb exam would b normal
mazinmjd 3 years ago
Parkinsons most likely. Shuffling gait, slow movement, rigidity, leaning slightly forward and expressionless face. Pill rolling of fingers would have been a dead give away.
dhukka123 3 years ago
parkinsons definitely tops the list, give a trial dose of L-dopa (of course depending on pt. ALT AST levels and relavent hepatic Hx)with some entacapone, this is definitely the cheapest wapy to do it.
If that doesn't work go onto a spinal tap with a pressure reading.
But the main reason for parkinsons is there is no wide ataxic gait. NPH is much more rare.
bigdocpmd 4 years ago
Definitely, Parkinson disease is the first differential, but the gait is a bit suspicious and with a failure of ignition.
Firewall2153 4 years ago
I vote for Normal Pressure Hydrocephalus.. Look at the magnetic gait.
Firewall2153 4 years ago
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MySeizures 4 years ago
I vote for Parkinson, the patient is old and may have some added arthritis of course. She is about to sit down and play POKER, je,je,je!!!
margerlop 4 years ago
Absence of arm swing, blank facial expression, no blinking, shuffling gait = PARKINSON's
Definately NOT ALS, no if ands or buts
trichotillomania1 4 years ago
Absence of an arm swing, blank facial expression, no blinking, shuffling gait = PARKINSON'S
This is definately NOT ALS
trichotillomania1 4 years ago