What neurological disorders cause unsteady gait?

Neurologic Disease
The weakness of the hip and lower extremity muscles commonly cause gait disturbances. Cerebral palsy, muscular dystrophy, Charcot Marie Tooth disease, ataxia-telangiectasia, spinal muscular atrophy, peroneal neuropathy, and microvascular white-matter disease all cause significant gait disabilities.
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What diseases cause unsteady gait?

Problems with gait, balance, and coordination are often caused by specific conditions, including:
  • joint pain or conditions, such as arthritis.
  • multiple sclerosis (MS)
  • Meniere's disease.
  • brain hemorrhage.
  • brain tumor.
  • Parkinson's disease.
  • Chiari malformation (CM)
  • spinal cord compression or infarction.
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What part of the brain affects gait instability?

Four studies found that lower GM volume in temporal lobe regions [37,38,42,43], cerebellum [37,40,43,44] and basal ganglia, insula, and limbic systems [33,37,38,40] was associated with disrupted gait.
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What is neuropathic gait?

Neuropathic gait.

A neuropathic gait is sometimes known as a foot drop. One foot flops down when your leg lifts up, so you need to pull your knee up high enough to prevent your toes from dragging on the ground when you walk.
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What does ataxic gait look like?

What is Ataxic Gait? Ataxic gait is often characterized by difficulty walking in a straight line, lateral veering, poor balance, a widened base of support, inconsistent arm motion, and lack of repeatability. These symptoms often resemble gait seen under the influence of alcohol.
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Gait Disorders



Is ataxia a form of MS?

Who Gets Ataxia? Ataxia is a common symptom of multiple sclerosis (MS) that affects about 80% of people with the disease. If you have primary progressive or secondary progressive MS, you may be more likely to develop ataxia at some point. Many people with MS have only mild ataxia symptoms.
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What is the most common gait abnormality?

Epidemiology and classification of gait disorders

Among the neurological causes, sensory ataxia (18 %) and parkinsonian (16 %) gait disorders were the most common, followed by frontal (8 %), cerebellar ataxic gait disorders, cautious gait and hypotonic paretic, spastic, vestibular and dyskinetic gait disorders.
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Can neuropathy affect your gait?

Effects of motor neuropathy: Muscle wastage (atrophy) due to motor neuropathy can result in an altered gait pattern, which can make the foot vulnerable to trauma and ulceration.
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Can neuropathy cause gait issues?

Persons with peripheral neuropathy represent one of the largest patient populations with impaired stability. Lower limb peripheral neuropathy (LLPN) includes sensory and motor impairments that result in impaired gait and balance, jeopardizing safe mobility.
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What is gait ataxia?

An unsteady, staggering gait is described as an ataxic gait because walking is uncoordinated and appears to be 'not ordered'. Many motor activities may be described as ataxic if they appear to others, or are perceived by patients, as uncoordinated.
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What causes neuropathic gait?

Neuropathic gait (a.k.a. high-steppage gait) is caused by weakness of the muscles in the distal limb (typically the dorsiflexors of the foot) as a result of damage to the peripheral nerves providing motor innervation.
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What are the early signs of ataxia?

Ataxia is a sign of several neurological disorders and can cause:
  • Poor coordination.
  • Walking unsteadily or with the feet set wide apart.
  • Poor balance.
  • Difficulty with fine motor tasks, such as eating, writing or buttoning a shirt.
  • Change in speech.
  • Involuntary back-and-forth eye movements (nystagmus)
  • Difficulty swallowing.
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What is cerebellar ataxia?

Acute cerebellar ataxia is sudden, uncoordinated muscle movement due to disease or injury to the cerebellum. This is the area in the brain that controls muscle movement. Ataxia means loss of muscle coordination, especially of the hands and legs.
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What neurological conditions cause balance problems?

Causes
  • Benign paroxysmal positional vertigo (BPPV). ...
  • Vestibular neuritis. ...
  • Persistent postural-perceptual dizziness. ...
  • Meniere's disease. ...
  • Migraine. ...
  • Acoustic neuroma. ...
  • Ramsay Hunt syndrome. ...
  • Head injury.
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Is unsteady gait a medical diagnosis?

An unsteady gait can increase your risk for falls and injury, so it's important to seek medical help for more serious causes of this symptom. Doctors may also describe an unsteady gait as an ataxic gait. This means the person is walking in an abnormal, uncoordinated, or unsteady manner.
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What is gait apraxia?

Apraxia of gait is a unique disorder of locomotion characterized by inability in lifting the feet from the floor despite alternating stepping action (frozen gait), and disequilibrium. Responsible site of lesions are in the frontal lobe and/or the basal ganglia.
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What is Parkinson's gait?

'Parkinsonian gait' is a distinctive, less steady walk that arises from changes in posture, slowness of movement (bradykinesia) and a shortened stride.
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What causes balance and gait problems?

Common causes of these issues in adults include musculoskeletal injuries, arthritis, and visual or inner ear problems. In children, gait and balance problems typically stem from developmental issues that can result in flat feet and bowing of the legs. The treatment depends on the underlying cause.
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What is a hemiplegic gait?

Hemiplegic gait (circumduction or spastic gait): gait in which the leg is held stiffly and abducted with each step and swung around to the ground in front, forming a semicircle.
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Can you walk if you have neuropathy?

Walking can reduce the pain and other symptoms of neuropathy from the nerve damage in your feet and lower legs. Walking and other light aerobic exercises have various benefits for people affected by neuropathy, which is a wide range of conditions involving disease and damage to the peripheral nerves.
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Can nerve damage affect your walking?

Because of where it's located, damage to the femoral nerve is uncommon relative to neuropathies caused by damage to other nerves. When the femoral nerve is damaged, it affects your ability to walk and may cause problems with sensation in your leg and foot.
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What is myopathic gait?

A waddling gait happens because of weakness in your hip girdle and upper thigh muscles. To make up for the weakness, you sway from side to side and your hip drops with each step. It's also called myopathic gait and can be caused by several conditions.
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Why do I stagger when I walk?

If you have a balance disorder, you may stagger when you try to walk, or teeter or fall when you try to stand up. You might experience other symptoms such as: Dizziness or vertigo (a spinning sensation) Falling or feeling as if you are going to fall.
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What are the 7 kinds of gait?

What are some types of gait disorders?
  • Propulsive gait. This type of gait is seen in patients with parkinsonism. ...
  • Scissors gait. This type of gait gets its name because the knees and thighs hit or cross in a scissors-like pattern when walking. ...
  • Spastic gait. ...
  • Steppage gait. ...
  • Waddling gait.
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What is a shuffling gait a symptom of?

Shuffling gait or weakness can be signs of neurologic conditions or nerve damage from any reason. If gait changes or weakness on one side of the body come on suddenly, these can be signs of stroke.
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