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Neurology
Unsteady gait
Department of Neurology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
Correspondence to:
Correspondence to:
Dr R Nandhagopal
Department of Neurology, Sri Venkateswara Institute of Medical Sciences, Tirupati 517 507, Andhra Pradesh, India; rnandagopal@yahoo.com
Accepted 20 September 2005
Answers on p e8
[in a new window] Figure 1 Clinical photograph of eyes.
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An 11 year old boy presented with progressive unsteadiness of walking, dysarthria, and recurrent respiratory tract infections of eight years’ duration. He was born of full term normal delivery to consanguineous parents. There was no family history of ataxia. Neurologically, he had truncal and gait ataxia, dysarthria, gaze evoked nystagmus, and abnormal ocular saccades (rapid eye movements) and smooth pursuit (tracking eye movement). He had no sensory impairment. Deep tendon reflexes were normal. When asked to look to either side (gaze shifts), he would initially turn his head towards the target with the eyes moving in the direction opposite to the head movement (see video available on line http://www.postgradmedj.com). The eyes would then reach the target by performing saccadic and slow movements. Frequent eye blinking was also observed during the gaze shifts. He had no evidence of infection at the time of evaluation. Figure 1
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Unsteady gait
Postgrad. Med. J. 2006 82: e8.[Extract] [Full Text] [PDF]
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