Her cerebellar signs like nystagmus and dysdiadochokinesia
Data sources for the analysis of signs and symptoms of mercury-exposed gold miners Country, Year Study design Main outcome area of the study Indonesia Kalimantan 2003 miners, males and "Hg-exposed workers females, children; showed ataxia, tremor, mining community dysdiadochokinesia
. from Galangan; no [...] The Hg control group concentration in the biomonitors was high.
Other cerebellar signs included dysmetria, dysdiadochokinesia
and mild staccato speech, but no nystagmus.
In neurological examination, distinct quadriparesis, ataxia, dysmetria, dysdiadochokinesia
, hypoesthesia of the 4 extremities, and bilateral abolished deep tendon reflex with indifferent plantar responses were determined.
and ataxia was noted on left side.
was more severe on the left than the right.
Upon clinical exam, 13 patients had gait disturbance, 11 had poor dexterity, 8 had dysdiadochokinesia
, 5 had incontinence, and 1 had quadriparesis, the physician commented.
Clinical manifestations in our series of 23 patients n (%) Cerebellar signs Dysdiadochokinesia
5 (21.7) Dysmetria 6 (26.1) Abnormal audiometry * 4 (17.4) Abnormal Romberg test 6 (26.1) Abnormal tandem test 4 (17.4) Abnormal Unterberger's test 5 (21.7) IIIrd cranial nerve paralysis 0 IVth cranial nerve paralysis 0 Vth cranial nerve impairment Corneal anesthesia 1 (4.4) Facial anesthesia 1 (4.4) VIth cranial nerve paralysis 0 VIIth cranial nerve paralysis 2 (8.7) (*)All 4 patients had presbyacusis.
Though my professors in medical school were often impressed by my use of complex medical terminology (yes, dysdiadochokinesia
and encephalomyeloradiculoneuritis are real words) lawyers, judges, juries and court reporters were not.
A neurologic examination revealed severe truncal ataxia and left-sided dysmetria and dysdiadochokinesia
. Cranial CT showed a mild left cerebellar hypodensity (Figure 2A).
On the third day of hospitalization, the patient persisted with altered state of consciousness, and presented dysmetria, dysarthria, dysdiadochokinesia
, a positive Stewart-Holmes sign and a right hand drive without nystagmus, nor intentional tremor.
Deep tendon reflexes were brisk bilaterally and cerebellar signs were positive on right side in right upper limb (Finger nose and dysdiadochokinesia