Mild macrocephaly was detected in physical examination, and neurological examination was unremarkable except truncal ataxia
The patient's neurological examination revealed the presence of cerebellar-type dysarthria, truncal ataxia
, wide-based ataxic gait, dysmetria, dysdiadochokinesia, and hyperreflexia in all his extremities.
This concerns me as I suffer from Charles Bonnet syndrome and truncal ataxia
She was confused with gaze-evoked nystagmus and bilateral abducens nerve palsies, was areflexic with mildly reduced power and limb dysdiadochokinesia, and could not sit because of severe truncal ataxia
We evaluated a 24-year-old Somalian woman who presented with transient right-sided weakness and truncal ataxia
with computed tomography (CT) of the head and CT angiography of the neck (figure).
The neurology service finds profound truncal ataxia
, astasia-abasia, and buckling of the knees; a normal brain and spine MRI are not consistent with a neurologic etiology.
On CNS examination, he had myoclonic jerks, truncal ataxia
, rigidity, brisk deep tendon reflexes and extensor plantars.
Initial symptoms include truncal ataxia
(a loss of coordination among central muscle systems), unsteady stance and gait, tremors and slurred speech.
Two weeks later, the hypokalemia and acid-base disorder were corrected, and her neurological examination was normal apart from minimal truncal ataxia
While traveling in Connecticut, a man from North Carolina in his mid-60s was admitted to a community hospital for new onset of diplopia, vertigo, truncal ataxia
, and vomiting.
The use of any obvious neurologic signs for detecting stroke (such as limb ataxia, severe truncal ataxia
, hemiparesis, or gaze palsy) provided a sensitivity of 64% with 100% specificity.
The onset of unsteadiness and truncal ataxia
is usually evident by 1 to 4 years of age.