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Sensory Ataxia Information

Sensory ataxia is both a symptom and a sign in neurology. It is a form of ataxia (loss of coordination) caused not by cerebellar dysfunction but by loss of sensory input into the control of movement.

Sensory ataxia is distinguished from cerebellar ataxia by the presence of near-normal coordination when the movement in question is visually observed by the patient, but marked worsening of coordination when the eyes are closed.

Sensory ataxia also lacks the associated features of cerebellar ataxia such as pendular tendon reflexes, scanning dysarthria, nystagmus and broken pursuit eye movements.

Patients with sensory ataxia often demonstrate pseudoathetosis and Romberg's sign. They usually complain of loss of balance in the dark, typically when closing their eyes in the shower or removing clothing over the head.

Causes

Sensory ataxia is present in sensory peripheral neuropathies and conditions causing dysfunction of the dorsal columns of the spinal cord such as tabes dorsalis.

The cause can also be genetic.[1]

References

  1. ^ Moeller, J.; Macaulay, R.; Valdmanis, P.; Weston, L.; Rouleau, G.; Dupré, N. (2008). "Autosomal dominant sensory ataxia: a neuroaxonal dystrophy". Acta neuropathologica 116 (3): 331–336. doi:10.1007/s00401-008-0362-6. PMID 18347805.

Further reading

Symptoms and signs: nervous and musculoskeletal systems (R25–R29, 781.0, 781.2–9)
Primarily nervous system
Primarily CNS
Movement disorders Dyskinesia: Athetosis · Tremor
Gait abnormality Scissor gait · Cerebellar ataxia · Festinating gait · Propulsive gait · Stomping gait · Spastic gait · Magnetic gait
Lack of coordination Dyskinesia: Ataxia (Cerebellar ataxia/Dysmetria, Sensory ataxia) Dysdiadochokinesia · Asterixis
Other Abnormal posturing: Opisthotonus Perceptual disorder: Hemispatial neglect Facial weakness · Hyperreflexia · Pronator drift
Primarily PNS
Gait abnormality Steppage gait · Antalgic gait
Primarily muscular
Movement disorders Spasm (Trismus) · Fasciculation · Fibrillation · Myokymia · Cramp
Gait abnormality Myopathic gait · Trendelenburg gait · Pigeon gait
Other Tetany · Meningism
Primarily skeletal Rachitic rosary · Clubbing
Primarily joint Joint locking

: CNS

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Lesions of spinal cord and brain
Spinal cord/ vascular myelopathy

sensory: Sensory ataxia · Tabes dorsalis

motor: Motor neurone disease

mixed: Brown-Séquard syndrome · cord syndrome (Posterior, Anterior, Central/Syringomyelia) · Subacute combined degeneration of spinal cord (B12) · Cauda equina syndrome

Anterior spinal artery syndrome
Brainstem
Medulla (CN 8, 9, 10, 12) Lateral medullary syndrome/Wallenberg (PICA) · Medial medullary syndrome/Dejerine (ASA)
Pons (CN 5, 6, 7, 8) Lateral pontine syndrome (AICA) (lateral) · Medial pontine syndrome/Millard-Gubler syndrome (basilar)/Foville's syndrome (dorsal, basilar) · Locked-in syndrome (ventral) · Internuclear ophthalmoplegia · One and a half syndrome
Midbrain (CN 3, 4) Weber's syndrome (ventral peduncle, PCA) · Benedikt syndrome (ventral tegmentum, PCA) · Parinaud's syndrome (dorsal, tumor) · Nothnagel's syndrome · Claude's syndrome
Other Alternating hemiplegia
Cerebellum lateral (Dysmetria, Dysdiadochokinesia, Intention tremor) · medial (Cerebellar ataxia)
Basal ganglia Chorea · Dystonia · Parkinson's disease
Cortex

ACA syndrome · MCA syndrome · PCA syndrome

frontal lobe: Expressive aphasia · Abulia

parietal lobe: Receptive aphasia · Hemispatial neglect · Gerstmann syndrome · Astereognosis

occipital lobe: Balint's syndrome · Cortical blindness · Pure alexia

temporal lobe: Cortical deafness · Prosopagnosia
Other Subclavian steal syndrome · Upper motor neurone lesion (Clasp-knife response) · Lower motor neurone lesion

: CNS

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Categories: Medical signs | Neurology

 

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