Episode 283 – Neurology VMR – Right arm weakness
The Clinical Problem Solvers
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The Clumsiness of Up-Going Toes
When we hear that clumsiness on rapid alternating movements, it does suggest something cerebellar. If a patient is weak but not paralyzed, it can be very hard to distinguish whether the movements are ataxic or just they're weak and a little bit slow. So again, either what looks like ataxia is actually weakness and slowness of movement,. Or we have multifocal lesions, something hemispheric to cause both the up-going toe and focus procedure, and the cerebellum, and then we're multifocal. Before we get that treatar, what do you think we're going to see there? Do you have a sense of what the diagnosis is here
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