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Episode 208: RLR – A Young Man Feels Wobbly

The Clinical Problem Solvers

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Are You Dealing With Cerebella Taxia?

The romberg is assessing for proprio setions. When you take away the visual input, then you become wobbly. The issue isn't at the p a nerve, the dorsal rud ganglia, or the dorsal column. So this is not sensory ataxia. We are dealing with cerebella taxia. Now the question becomes, are we dealing with the hemispheric legion or a vermis here? It can be a little difficult. And by the way, something else right away that took us to the cerebellum, as opposed to the sensory level, was the nistagmes. You know what i felt like? Those big yellow things that you blow

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