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A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . Fig. 1285. Fig. 12S6. Figs. 1285 and 1286.—Cerebellar Ataxic Gait in Different Positions from Those Shown in Figs. 12S3 and 1284. (Thomas.) Cerebellum, Disorders of REFERENCE HANDBOOK OF THE MEDICAL SCIENCES cerebellar paths should be taken into considerationin differential diagnosis. The ataxias (dysmetrias) of the upper extremities,associated with ataxias of the trunk and lower ex-tremities in standing, walking, etc., are chiefly bilat-eral, unilateral, or latera
A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . Fig. 1285. Fig. 12S6. Figs. 1285 and 1286.—Cerebellar Ataxic Gait in Different Positions from Those Shown in Figs. 12S3 and 1284. (Thomas.) Cerebellum, Disorders of REFERENCE HANDBOOK OF THE MEDICAL SCIENCES cerebellar paths should be taken into considerationin differential diagnosis. The ataxias (dysmetrias) of the upper extremities,associated with ataxias of the trunk and lower ex-tremities in standing, walking, etc., are chiefly bilat-eral, unilateral, or lateral (usiially homolateral).The influence on the ataxia of the aljsence or presenceof visual aid is but slight, or none at all, as shownby the finger-finger and finger-nose test. Owing to. Fia. 1287.—Lesion in the Restiform Body (Inferior CerebellarPeduncle) in the Patient Shown in Figs. 1283, 1284, 1285, and 1286.(Thomas.) the poor coordination of the individual muscular ac-tivities, the desired act, as in walking, can be per-formed only after trials and errors. Nystagmus.—This collection of eye movements isalmost invariably present in cerebellar path disturb-ance, and being closely related to the vestibularsystem may be the result of either intracerebellaror extracerebellar implication of these paths. Truevestibular nystagmus is almost invariably accom-panied by vestibular vertigo and ataxia. It is modi-fied by the position of the head, andexamination should therefore be car-ried out with the head in each of thethree planes. A patient with ves-tibular nystagmus tends to rotatewithin the plane of the nystagmus,and in the direction opposite to thatof the quick nystagmic movement;thus, a patient with vestibular nys-tagmus who bends his head forwardninetv deg
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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1910, bookyear1913