A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . contiguity, it isimquestionably a true cerebellar symptom. It isusually homolateral to the lesion, and is closelyrelated to cerebellar hypotonus. It occurs particu-larly in acute lesions and is transient. The limbs areoften tremulous and the head if maysway from side to side in small oscillations. Disorderof the tractus cerebellovestibularis spinalis, or rubro-spinalis usually gives rise to thus symptom. Cerebellar Asynergia.—This is a severe grade ofr
A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . contiguity, it isimquestionably a true cerebellar symptom. It isusually homolateral to the lesion, and is closelyrelated to cerebellar hypotonus. It occurs particu-larly in acute lesions and is transient. The limbs areoften tremulous and the head if maysway from side to side in small oscillations. Disorderof the tractus cerebellovestibularis spinalis, or rubro-spinalis usually gives rise to thus symptom. Cerebellar Asynergia.—This is a severe grade ofretro- and propulsion, as seen in paralysis agitans,both being due to similar pathological patient is totally unable to balance himself, sothat either his legs walk away from under him, or hepitches forward without their following. The condi-tion has been described by Babinski as being a specialsymptom of cerebellar disease, whereas in reality itis one of the components of cerebellar ataxia, but inthe anteroposterior plane rather than in the lateral Xadcus ^lobosas Xucleusemboliformis Sup. cerebellarpeduncle. GowersOlivo-spinal Tlecksiff ? -Tectal TtacleasDentate nucleus \%^. ,-^ Vermis inferior Goll ^^S\ ^ Burdack Olives inferiorSensory roots Fig. 1290.—The Chief Cerebellar Paths, as Given by Bechterew. planes. If a normal person be requested to place onefoot on a chair in front of him he does so by simul-taneously flexing his hip and knee; a patient withcerebellar ataxia will, however, probably first raisehis leg by flexing his tliigh, and only later flex his knee;the two acts are not simultaneously executed. Simi-larly, though the patient may have difficulty in main-taining hLs equilibrium as he walks he does not aidhimself by swinging his arms in association with themovements of his legs. Another test of asynergia, 729 Cerebellum, Disorders of REFERENCE HANDBOOK OF THE MEDICAL SCIENCES which -sveU ilhistrates its effect on gait, is to ask thepatient to th
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