We conducted a prospective study to evaluate the underlying diseases and their frequencies in 50 consecutive patients older than 50 years of age admitted to our neurologic service because of walking difficulty. The diseases identified in our study were as follows: multiple cerebral infarcts, 24%; myelopathy, 22%; parkinsonism, 12%; cerebellar degeneration, 8%; other diseases, 24%; and unknown etiology, 10%. Potentially treatable causes of gait impairment were found in nearly one third of patients.
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References
1.
1. Adams RD, Victor M: Disorders of stance and gait, in Adams RD, Victor M (eds): Principles of Neurology, 4th ed.New York, McGraw-Hill, 1989, pp 93–100.
2.
2. Sudarsky L, Ronthal M: Gait disorders among elderly patients: A survey study of 50 patients. Arch Neurol1983; 40:740–743.
3.
3. Hough JC, McHenry MP, Kammer LM: Gait disorders in the elderly. Am Fam Pract1987; 35:191–196.
4.
4. Folstein MF, Folstein SE, McHugh PR: “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res1975; 12:189–198.
5.
5. Bennett DA, Wilson RS, Gilley DW, Fox JH: Clinical diagnosis of Binswanger's disease. J Neurol Neurosurg Psychiatry1990; 53:961–965.
6.
6. Mckhann G, Drahman D, Folstein M, et al: Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA work group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology1984; 34:939–944.
7.
7. Sudarsky L: Geriatrics: Gait disorders in the elderly. N Engl} Med1990; 322:1441–1446.
8.
8. Cunha UV: Differential diagnosis of gait disorders in the elderly. Geriatrics1988; 43:33–42.
9.
9. Kotsoris H, Barclay LL, Kheyfets S, et al: Urinary and gait disturbances as markers for early multi-infarct dementia. Stroke1987; 18:138–141.
10.
10. Marie P: Des foyers lacunaires de désintégration et de différents autres états cavitaires du cerveau. Rev Med1901; 21:281–298.
14. Adams RD, Victor M: Degenerative diseases of the nervous system, in Adams RD, Victor M (eds): Principles of Neurology, 4th ed.New York, McGraw-Hill, 1989, pp 939–940.
15.
15. FitzGerald PM, Jankovic J: Lower body parkinsonism: Evidence for vascular etiology. Mov Disord1989; 4:249–260.
16.
16. Miyata H, Tokita T, Ito Y: Gait disturbances in patients with labyrinthine and cerebellar diseases. Acta Otolaryngol1989; 468(Suppl):181–185.
17.
17. Casmiro M, d'Alessandro R, Cassiatore FM, et al: Risk factors for the syndrome of ventricular enlargement with gait apraxia (idiopathic normal pressure hydrocephalus): A case-control study. J Neurol Neurosurg Psychiatry1989; 52:848–852.
18.
18. Fisher CM: Hydrocephalus as a cause of disturbance of gait in the elderly. Neurology1982; 32:1358–1363.
19.
19. Koller WC, Wilson RS, Glatt SL, et al: Senile gait: Correlation with computed tomographic scans. Ann Neurol1983; 13:343–345.
20.
20. Masdeu JC, Wolfson L, Lantos G, et al: Brain white-matter changes in the elderly prone to falling. Arch Neurol1989; 46:1292–1296.
21.
21. Masdeu JC, Gorelick PB: Thalamic astasia: Inability to stand after unilateral thalamic lesions. Ann Neurol1988; 23:596–603.
