Published: 2017-02-20

Clinical profile of neurological gait ataxia: a hospital based study

Rajesh Kashyap, . Laxaminand, Sunil Sharma, Thakur Prashant Singh, Vishal Vishnoi, Manish Kumar Thakur


Background: Gait disorders are major causes of functional impairment and morbidity especially in the elderly. Most gait disorders in older person are multifactorial, including neurological and non -neurological components. The aim of the study was to determine different neurological causes of gait disorders in elderly as well as in young adults.

Methods: A total of 155 patients with gait ataxia were included and studied for demographic profile, clinical features, mode of presentation and aetiology of neurological gait ataxia.

Results: Of the 155 patients enrolled in the study for gait disability, the most common cause of gait disability was cerebrovascular accidents 48 (31%) followed by lower motor neuron (LMN) paraparesis20 (12.9%), compressive myelopathy 17 (11%) and infectious causes were reported in 13 (8.4%) patients. Other causes were non-compressive myelopathy 8 (5.2%), Parkinsonism 8 (5.2%), degenerative diseases 6 (3.9%), diabetic amyotrophy 5 (3.2%), sensory neuropathy, hydrocephalus, myopathy and space occupying lesions in 4 (2.6%) patients each.

Conclusions: The two most common causes of gait instability in Sub-Himalayan region are cerebrovascular accidents and LMN paraparesis. The LMN parapersis is associated with significant falls.


Cerebrovascular accidents, Gait instability, LMN paraparesis, Sub-Himalayan region

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