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Bruns apraxia, or frontal ataxia, is a gait apraxia [1] found in patients with bilateral frontal lobe disorders.It is characterised by an inability to initiate the process of walking, despite the power and coordination of the legs being normal when tested in the seated or lying position.
The signs and symptoms of frontal lobe disorder can be indicated by dysexecutive syndrome [7] which consists of a number of symptoms which tend to occur together. [8] Broadly speaking, these symptoms fall into three main categories; cognitive (movement and speech), emotional or behavioral.
Frontal lobe signs usually involve the motor system and may include many special types of deficit, depending on which part of the frontal lobe is affected: [citation needed] unsteady gait (unsteadiness in walking) muscular rigidity, resistance to passive movements of the limbs
Parkinsonian gait (or festinating gait, from Latin festinare [to hurry]) is the type of gait exhibited by patients with Parkinson's disease (PD). [2] It is often described by people with Parkinson's as feeling like being stuck in place, when initiating a step or turning, and can increase the risk of falling. [ 3 ]
Other motor symptoms include gait and posture disturbances such as decreased arm swing, a forward-flexed posture, and the use of small steps when walking; speech and swallowing disturbances; and other symptoms such as a mask-like facial expression or small handwriting are examples of the range of common motor problems that can appear. [1]
Ataxia (from Greek α- [a negative prefix] + -τάξις [order] = "lack of order") is a neurological sign consisting of lack of voluntary coordination of muscle movements that can include gait abnormality, speech changes, and abnormalities in eye movements, that indicates dysfunction of parts of the nervous system that coordinate movement, such as the cerebellum.
Gait abnormality is a deviation from normal walking ().Watching a patient walk is an important part of the neurological examination. Normal gait requires that many systems, including strength, sensation and coordination, function in an integrated fashion.
Diseases that affect the vestibular system such as gait disorders often impair the initiation of a movement. Most of the patients with blocq's syndrome suffer from hypokinetic gait disorder defined as slowness of movement due to the dysfunction of the circuitry controlled by the basal ganglia, frontal lobe and brainstem.
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