Best explanation I’ve seen so far for Romberg sign!
@NeurologyAnalogy2 жыл бұрын
Hi Steven, thank you for the kind words :)
@PeterJohns2 жыл бұрын
It's a good analog and graphics. In my experience, mainly with vestibular patients and cerebellar stroke, the Romberg is not sensitive nor specific for vestibular loss vs cerebellar loss, but more related to how much loss there is in either system. The "block" is not either there or gone. It is damaged a little or a lot. If the block is damaged only a little, Romberg will be negative. If a lot it will be positive.
@NeurologyAnalogy2 жыл бұрын
Thanks for the comment Peter. Very true. Every analogy has its limits within an schematic construct. Always tricky to balance against imparting the main conceptual message with appropriate info to allow for a deductive approach with being too complex. Also how important to interpret Rombergs alongside the rest of the neuro exam.
@il3mendo3 ай бұрын
Do you think that an association of Romberg/bilateral Babinski and Hoffmann signs are due to cytotoxic Cd8 or vitamin b 12/9 deficiency due to over production of Methionine/Homocysteine?
@arieldacruz20442 жыл бұрын
My god, this channel is amazing! Thanks so much for these simple visual explanations :) If you're open to video requests, I'd love to see one on 3rd nerve palsy!
@NeurologyAnalogy2 жыл бұрын
Thank you Ariel for your kind words. I do have 3rd nerve palsy on my list of upcoming animations :)
@arieldacruz20442 жыл бұрын
@@NeurologyAnalogy Awesome!!
@algeriecmn9564 Жыл бұрын
How about walking ? With Cerebellar ataxia patient walk with wide base gait , but how about sensory and vestibular ataxia ? Do they walk normally when eyes are opened ?!
@NeurologyAnalogy Жыл бұрын
This depends on severity - if the sensory/vestibular ataxia is mild, may walk with a narrow gait. If severe, the gait may be wide even with eyes open
@algeriecmn9564 Жыл бұрын
@@NeurologyAnalogy Thank you 🙏🙏🙏 May god bless you
@je68742 жыл бұрын
I love these videos!!!
@NeurologyAnalogy2 жыл бұрын
Thank you for the kind words :)
@janithdharmasiri1748 Жыл бұрын
Thank youuuuuuuuuuuuuu
@NeurologyAnalogy Жыл бұрын
Thank you for your appreciation :)
@futurdoctor3921 Жыл бұрын
can you please clarify this to me doctor : You said that patient with cerebellar hemispheres ataxia are unstable and sway , but why ?! We know that patient with cerebellar hemisphere ataxia have limb incoordination(like dysmetria) and not truncal incoordianation , so why they will be imbalanced ?! Is that because of dysmetria and adyadochokinesia of lower limb ?? I hope you clarify this for me please
@NeurologyAnalogy Жыл бұрын
Thank you for your question. Any cerebellar damage (hemispheric or vermis) may cause sway. Patients with cerebellar vermis damage may sway in any direction. Patients with cerebellar hemisphere damage tend to sway towards the affected side. Even standing up and doing nothing requires precise limb co-ordination to maintain standing up. If unilateral Lt cerebellar damage, it is as if the right leg is normal, but left leg is incoordinated to maintain the left lower limb muscles to adopt upright posture, and we need both legs to stand up straight, hence sway regardless of area of cerebellar damage. Hope this helps.
@futurdoctor3921 Жыл бұрын
@@NeurologyAnalogy Thank you so much DOCTOR 😍
@rjm4031 Жыл бұрын
Great video- thank you! Is the rhomburg test not positive for cerebellar ataxia because it is only a test for proprioception and vestibular damage?
@NeurologyAnalogy Жыл бұрын
Hey there, that is correct. Rombergs is a test of sensory/vestibular ataxia, not cerebellar ataxia
@thefrenchwarrior58392 жыл бұрын
Excellent analogy and best explanation ever Congratulations !
@NeurologyAnalogy2 жыл бұрын
Thank you for your kind words :)
@sahanasridhar8149 Жыл бұрын
After nearly 5 years in medical school, i finally understand the concept behind this test. Thank you for the analogy, i’m sharing this with anyone who needs to learn about this.