A 70-year-old male has been diagnosed with a stroke that resulted in an infarct to his cerebellum. Which of the following clinical findings would be most closely associated with cerebellar insult?
A)
Flaccid loss of muscle tone
B)
Difficulty in starting movement, stopping movement, and maintaining rhythmic movements.
C)
Tremor, rigidity, and bradykinesia
D)
Unsteady gait and difficulty in speaking and swallowing
Ans:
D
Feedback:
An unsteady gait characterizes cerebellar ataxia, and both swallowing and speaking are partly the domain of the cerebellum. Flaccid loss of muscle tone is not noted to accompany cerebellar insult, and difficulties with starting movement, stopping movement, and maintaining rhythmic movements are indicative of basal ganglia disorders. Tremor, rigidity, and bradykinesia are associated with Parkinson disease.
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