Relevant bibliographies by topics / Romberg test

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  1. Journal articles
  2. Dissertations / Theses
  3. Book chapters
  4. Conference papers

Academic literature on the topic 'Romberg test'

Author: Grafiati
Published: 4 June 2025
Last updated: 23 June 2025

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Journal articles on the topic "Romberg test"

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Ropper, Allan H. "Refined Romberg Test." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 12, no. 3 (1985): 282. http://dx.doi.org/10.1017/s0317167100047193.

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Agrawa, Yuri, John P. Carey, Howard J. Hoffman, Daniel A. Sklare, and Michael C. Schubert. "The Modified Romberg Balance Test." Otology & Neurotology 32, no. 8 (2011): 1309–11. http://dx.doi.org/10.1097/mao.0b013e31822e5bee.

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Dolch, Lisa. "Das zeigt der Romberg-Test." VPT Magazin 04, no. 01 (2017): 14–15. http://dx.doi.org/10.1055/s-0037-1618609.

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Zusammenfassung Assessments sind objektive standardisierte Testverfahren, mit denen sich in der Physiotherapie die Situation des Patienten beurteilen lässt. Sie liefern Hinweise für die Optimierung und weitere Therapieplanung. Die AG Akademisierung stellt im VPTMAGAZIN valide Tests steckbriefartig vor.
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Clarke, Frances, Yiannis Koutedakis, Margaret Wilson, and Matthew Wyon. "Associations Between Balance Ability and Dance Performance Using Field Balance Tests." Medical Problems of Performing Artists 34, no. 3 (2019): 154–60. http://dx.doi.org/10.21091/mppa.2019.3026.

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AIMS: Although balance is a key element of dance, it remains to be confirmed which balance components are associated with dance performance. The aim of this study was to assess the associations between different field balance tests and dance performance in an in-house measure in ballet, contemporary, and jazz genres. METHODS: 83 female undergraduate dance students (20±1.5 yrs, 163.04±6.59 cm, 60.97±10.76 kg) completed the Star Excursion Balance Test (SEBT), the airplane test, a dance-specific pirouette test, the modified Romberg test, and the BioSway™ Balance System. Results from these balance tests were compared to the participants’ technique and repertoire performance scores in ballet, contemporary, and jazz genres. RESULTS: Ballet scores were best predicted by SEBT 90° and Romberg for technique (r=0.4, p=0.001, SEE ±2.49) and Romberg, SEBT 90°, and SEBT 225° for repertoire (r=0.51, p=0.001, SEE±1.99). Contemporary data indicated SEBT 90° and Romberg for technique (r=0.37, p=0.001, SEE±2.67) and SEBT 225° for repertoire (r=0.27, p=0.015, SEE±2.29). Jazz indicated SEBT 90°, Romberg, SEBT 315°, and SEBT 225° for technique (r=0.51, p=0.001, SEE±2.28) and SEBT 225° and Romberg for repertoire (r=0.41, p=0.001, SEE±2.29). CONCLUSION: The present study suggests that balance ability has a limited influence on dance performance, with existing field balance tests demonstrating low to moderate associations with dance technique and repertoire.
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Murray, Nicholas, Anthony Salvatore, Douglas Powell, and Rebecca Reed-Jones. "Reliability and Validity Evidence of Multiple Balance Assessments in Athletes With a Concussion." Journal of Athletic Training 49, no. 4 (2014): 540–49. http://dx.doi.org/10.4085/1062-6050-49.3.32.

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Context: An estimated 300 000 sport-related concussion injuries occur in the United States annually. Approximately 30% of individuals with concussions experience balance disturbances. Common methods of balance assessment include the Clinical Test of Sensory Organization and Balance (CTSIB), the Sensory Organization Test (SOT), the Balance Error Scoring System (BESS), and the Romberg test; however, the National Collegiate Athletic Association recommended the Wii Fit as an alternative measure of balance in athletes with a concussion. A central concern regarding the implementation of the Wii Fit is whether it is reliable and valid for measuring balance disturbance in athletes with concussion. Objective: To examine the reliability and validity evidence for the CTSIB, SOT, BESS, Romberg test, and Wii Fit for detecting balance disturbance in athletes with a concussion. Data Sources: Literature considered for review included publications with reliability and validity data for the assessments of balance (CTSIB, SOT, BESS, Romberg test, and Wii Fit) from PubMed, PsycINFO, and CINAHL. Data Extraction: We identified 63 relevant articles for consideration in the review. Of the 63 articles, 28 were considered appropriate for inclusion and 35 were excluded. Data Synthesis: No current reliability or validity information supports the use of the CTSIB, SOT, Romberg test, or Wii Fit for balance assessment in athletes with a concussion. The BESS demonstrated moderate to high reliability (interclass correlation coefficient = 0.87) and low to moderate validity (sensitivity = 34%, specificity = 87%). However, the Romberg test and Wii Fit have been shown to be reliable tools in the assessment of balance in Parkinson patients. Conclusions: The BESS can evaluate balance problems after a concussion. However, it lacks the ability to detect balance problems after the third day of recovery. Further investigation is needed to establish the use of the CTSIB, SOT, Romberg test, and Wii Fit for assessing balance in athletes with concussions.
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Melo, Renato de Souza, Sônia Elvira dos Santos Marinho, Maryelly Evelly Araújo Freire, Robson Arruda Souza, Hélio Anderson Melo Damasceno, and Maria Cristina Falcão Raposo. "Static and dynamic balance of children and adolescents with sensorineural hearing loss." Einstein (São Paulo) 15, no. 3 (2017): 262–68. http://dx.doi.org/10.1590/s1679-45082017ao3976.

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ABSTRACT Objective To assess the static and dynamic balance performance of students with normal hearing and with sensorineural hearing loss. Methods A cross-sectional study assessing 96 students, 48 with normal hearing and 48 with sensorineural hearing loss of both sexes, aged 7 and 18 years. To evaluate static balance, Romberg, Romberg-Barré and Fournier tests were used; and for the dynamic balance, we applied the Unterberger test. Results Hearing loss students showed more changes in static and dynamic balance as compared to normal hearing, in all tests used (p<0.001). The same difference was found when subjects were grouped by sex. For females, Romberg, Romberg-Barré, Fournier and Unterberger test p values were, respectively, p=0.004, p<0.001, p<0.001 and p=0.023; for males, the p values were p=0.009, p<0.001, p<0.001 and p=0.002, respectively. The same difference was observed when students were classified by age. For 7 to 10 years old students, the p values for Romberg, Romberg-Barré and Fournier tests were, respectively, p=0.007, p<0.001 and p=0.001; for those aged 11 and 14 years, the p values for Romberg, Romberg-Barré, Fournier and Unterberger tests were p=0.002, p<0.001, p<0.001 and p=0.015, respectively; and for those aged 15 and 18 years, the p values for Romberg-Barré, Fournier and Unterberger tests were, respectively, p=0.037, p<0.001 and p=0.037. Conclusion Hearing-loss students showed more changes in static and dynamic balance comparing to normal hearing of same sex and age groups.
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Putri, Fauzia Alya, and Dwi Rosella Komalasari. "Validity and Reliability Testing of the Romberg Test Using a Methodological Approach in Stroke Patients." Majalah Ilmiah Fisioterapi Indonesia 13, no. 1 (2025): 32. https://doi.org/10.24843/mifi.2025.v13.i01.p07.

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Introduction: One of the challenges post-stroke patients face is a decrease in balance, both static and dynamic. Evaluating static balance is crucial to prevent the risk of falls in stroke patients. One tool used to assess static balance is the Romberg test. A good measurement tool requires high validity and reliability. This study aims to evaluate the reliability and validity of the Romberg test to measure static balance in stroke patients. Methods: This study employed an observational research design with a methodological approach, conducted at Pandan Arang Hospital in Boyolali from September to October 2024. The study population included stroke patients aged over 46 years. A total of 33 subjects were selected using purposive sampling, adhering to inclusion and exclusion criteria. Data were analyzed using descriptive-analytic methods. The validity of the Romberg test was assessed using the Pearson Product Moment, while reliability was measured using Cronbach’s Alpha and Intraclass Correlation Coefficients (ICC) to determine internal consistency. Results: The intra-rater reliability of Cronbach's Alpha for open and closed eyes tests was ?=0.947 and ?=0.994, respectively, indicating high consistency (ICC=0.973 and ICC=0.997). Similarly, the inter-rater reliability for both open and closed eyes tests showed excellent Cronbach’s Alpha values (?=1.000) and high consistency (ICC=1.000). Validity analysis using the Pearson Product Moment for open and closed eyes tests demonstrated high validity (p<0.001, r=0.947 and r=0.994, respectively). Conclusion: The Romberg test is proven valid and reliable for measuring static balance in stroke patients. Keywords: validity, reliability, Romberg test, balance, stroke
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Kim, So Young, Yang-Sun Cho, Ji-Soo Kim, and Ja-Won Koo. "Association between Bone Metabolism and Vestibular Problems in the Modified Romberg Test: Data from the 2009–2010 Korean National Health and Nutrition Examination Survey." Journal of Clinical Medicine 9, no. 8 (2020): 2415. http://dx.doi.org/10.3390/jcm9082415.

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Osteoporosis contributes to the occurrence of falling and vestibular problems, particularly in elderly patients. This study aimed to investigate the association between bone metabolism with vestibular problems and falling. A total of 4054 participants of the Korean National Health and Nutrition Examination Survey (KNHANES) from 2009 to 2010 aged ≥50 years old were surveyed on their history of falling, vestibular problems evaluated by the modified Romberg test, variables involving bone metabolism, and serum levels of vitamin D and alkaline phosphatase. They also underwent dual energy X-ray absorptiometry. The crude (simple) and adjusted odd ratios (ORs) of variables involving bone metabolism for vestibular problems in the modified Romberg test and falling were analyzed using a logistic regression model. A subgroup analysis was performed according to sex and the presence of menopause in females. Vestibular problems in the modified Romberg test group but not the falling group were associated with decreased serum vitamin D levels (p < 0.001; odds ratio (OR) = 0.951; 95% confidence interval (CI), 0.926–0.976). In subgroup analysis according to sex, the post-menopause group showed a higher rate of vestibular problems in the modified Romberg test compared to the pre-menopause group (4.5% vs. 0.7%, p = 0.019). In the post-menopause group, osteoporosis was positively associated with vestibular problems in the modified Romberg test (p = 0.001, OR = 10.971, 95% CI = 2.650–45.414). On the other hand, a history of hormone replacement therapy was negatively related with vestibular problems in this subgroup (p = 0.035; OR = 0.473; 95% CI = 0.239–0.948). A decrease in serum vitamin D levels may impact the vestibular system through neural signaling or by osteoporotic changes of the otic capsule, as well as otolith particles. Decreased estrogen levels in postmenopausal women may make them more prone to osteoporotic changes, which were associated with vestibular problems in the modified Romberg test. Because this is a cross-sectional study, the causal relationship of bone metabolism with vestibular function needs to be investigated.
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Woon, Yvonne Khor Yee, Eileen L. M. Su, Kang Xiang Khor, Muhammad Najib Bin Abdullah, and Che Fai Yeong. "Comparison between Romberg test with sensor-based balance assessment using electronic wobble board." Journal of Physics: Conference Series 2622, no. 1 (2023): 012009. http://dx.doi.org/10.1088/1742-6596/2622/1/012009.

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Abstract The number of fall-related injuries resulting in hospital admissions could place a significant load on hospitals. Prior research revealed that balance impairment is the most reliable indicator of future falls, and postural instability testing is expensive and tedious to be applied in clinical settings. This paper presents an objective based balance assessment method using an electronic wobble board to examine the balance ability among individuals, with minimal specialist intervention. The balancing assessment software modules provide visual feedback such as visual concentration, test procedure teaching, and time counting. Quick objective balance evaluation is facilitated by the software modules, which also can comprise visual feedback and provides instant biofeedback with objective measurements of user’s progress. The balance assessment score obtained from this electronic wobble board was compared against physiotherapists’ ratings using the Romberg test. The results indicated that the sensor-based balance score is comparable with the expert ratings using the Romberg test. Additionally, the sensor-based score provides higher sensitivity in differentiating among similar categories of subjects as compared to the conventional Romberg test.
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Annafisah, Zuhaida, and Ika Rosdiana. "The Effect of Exercise on Elderly Body Balance which Measured By Romberg Test Study in Plamongansari Pedurungan Semarang." Sains Medika : Jurnal Kedokteran dan Kesehatan 4, no. 2 (2012): 142. http://dx.doi.org/10.30659/sainsmed.v4i2.370.

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Background: Balance disorders is a major cause which often lead elders to fall easily. Body balance reduction of elders can be helped by many variety of balance exercises, one of them is elders exercise. There have been many researches on the assessment of body balance. But a research carrying a Romberg Test to assesses static balance by closing and opening eyes as a visual organ has not been done. This study aims to determine the effect of exercise on elderly body balance which measured by Romberg Test.Design and Method: Analytic observational research with cross-sectional approach was conducted to elderly who routinely do exercises and to them who don’t. There were 82 samples, consisted of 41 elderly do exercises and 42 elderly who don’t. Body balances of both groups were measured using the Romberg test. The data were analyzed by chi-square.Result: Among the 41 elderly who do exercise, consisted of 12 men and 29 women, showed 97.56% balanced and 2.44% unbalanced. While 41 elderly aged over 60 years who don’t do exercise, consisted of 15 men and 26 women, showed 46.34% balanced and 53.66% unbalanced. The results of chi-square test showed p = 0.000; r = 0.495.Conclusion: The elderly exercises influence the body balance as measured using the Romberg Test to healthy elderly, with a moderate degree of correlation (Sains Medika, 4(2):142-146).
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Dissertations / Theses on the topic "Romberg test"

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Löwenborg, Felix, and Jonna Bolander. "Personer med Ménières sjukdoms balansmätning och självskattning av funktionsnedsättning - en retrospektiv studie." Thesis, Uppsala universitet, Fysioterapi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-375012.

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Background: Ménières disease is a complex neurological disease that varies greatly from individual to individual with symptoms such as dizziness and tinnitus. There are few studies that examines the differences regarding balance and dizziness related perception of disabilitiy between men and women with Ménière’s disease. Purpose: Investigate self-assessed perception of disability and balance of people with Ménières disease. The study also aimed to investigate whether there were any differences between men and women regarding the above mentioned variables. Method: Retrospective study with quantitative, correlative and comparative design. 41 subjects, 21 women, 20 men were included in the study. Results: No significant difference between men and women regarding scores on DHI-S or result on Romberg’s test could be shown in this study. Neither could any significant connection between self-assessed perception of disability and balance measured with DHI-S and Romberg’s respectively could be made. Conclusion: No relation between self-assessed disability and balance was detected between men and women. The study also did not find any differences between the sexes on how they perform on balance measurement or rate their disability. More studies are needed to further investigate and map this area.<br>Bakgrund: Ménières sjukdom är en neurologisk sjukdom med symtom som yrsel och tinnitus. I dagsläget finns få studier som undersöker skillnader gällande balans och yrsel relaterad upplevelse av funktionsnedsättning mellan män respektive kvinnor med Ménières sjukdom. Syfte: Syftet med studien var att undersöka eventuella samband mellan självskattad funktionsnedsättning och balans samt skillnader mellan män och kvinnor. Metod: Retrospektiv studie med kvantitativ, korrelerande och komparativ design. 41 antal försökspersoner, 21 kvinnor, 20 män inkluderades i studien. Resultat: Ingen skillnad mellan män och kvinnors värde på DHI-S kunde påvisas. Det förelåg ingen signifikant skillnad mellan män och kvinnor gällande resultat på Rombergs test. Inget samband mellan upplevelse av funktionsnedsättning och balans mätt med DHI-S respektive Rombergs test för kvinnor och män gick att påvisa. Konklusion: Inget samband mellan självskattad funktionsnedsättning och balans kunde påvisas hos män och kvinnor. Studien fann inte heller några skillnader mellan könen gällande hur de presterar på balansmätning eller skattar sin funktionsnedsättning. Vidare studier behövs för att kunna ytterligare undersöka och kartlägga detta område.
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Book chapters on the topic "Romberg test"

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Mendoza, John E. "Romberg Test." In Encyclopedia of Clinical Neuropsychology. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-57111-9_780.

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Mendoza, John E. "Romberg Test." In Encyclopedia of Clinical Neuropsychology. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-56782-2_780-2.

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Mendoza, John E. "Romberg Test." In Encyclopedia of Clinical Neuropsychology. Springer New York, 2011. http://dx.doi.org/10.1007/978-0-387-79948-3_780.

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Jiménez, José Abraham Morales, Ada Michelle Velázquez Flores, Cristina Elizabeth Reyes Soto, Rigoberto Martínez Méndez, Ángel Gabriel Estévez Pedraza, and Juan Manuel Jacinto Villegas. "Comparing Center of Pressure and Accelerometer Signals in Assessing Postural Balance During the Romberg Test." In IFMBE Proceedings. Springer Nature Switzerland, 2025. https://doi.org/10.1007/978-3-031-89514-2_16.

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Kim, Soochan, Mijoo Kim, Nambom Kim, Sungmin Kim, and Gyucheol Han. "Quantification and Validity of Modified Romberg Tests Using Three-Axis Accelerometers." In Communications in Computer and Information Science. Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-35251-5_35.

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Vázquez-Espinosa, Emma, Claudio Laganà, and Fernando Vázquez. "Ruyard Kipling and Infections in Colonialism." In Literature and Infectious Diseases. Sociedad Española de Quimioterapia, 2021. http://dx.doi.org/10.37201/literature/0023.

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Ruyard Kipling es el escritor por excelencia del colonialismo británico y que acerco la India a Occidente dejando en su obra numerosas citas de infecciones en general y tropicales, además de dar la única descripción del test de Romberg en la literatura
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Keppel-Hesselink, Jan M., and Peter J. Koehler. "Romberg’S Sign." In Neurological Eponyms. Oxford University PressNew York, NY, 2000. http://dx.doi.org/10.1093/oso/9780195133660.003.0026.

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Abstract One might assume that neurology started as an independent specialty when a chair was founded for Jean-Martin Charcot in 1882. Some 40 years earlier, Moritz Heinrich Romberg (1795-1873) formulated the first blueprint of systematic neurology by publishing a two-volume neurological reference book.1 He formulated the eponymous test in the second edition of that book. Moritz Romberg was born in Meiningen (Thiiringen) on 11 November 1795. After his father’s death he moved to Berlin with his mother. He went to high school and subsequently studied medicine. He graduated in 1817 with a thesis on congenital rickets, providing a classical description of achondroplasia.4 He decided to devote his further studies to nervous diseases.
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Aldenhoven, Céline Madeleine, Lara Marie Reimer, and Stephan Jonas. "mBalance: Detect Postural Imbalance with Mobile Devices." In Studies in Health Technology and Informatics. IOS Press, 2022. http://dx.doi.org/10.3233/shti220344.

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Background: Postural imbalance can be adopted for the early detection of age-related diseases or monitoring the course of the disease treatment; especially in monitoring, frequent balance measurement is crucial. This is mainly done through regular in-person examinations by a physician currently. Feedback in between examinations is often missing. Objectives: This paper proposes mBalance, a mobile application that uses the Romberg test to detect postural imbalance. mBalance provides a camera-based, low-cost approach to measure imbalance frequently at home using mobile devices. Methods: Imbalance detection accuracy and usability was evaluated in two separate studies with 31 and 30 participants, respectively. Results: mBalance correctly detected imbalance with a sensitivity of 80% and a specificity of 87%. The study found good usability with no significant problems. Conclusion: Overall, this study solves the problem of postural imbalance detection by digitizing a validated balance test into an easy-to-use mobile application.
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Johann, Felix, David Becker, Matthias Becker, and E. Sinem Ince. "Multi-Scenario Evaluation of the Direct Method in Strapdown Airborne and Shipborne Gravimetry." In International Association of Geodesy Symposia. Springer Berlin Heidelberg, 2020. http://dx.doi.org/10.1007/1345_2020_127.

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AbstractIn recent years, it was shown that the quality of strapdown airborne gravimetry using a navigation-grade strapdown inertial measurement unit (IMU) could be on par with “classical” airborne gravimeters as the 2-axis stabilized LaCoste and Romberg S-type gravimeter. Basically, two processing approaches exist in strapdown gravimetry. Applying the indirect method (also referred to as “inertial navigation approach” or “one-step approach”), all observations – raw GNSS observations or position solutions, IMU specific force and angular rate measurements – are combined in a single Kalman Filter. Alternatively, applying the direct method (also referred to as “accelerometry approach” or “cascaded approach”), GNSS position solutions are numerically differentiated twice to get the vehicle’s kinematic acceleration, which is then directly removed from the IMU specific force measurement in order to obtain gravity. In the scope of this paper, test runs for the application of strapdown airborne and shipborne gravimetry are evaluated using an iMAR iNAV-RQH-1003 IMU. Results of the direct and the indirect methods are compared to each other. Additionally, a short introduction to the processing scheme of the Chekan-AM gravimeter data is given and differences between Chekan-AM and strapdown results of the shipborne campaigns are analysed. Using the same data set, the cross-over residuals suggest a similar accuracy of 0.39 mGal for the Chekan-AM and 0.41 mGal for the adjusted strapdown results (direct method).
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Conference papers on the topic "Romberg test"

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Velázquez Flores, Ada Michelle, José Abraham Morales Jimenez, Cristina Elizabeth Reyes Soto, Rigoberto Martinez Méndez, Zeus Tlaltecutli Domínguez Vega, and Otniel Portillo Rodríguez. "Effect of Foot Position on Postural Balance Assessment Using Center of Pressure Parameters During the Romberg Test." In 2024 21st International Conference on Electrical Engineering, Computing Science and Automatic Control (CCE). IEEE, 2024. https://doi.org/10.1109/cce62852.2024.10771009.

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Chigaleychik, Larisa, Vsevolod Poleschuk, and Elena Teslenko. "STABILOMETRIC ANALYSIS OF THE ROMBERG TEST IN THE EARLY STAGES OF PARKINSON'S DISEASE." In XVIII INTERNATIONAL INTERDISCIPLINARY CONGRESS NEUROSCIENCE FOR MEDICINE AND PSYCHOLOGY. LCC MAKS Press, 2022. http://dx.doi.org/10.29003/m2989.sudak.ns2022-18/376-377.

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Istomina, Tatiana, Viktor Istomin, Marina Lafitskova, Anastasya Nikitina, and Olga Mozhakova. "Fuzzy Classification of Romberg Test Parameters Using Verified Database of Stabil-Metric Data." In 2020 International Youth Conference on Radio Electronics, Electrical and Power Engineering (REEPE). IEEE, 2020. http://dx.doi.org/10.1109/reepe49198.2020.9059166.

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Tsai, Yuan-Hua, Ju-Hsuan Li, Yen-Chen Lin, Kuan-Chung Ting, and Chia-Tai Chan. "Machine Learning-Based Approaches for Tandem Romberg Test of Vestibular Hypofunction Assessment Using Wearable Sensors." In 2024 10th International Conference on Applied System Innovation (ICASI). IEEE, 2024. http://dx.doi.org/10.1109/icasi60819.2024.10548001.

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Lanskaya, O. V., and L. A. Sazonova. "Correction and prevention of lumbosacral osteochondrosis in elderly women based on the use of exercise complexes in water." In VIII Vserossijskaja konferencija s mezhdunarodnym uchastiem «Mediko-fiziologicheskie problemy jekologii cheloveka». Publishing center of Ulyanovsk State University, 2021. http://dx.doi.org/10.34014/mpphe.2021-131-134.

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The study is devoted to identifying the effectiveness of exercise complexes in water for the correction and prevention of lumbosacral osteochondrosis in elderly women, which was proven and expressed in a significant improvement in systolic blood pressure, the Stange and Gencha test, spinal mobility in the Tomayer test and the Schober test, lateral flexion of the spine to the left and right, maintaining stability of balance in the Romberg test, quality of life.&#x0D; Keywords: elderly age, osteochondrosis, exercises in water.
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Ribeiro, Fernanda Cristina Poscai, and Everton Lopes Rodrigues. "Differentiating clinical examinations of Parkinson’s and parkisonisms." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.189.

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Introduction: The main symptoms of Parkinson are: tremors, movement resistance, postural instability and bradykinesia. However, other diseases such as Progressive Supranuclear Paralysis, Multiple System Atrophy and Corticobasal Degeneration have similar symptoms. This similarity generates a difficulty of diagnosis, for example, Corticobasal Degeneration is often diagnosed by autopsy. Objectives: To define the differentiating symptoms of Parkinson and the diseases mentioned and to find clinical tests that could aid in the diagnosis. Methodology: The integrative review utilized Scielo and Pubmed databases and the selected clinical examinations were obtained by the book Exame Clinico - 8° edition. Results: Multiple Systems Atrophy is distinguished from Parkinson by occurrence of cerebelar abnormalities, therefore Romberg Test can evidence modified coordination, which may be indicative of Multiple System Atrophy. Corticobasal Degeneration causes loss of ability to identify things by touch and impaired sensitivity on one side of the body, thereby the verification of stereognosia and the examination of superficial sensitivity are useful. Supranuclear Paralysis Progressive generates difficulty of performing vertical movements, thus the examination of ocular motility is necessary. Conclusion: Only clinical examinations aren’t sufficient to generate an accurate diagnosis and complementary exams are necessary for greater precision. However, knowledge about differentiating clinical examinations helps to generate a line of reasoning and examinations to be requested.
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Demoner, Caroline Colnago, Lucas Grobério Moulim de Moraes, Giselle Alves de Oliveira, Paula Zago Melo Dias, and Marcelo Ramos Muniz. "Wernicke encephalopathy in a patient with uncontrollable vomiting. A case report." In XIV Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/1516-3180.141s1.528.

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Wernicke encephalopathy is a neurological disorder caused by lack of thiamine. The main symptoms include ophthalmoplegia, ataxia, and confusion. We described a case of an elderly woman who presented with suddenonset vertigo, uncontrollable vomiting and blurred vision on the left eye. On the following days, she evolved with gait imbalance with a tendency to fall to the left side, fluctuating drowsiness and bilateral ophthalmoplegia. She had a previous history of systemic arterial hypertension, depressive disorder, gastritis and gastric cancer 15 years ago, treated with chemotherapy and radiotherapy. No history of tobacco or alcohol abuse. Neurological examination showed disorientation in time and space, drowsiness, gait ataxia and positive Romberg test. Furthermore, she had Babinski sign on the right toe. In addition, she had bilateral ophthalmoplegia, visual acuity in the right eye 20/40 and left eye 20/50. Serum tests were normal, including thyroid function, ions/metabolics, and viral serologies. Cerebrospinal fluid analysis showed six leukocytes (100% mononuclear) and 51 mg/dL of protein. A brain nuclear resonance imaging showed hypersignal on T2 and FLAIR (Fluid-Attenuated Inversion Recovery) sequences located in the medial portions of the thalamus, symmetrically and bilaterally, in the periaqueductal gray matter, around the fourth ventricle and in the cortico-subcortical transition of the post-central gyri, which in the context suggested Wernicke’s encephalopathy. The treatment was performed with thiamine (300 mg/ day), with significant neurological deficit recovery.
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Ximenes, Marcelo Tognato, Dan Mohamed Salman, Francisco Tomaz Meneses de Oliveira, and Rubens José Gagliardi. "Downbeat Nystagmus Secondary to Chiari I Malformation." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.374.

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Context: Downbeat nystagmus are characterized by the rapid phase in the down direction in primary position of the eyes, in the most cases represents a cerebellar dysfunction, typically with injuries involving vestibulocerebellum (flocculus, paraflocculus, nodule and uvula), although most cases are due to primary lesions in the brain stem, usually involving paramedian tracts. This type of nystagmus is characteristic of craniocervical abnormalities, such as Chiari 1 malformation, also being seen in a wide variety of cerebellar diseases, including degenerative etiologies, toxic-metabolic and ischemic injury. Case report: A 45-year-old woman, who presented with dizziness started 6 years ago, related to rapid head movement, with progressive worsening, leading to difficulty in walking and a tendency to fall to the right, associated with mild to moderate intensity occipitonuchal headache, with improvement at rest and horizontal decubitus. Neurological examination showed downbeat nystagmus, intent tremor in the finger-to-nose-test, worse on the right arm, Romberg test presentes with anteroposterior and lateral instability, in addition to Tanden with bilateral lateropulsion, without other relevant changes. The magnetic resonance imaging showed platybasia and vertebrobasilar invagination, Chiari type 1 malformation with tonsillar herniation, without signs of cervical hydrosyringomyelia, signs of atrophy of both cerebellar hemispheres, a nonspecific nodule in the subcortical region of the left precuncle. Conclusion: The case described above is relevant to demonstrate that even in cases of acute changes in adulthood, screening for anatomical malformations in the posterior fossa should be considered.
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9

Konnikova, E. E., A. G. Popova, and N. I. Slugrov. "INFORMATIVE VALUE OF COMPUTER STABILOMETRY IN THE DIAGNOSIS OF VIBRATION DISEASE FROM THE EFFECTS OF GENERAL VIBRATION." In The 16th «OCCUPATION and HEALTH» Russian National Congress with International Participation (OHRNC-2021). FSBSI “IRIOH”, 2021. http://dx.doi.org/10.31089/978-5-6042929-2-1-2021-1-276-279.

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Abstract: A statistical analysis of stabilometric study results of 50 male patients with vibration disease (VD) from the effects of general vibration (GV) (average work experience 26,7±6,2) has been carried out. The control group (CG) included 50 men who have not been exposed to the general vibration. The compared groups were comparable by age: the average age of patients with vibration disease was 56.34+5.15, patients of the control group-58.22+-7.05. The study of the support symmetry and equilibrium function was carried out using the Romberg test on the St-150 stabiloplatform (Biomera, Moscow) in a vertical stand with European installation of feet in the positions of open (OE) and closed eyes (CE). A comparative analysis of the parameters of support symmetry in patients with VD from GV revealed a statistically significant sagittal asymmetry in the phases of OE and CE than in individuals of CG. Among the balancing parameters, the most informative parameters of computer stabilometry in patients with VD from GV were: an increase in the area of the statokinesiogram, a decrease in energy efficiency in both phases of the study, and an increase in the speed of the statokinesiogram in phase with CE. Computer stabilometry can be recommended as an additional objective research method in the diagnosis of early stages of VD from GV to improve the quality of periodic medical examinations.
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10

Silvério, Gabriel André, Pedro Arthur Possan, Mateus Pinto Marchetti, et al. "Multiple cranial couple syndrome secondary to neurosyphilis: case report." In XIV Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/1516-3180.141s1.548.

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Male, 62-year-old, with Type 2 Diabetes Mellitus, seeks care due to altered balance and worsening palpebral ptosis. The patient had had peripheral facial palsy on the left for 40 days and was treated at another institution with oral prednisone and acyclovir for three days. Ten days ago, he had started with ipsilateral palpebral ptosis, associated with binocular diplopia and divergent strabismus also on the left in the primary gaze position. He also complained that during this period he had worsened visual acuity and frequent falls, which he related to imbalance. Upon inspection, he presented maculopapular erythema on the back, abdomen and upper limbs, with ptosis on the left. On examination, he still had a stomping and dysbasic gait, paralysis of the II, III, and IV nerves bilaterally, as well as of the VII, IX, and X on the left, with reduced visual acuity bilaterally (worse on the left), in addition to a positive Romberg test — with a fall to the left. Furthermore, there was hyporeflexia in the biceps and triceps bilaterally, associated with areflexia in the Achilles and patellas, with symmetrical distal apalesthesia in the four limbs, and cutaneousplantar in bilateral flexion. Magnetic resonance imaging of the head and neck showed uptake by the contrast medium seen at the bottom of the internal auditory canal in the distal meatal and labyrinthine segments of the left facial nerve, without signs of intracranial expansive lesion and without detectable cervical abnormalities. Laboratorially, the patient had a positive treponemal test with a Venereal Disease Research Laboratory (VDRL) value of 1:128 and the serum test for Borrelia burgdorferi showed positivity for immunoglobulin G (with negative immunoglobulin M) on admission, and such tests were repeated and negative prior to discharge, probably being altered due to cross reaction, despite the history of travel for about two years to an endemic area (Canada). Rheumatological tests, tumor and granulomatous disease markers, and serology were negative. When studying the cerebrospinal fluid, we found pleocytosis with lymphomonocytic predominance and hyperproteinorrhachia, with negative VDRL and panel for meningitis. Therefore, the hypothesis of neurosyphilis causing involvement of multiple cranial nerves was suggested and treatment with intravenous crystalline penicillin G was started for 14 days. After the first day of antibiotic therapy, the skin lesions became more prominent (Jarisch-Herxheimer reaction), with spontaneous disappearance in the subsequent days. Even during hospitalization, the patient evolved with gradual improvement of the ptosis on the left, absence of tongue deviation to the right and partial improvement in gait. Intravenous antibiotic therapy was completed, rehabilitation was indicated and outpatient return was planned.
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