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Does this sound like Cerebellar Ataxia?

I really noticed it about 3 months ago, but looking back I can sort of see isolated incidents that indicated this was coming. I have disequilibrium and a + Romberg with eyes close (some sway with eyes open). I've had fasiculations for quite some time now, and they preceded the symptoms by a while. They are also all over my body. I'm 29, and terrified over what this could be. At this point, it's all I can think about. That means that every little thing that happens I wonder if its a symptom. I know it's very tough to diagnose anything over the internet, and I'm not asking for that, but does anyone have an idea? Also, has anyone experienced symptoms like this? I'm not falling down, I just perceive disequilibrium when I am on my feet and it causes me to sway.
1 Responses
987762 tn?1331031553
Hi and welcome,

I gather you've not as yet been diagnosed with anything specific since your asking the same question in other communities....

Romberg test information:

"Stance and Gait
Steven McGee MD, in Evidence-Based Physical Diagnosis (Third Edition), 2012

b Definition of Positive Romberg Sign
One problem with Romberg sign is that various authors define the positive test differently: Some state that it is the increased swaying that occurs when the eyes close, while others require the patient to be on the verge of falling down.28 Increased swaying alone seems inadequate, because most normal persons sway more when they close their eyes, as do patients with vestibular, cerebellar, and Parkinson disease.30

The best definition of a positive Romberg sign is inability to stand for 60 seconds with the feet together and the eyes closed. In one study, every healthy person and over half of the patients with cerebellar ataxia could maintain this position for 60 seconds, whereas half of the patients with sensory ataxia lasted only 10 seconds before beginning to topple over.31"
https://www.sciencedirect.com/topics/medicine-and-dentistry/rombergs-test

"The Romberg’s test can be positive under 2 circumstances: genuinely positive i.e., when the person has ataxia and false positive report. The reason for the occurrence of positive report under both situations is described below:

Causes of Positive Romberg’s Test Result

Inherited Causes for Positive Romberg Test:

Autosomal dominant sensory neuropathy with scoliosis and deafness

Autosomal dominant sensory ataxic neuropathy

Posterior column ataxia and retinitis pigmentosa

Friedrich’s ataxia

Autosomal dominant posterior column ataxia

Cerebellar atrophy of late onset

Ataxia associated with progressive external ophthalmoplegia

Biemond syndrome (posterior column ataxia)

Metabolic and Toxic Causes for Positive Romberg Test:

Vitamin E deficiency

Thiamine deficiency

Pyridoxine excess

Vitamin B12 deficiency – subacute combined degeneration of the cord (SACD)

Drugs – Taxol, Cisplatin, semi synthetic penicillin

Immunological and Other Causes of Positive Romberg Test:

Sjogren’s syndrome

Idiopathic sensory neuropathy

Tabes dorsalis (classical cause)

Paraneoplastic sensory neuropathy

Guillain- Barre syndrome (Miller Fischer variant)

Compressive lesion involving dorsal columns

Multiple hamartoma and neoplasia syndrome (Cowden Syndrome)

Causes of False Positive Romberg’s Test:

Hysteria

Labyrinthine disease

Conclusion
Romberg’s test is a simple diagnostic test which is sensitive in nature and used to pinpoint to sensory ataxia in a patient with balance and postural issues. It is indicated in patients with imbalance, dizziness, and falls."
https://www.epainassist.com/test-and-procedures/what-is-a-romberg-test-and-what-can-cause-a-positive-romberg-test

You said "I've had fasiculations for quite some time now, and they preceded the symptoms by a while. They are also all over my body." Fasiculations all over the body would generally be a red flag 'pointing away' from neurological conditions like MS because of the way symptoms caused by lesions in the brain and or spinal cord present and develop over time....

To be honest i can't think of anything serious that would just cause a positive Romberg's and none of the other inter-related symptoms, what did your test results uncover?

Hope that helps.....JJ
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