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.

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?

Hi Steven, thank you for the kind words :)

Thank you for your kind words Sahana :)

Thank you for your kind words :)

Thank you Ariel for your kind words. I do have 3rd nerve palsy on my list of upcoming animations :)

@@NeurologyAnalogy Awesome!!

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.

@@NeurologyAnalogy Thank you so much DOCTOR 😍

Thank you for the kind words :)

Hey there, that is correct. Rombergs is a test of sensory/vestibular ataxia, not cerebellar ataxia

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

@@NeurologyAnalogy Thank you 🙏🙏🙏 May god bless you

Thank you for your appreciation :)