NURSING ANM AND GNM

Detailed explanation-1: -Titubation consists of a rhythmic body or head tremor. There is a rotatory or rocking or bobbing movement. Clinically this has not turned out to have localizing value with respect to the part of the cerebellum involved. The head can be rotated, or tilt to one side or the other.

Detailed explanation-2: -Truncal ataxia may result from midline cerebellar lesions. Patients may present with truncal instability in the form of oscillation of the body while sitting (worse with arms stretched out in front) or standing (titubation).

Detailed explanation-3: -An intention, rubral, cerebellar, or course tremor is defined as a rhythmic, oscillatory, and high amplitude tremor during a directed and purposeful motor movement, worsening before reaching the target.

Detailed explanation-4: -Affected individuals have hypotonia, gait difficulties or ataxia, poor or absent speech with dysarthria, and variable motor abnormalities, including spasticity, dystonia, extrapyramidal signs, and tremor. Many patients have seizures.