Step I Romberg positive

[Miracoli]

Positive Romberg sign corresponds to :
a) vestibular ataxia
b) sensory ataxia
c) cerebellar ataxia
d) a&c
e) b&c
f) all of the above

 

[NeuroLAX]

B

 

[bulldogmed]

B (I think, though not positive), Romberg sign is positive when you need the visual system to correct for balance issues. Balance is mediated by proprioceptive sensory fibers in DCML pathway.

 

[cbrons]

B for sure, loss of conscious proprioception --> dorsal column medial lemniscus pathway

 

[MudPhud20XX]

Agree! B for sure! Romberg tests for proprioception, so it detects lesion in dorsal column.

 

[Miracoli]

B is correct.
Eveytime you read Romberg sign in the stem of the question think causes of proprioceptive sensory ataxia due to dorsal column &/or (?)spinocerebellar lesion
Thank you for participating.

 

[notbobtrustme]

**** good question; totally did not know this before lol