Diagnostic Tests for Clumsiness

Diagnostic Test list for Clumsiness:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Clumsiness includes:

• Physical examination
  • Eye examination looking for nystagmus ( rhythmical oscillation of the eyeballs) which may be due to disease of the cerebellum; also look for papilledema which may suggest brain tumor or hydrocephalus; look for paralysis of eye movements which may suggest stroke, brain cancer, head injury, Wernicke's encephalopathy due to alcohol abuse
  • Neurological examination including gait, tone, power, reflexes and co-ordination in upper and lower limbs looking for signs of stroke, cerebellar disease, transient ischemic attack, multiple sclerosis, brain tumor, Parkinson's disease and other diseases of the nervous system
  • Observe for chorea ( non- repetitive abrupt involuntary jerky movements that can cause clumsiness. Causes of chorea include Huntington's chorea, Sydenham's chorea, Wilson's disease and senility
  • Tests of co-ordination e.g. finger -nose test , rapidly alternating movements and rebound are 3 types of tests that assess co-ordination and can detect disease of the cerebellum. If signs of cerebellar disease are bilateral consider multiple sclerosis or Friedrich's ataxia
  • Muscle weakness may also cause clumsiness e.g. stroke
• Blood tests
  • Full blood count and ESR
  • Liver function tests
  • Serum copper and caeruloplasmin
  • Serology for Lyme disease
• Urine tests
  • 24 hour Urinary copper is increased in Wilson's disease
  • Urine drug screen - if suspect marijuana, amphetamines or other illicit drugs.
• Radiological examination
  • CT or MRI brain can detect many different brain diseases and disorders
• Spinal tap - may be required to diagnose Multiple sclerosis or encephalitis.
• Electrophysiological tests such as visual-evoked response (VER) - may be required to diagnose Multiple sclerosis.

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