Diagnostic Tests for Coordination problems

Diagnostic Test list for Coordination problems:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Coordination problems 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 coordination problems. 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 coordination problems e.g. stroke
• Blood tests
  • Full blood count
  • 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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