Читать книгу Neurology - Charles H. Clarke - Страница 123

 Ask the patient to extend arms symmetrically, palms uppermost and then close the eyes.

 Drift with pronation/descent towards midline is a cardinal sign of an early pyramidal lesion.

 Postural tremor, chorea, pseudochorea and asterixis become apparent. Rest tremor diminishes.

 Apply gentle downward wrist pressure and release: rebound – a cerebellar lesion.

 Fatiguability: inability to maintain the arm outstretched.

 Inspect arms, hands, nails.

 Non‐organic problems: often aimlessly waving around.