Marche à petit pas: Difference between revisions

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Marche à petits pas [maʁʃ a pəti pa] (“gait with little steps”) is a type of gait disorder characterised by an abnormal short stepped gait with upright stance (in strict sense, as opposed to generally stooping short-stepped gait of Parkinson's disease), seen in various neurological (or sometimes muscular) disorders. It can be further differentiated from "Parkinsonian gait" by normal arm swing (as opposed to no arm swing in Parkinsonism). This is associated with frontal lobe white matter lesions.^[1]

Common causes

Marche à petit pas gait is seen in:

Bilateral diffuse cortical dysfunction
- Diffuse cerebrovascular disease ('lacunar state')^[2]
Normal pressure hydrocephalus^[2]
Multiple sclerosis
Parkinsonism (sometimes)
Muscle weakness

References

^ Motor Disorders. In: Simon RP, Aminoff MJ, Greenberg DA. eds. Clinical Neurology, 10e New York, NY: McGraw-Hill.
^ ^a ^b Gait Disorders. In: Srinavasan J; Chaves CJ; Scott BJ; Small JE, eds. Netter's Neurology, 3rd ed. Philadelphia, PA: Elsevier.

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[1] Motor Disorders. In: Simon RP, Aminoff MJ, Greenberg DA. eds. Clinical Neurology, 10e New York, NY: McGraw-Hill.

[Netter-2] Gait Disorders. In: Srinavasan J; Chaves CJ; Scott BJ; Small JE, eds. Netter's Neurology, 3rd ed. Philadelphia, PA: Elsevier.

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+{{Short description|Type of gait disorder}}
 '''Marche à petits pas''' {{IPA-fr|maʁʃ a pəti pa|}} (“gait with little steps”) is a type of [[Gait abnormality|gait disorder]] characterised by an abnormal short stepped [[Gait (human)|gait]] with upright stance (in strict sense, as opposed to generally stooping short-stepped gait of [[Parkinson's disease]]), seen in various neurological (or sometimes muscular) disorders. It can be further differentiated from "[[Parkinsonian gait]]" by normal arm swing (as opposed to no arm swing in [[Parkinson's disease|Parkinsonism]]). This is associated with [[frontal lobe]] white matter lesions.<ref>Motor Disorders. In: Simon RP, Aminoff MJ, Greenberg DA. eds. Clinical Neurology, 10e New York, NY: McGraw-Hill.</ref>
 __TOC__
 ==Common causes==
 Marche à petit pas gait is seen in:

v t e Signs and symptoms relating to movement and gait
Gait	Gait abnormality CNS Scissor gait Cerebellar ataxia Choreic gait Festinating gait/Parkinsonian gait Magnetic gait Marche à petit pas Propulsive gait Stomping gait Spastic gait Truncal ataxia Vestibular gait Muscular Myopathic gait/Waddling gait Trendelenburg gait Pigeon gait Foot drop Steppage gait Toe walking Asymmetric gait Leaping gait Asynchronous gait Gunslinger's gait Hemiparetic gait Limp Antalgic gait Deformity Lotus gait
Coordination	Ataxia Cerebellar ataxia Dysmetria Dysdiadochokinesia Pronator drift Dyssynergia Sensory ataxia Asterixis Abasia Hemimotor neglect
Abnormal movement	Athetosis Chorea Tremor Fasciculation Fibrillation Myokymia Myoclonus Hyperkinesia / Hypokinesia Myotonia / Pseudomyotonia Hypotonia Stereotypy Akathisia Echopraxia Echolalia
Posturing	Abnormal posturing Stooped posture Camptocormia Osteoporosis Opisthotonus Spasm Trismus Cramp Tetany Hypertonia Joint locking Catalepsy Waxy flexibility Grimacing Tonic immobility
Paralysis	Flaccid paralysis Periodic paralysis Spastic paraplegia Spastic diplegia Spastic paraplegia Syndromes Monoplegia Diplegia / Paraplegia Hemiplegia Triplegia Tetraplegia / Quadruplegia General causes Upper motor neuron lesion Lower motor neuron lesion Sleep paralysis
Weakness	Hemiparesis Gowers' sign Locomotive syndrome Ptosis
Range of motion	Contracture Bethlem sign Club foot Joint stiffness Ankylosis Hypermobility Gorlin sign EDS HSD Boutonniere deformity Swan neck deformity Scoliosis Kyphosis
Other	Rachitic rosary Flat feet Overpronation/Flexible flat feet Knock-knee Bow-leggedness Back knee Hyporeflexia Hyperreflexia Clasp-knife response Shivering Hypnic jerk Astasia-abasia Vertigo Motion sickness Conversion disorder Shell shock Stupor Catatonia Dancing mania