Approach to differentiating lesions (cerebellum) Quiz: Ace Your Exams
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A 61-year-old man is brought to the emergency department by emergency medical services after being found stumbling in a public park with slurred speech. Clinical documentation from a visit 6 months ago notes a wide-based gait without focal neurological findings. No medications are taken consistently. There is no significant family history. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 15/min, and blood pressure is 122/72 mmHg. On examination, the patient is alert with dysarthric speech and follows all commands. Ataxia is noted on finger-nose-finger testing, and the gait is wide-based. Magnetic resonance imaging (MRI) of the brain shows atrophy of the cerebellar vermis. Which of the following additional historical or physical examination findings is most likely to be present?
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