Answer :
Final answer:
Steppage Gait is associated with several conditions, including peripheral neuropathy from diabetes, alcohol abuse, and Vitamin B12 deficiency, lumbar radiculopathy from a herniated disc or degenerative disc diseases, cerebellar lesions from multiple sclerosis or brain tumors, and myopathies from polymyositis or muscular dystrophy. Exposure to substances such as mercury in fish or certain drugs can lead to ataxia, which may manifest as a steppage gait. Neurodegenerative diseases like Parkinson's can also cause a steppage gait.
Explanation:
The question concerns the presentation of Steppage Gait and its most common causes connected to various neurological issues. Steppage Gait can be caused by several different factors:
- Peripheral neuropathy, often resulting from diabetes mellitus, alcohol abuse, and vitamin B12 deficiency. An example of a peripheral neuropathy is Guillain-Barré Syndrome, a demyelinating disease of the peripheral nervous system.
- Lumbar radiculopathy, typically caused by a herniated disc, spinal stenosis, and degenerative disc disease.
- Cerebellar lesions, which can manifest due to multiple sclerosis, cerebellar infarction, or a brainstem tumor. Exposure to mercury from fish, drinking alcohol and certain antibiotics can cause ataxia or uncoordinated movements leading to a steppage gait.
- Myopathy, due to conditions like polymyositis, muscular dystrophy, and myasthenia gravis.
Moreover, neurodegenerative diseases such as Parkinson's disease can also result in a steppage gait, characterized by a shuffling walk.
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