In patients presenting with acute or subacute neurological deterioration, the physical examination may be nonspecific, being essential, whenever it is possible, to assess their steadiness and gait, independently or with assistance.
Gait and steadiness are a highly complex functions requiring the precise synchronization of numerous neural pathways. Therefore, when the brain exhibits diffuse impairment, as in delirium, or when one of these pathways is damaged, as in a mild stroke, both will be affected and, sometimes, will be the only clue in the entire clinical examination to guide the investigation.
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