ArticleNeurology2025
Clinical Reasoning: A 57-Year-Old Man With Chronic Gait Unsteadiness and Diminished Lower Extremity Sensation.
Article in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A 57-year-old man presented with a 5-year history of progressive gait unsteadiness, diminished lower extremity sensation, and a chronic cough. His symptoms began as episodic balance issues and visual disturbances but progressively worsened, leading to frequent tripping. Physical examination revealed sensory deficits in the lower extremities and cerebellar signs, including nystagmus, dysmetria, and a broad-based gait. Readers will walk through a stepwise approach to the case, developing a comprehensive differential diagnosis and questioning likely etiologies to arrive at a final diagnosis. This case illustrates the challenges of diagnosing complex ataxia and highlights the importance of considering multisystem disorders.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.