Unsteady walking, especially at night, may be caused by ataxia secondary to cerebellar atrophy, cerebellar infarction, Wernicke’s encephalopathy, or spinal cord cervical spondylosis, the specific causes of the disease and its treatment methods are as follows:
1. Cerebellar infarction, cerebellar atrophy: cerebellar infarction, cerebellar atrophy of the patient’s most prominent symptom is to walk unsteadily, ataxia, the symptoms in the evening is particularly significant, the patient can take butylphthalide, edaravone and other drugs to improve cerebral circulation, the serious can also accept stent placement surgery, interventional thrombosis to improve the cerebral circulation, and at the same time can take cytosine, piracetam to improve the metabolism of brain tissue.
2. Wernicke’s encephalopathy: Wernicke’s encephalopathy patients due to alcohol affects the normal function of brain parenchyma, cerebellum, patients often show ataxia, limb movement disorders, patients need to take vitamin B1 regularly to relieve the symptoms.
3. Spinal cord cervical spondylosis: patients whose spinal cord is compressed by herniated cervical discs may also experience symptoms of unsteady walking, and their symptoms may worsen when they are tired at night. Patients can evaluate their condition according to the results of spinal MRI, and receive conservative treatment with medications such as methylcobalamin, indomethacin, etc., as well as surgical treatment by removing the herniated discs according to the condition of the patient.
It is recommended that patients go to the hospital to undergo cervical spine MRI, cranial MRI and other examinations to clarify the specific causes of the symptoms of unsteady walking, and receive targeted treatment according to the causes of the disease.