Spastic hemiplegic gait should be differentially diagnosed with which similar gait, let’s learn more about it: Spastic paraplegic gait Bilateral severe spastic hypertonicity, the patient’s bilateral lower limbs tonic inward, with compensatory trunk movement, walking effort, scissor-like gait. It is common in children with cerebral palsy, spinal cord trauma, etc. Loss of use gait is caused by bilateral frontal lobe lesions and is commonly associated with hydrocephalus or progressive dementia. The patient has no limb weakness or ataxia, but is unable to stand or walk normally on his or her own, showing an unsteady, uncertain and small gait, with feet that seem to stick to the floor, with obvious hesitation (freezing) and tipping. Small gait (marcheà petit pas) is seen in frontal lobe (cortical or white matter) lesions. It is characterized by small steps, shuffling, slow starts or turns, and an unsteady gait. Easily misdiagnosed as Parkinson’s disease gait, but the small gait is basal wide. Oscillatory movements of the upper extremities with cognitive impairment, frontal lobe release symptoms, pseudomyelinating palsy, cone fasciculation signs and sphincter dysfunction can be differentiated. However, it should be noted that patients with frontotemporal dementia may also have Parkinson’s disease in combination. Drunkard’s gait Because the center of gravity is not easily controlled, the body sways unsteadily to both sides after raising the legs with the legs widely spaced when walking, and the upper limbs often sway horizontally or forward or backward, sometimes unable to stand steadily, unstable when changing positions, and more obviously unable to walk in a straight line, this gait is also called “waddling gait”. Ataxic gait When walking, the two feet are separated, because the center of gravity is not easy to control, so the sway is unstable, such as drunkenness, called “drunkard’s gait”, mostly seen in cerebellar lesions. If the gait is caused by deep sensory disorder, the two feet are separated for balance when walking, the two eyes look at the ground and lower limbs, the foot is lifted too high, the ground is like a staccato foot, the stride is uneven, and the eyes are often closed and cannot walk. Spastic paraplegic gait Because of the increased tension of the lower limb adductor muscles, the legs cross medially when walking, like scissors, so it is also called scissor gait, which is seen in transverse spinal cord damage cerebral palsy.