La prueba de Romberg y Moritz Heinrich Romberg.

The Romberg test is a neurological bedside or office evaluation, searching for sensorial ataxia as etiology in patients suffering of disequilibrium or gait disorders. This test has a high value if it is performed in a meticulous way and its interpretation is adequate; unfortunately, it is often misinterpreted. This must be included in every neurological exam, especially in those patients with dizziness, clumsiness, bobbing and frequent falls. A positive Romberg test is observed in proprioceptive disorders. Their high clinical values depend on a correct performance and interpretation. Some other conditions could show bobbing while perform this test, however is possible to do a differential diagnosis: labyrinthine disorders have a latency between eyes closing time and totting, besides imbalance always is ipsilateral to affected vestibule. In cerebellar disorders, disequilibrium is evident before eyes closing when the patient try to stand with feet close. On the other hand, a true Romberg sign refers to those patients standing up, with feet joined together and that show immediately after closing eyes, intense and multidirectional standing imbalance. H.M. Romberg is known as the first medical doctor that brought order to neurological science. He made many contributions, some of the most important is the original description of achondroplasia, facial hemiatrophy syndrome and pupillary signs in chronic syphilis, but overall sensorial ataxia test. He wrote the first organized neurological book. [ABSTRACT FROM AUTHOR]