Romberg sign
Pronunciation: RAHM-berg sign
Neurological test finding indicating loss of proprioceptive function, demonstrated by increased swaying when standing with feet together and eyes closed.
Full Definition
The Romberg sign is a positive finding on neurological examination that suggests impaired proprioception or vestibular function. Named after German neurologist Moritz Romberg, the test involves having a patient stand with feet together, first with eyes open, then closed. A positive Romberg sign occurs when the patient maintains balance with eyes open but sways significantly or falls when eyes are closed, indicating reliance on visual compensation for proprioceptive deficits. This finding is associated with conditions affecting the dorsal columns of the spinal cord, peripheral neuropathy, or vestibular disorders.
Usage
Usage note: Named sign; maintain capitalization. Often confused with other eponymous neurological signs.
In Context
- "A positive Romberg sign suggested dorsal column dysfunction in this patient with vitamin B12 deficiency." — clinical examination report
- "The Romberg test was negative, ruling out significant proprioceptive impairment." — neurological assessment