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15201266
Walking with Difficulty
Beschreibung
Mindmap am Walking with Difficulty, erstellt von Fatma Shwaylia am 20/09/2018.
Mindmap von
Fatma Shwaylia
, aktualisiert more than 1 year ago
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Erstellt von
Fatma Shwaylia
vor etwa 6 Jahre
53
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0
Zusammenfassung der Ressource
Walking with Difficulty
Skull Anatomy
Norma Basalis externa
Norma Basalis interna
Muscle weakness
Distinguishing true muscle weakness from motor impairment not due to loss of muscle power
through
History taking
Physical Examination
Localizing the site of lesion
Determining the cause of the lesion
causes include inflammatory disorders, endocrinopathies, metabolic myopathies, drugs and toxins, infections, and the various causes of rhabdomyolysis
GAIT
HEMIPLEGIC GAIT (SPASTIC GAIT)
leg is stiff, without flexion at knee and ankle, and with each step is rotated away from the body, then towards it, forming a semicircle.
PARKINSONIAN GAIT
exhibited by patients suffering from Parkinson's disease
ATAXIA GAIT
presence of abnormal, uncoordinated movements.
cerebellar disturbances and can be seen in patients with longstanding alcohol dependency
Diplegic Gait(Scissors gait)
form of gait abnormality primarily associated with spastic cerebral palsy
MYOPATHIC GAIT (WADDLING GAIT).
due to the weakness of the proximal muscles of the pelvic girdle.
NEUROPATHIC GAIT (STEPPAGE GAIT ):
foot drop due to loss of dorsiflexion.
due to damage to the deep peroneal nerve
RADIOLOGICAL INVESTIGATION of Syringomyelia
CHIARI I MALFORMATION
Congenital hindbrain abnormality
Downward displacement of medulla and cerebellar tonsils
causes or leads to
Syringomyelia
development of a fluid-filled cyst (syrinx) within the spinal cord. Over time, the cyst may enlarge, damaging the spinal cord.
acquired by (other causes)
Complication of trauma
meningitis
hemorrhage,
tumor
arachnoiditis
Clinical presentation
Loss of pain, temperature & crude touch sensation
patient comes with burned hands
Lesion affecting the lateral spinothalamic tract
Muscle weakness and wasting (atrophy)
Loss of reflexes
Charcot Joint
Monitoring
periodic MRI and neurological exams
Surgery
Treating Chiari malformation.
Draining the syrinx.
Removing the obstruction.
Correcting the abnormality.
Tracts
Upper motor neuron lesion in his lower limb
Spastic gait
Lower motor neuron lesion in his upper limb
hyperflexia
Medienanhänge
Human Skull Anatomy (binary/octet-stream)
54753 004 05 F273 D2 (binary/octet-stream)
Slide2 Pic1 636261071725254123 (binary/octet-stream)
Myopathy 5 (binary/octet-stream)
Ohsu Pksgft Ov Sr Mk Bobl1w M (binary/octet-stream)
J90hcgh01e0hvgspselvdg M (binary/octet-stream)
1 Figure1 1 (binary/octet-stream)
Hqdefault (binary/octet-stream)
Image.Img.Full.High (binary/octet-stream)
Chiari Malformation Syringomyelia (binary/octet-stream)
Focal Syrinx Annotated Blog 01 (binary/octet-stream)
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