Spastic Paraparesis

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Spastic Paraparesis

Examination

• observation
  • disuse atrophy
  • contractures
  • fasciculation
• tone
  • increased
  • ankle and patella clonus
• Power
  • weakness
    • hip flexion
    • knee flexion
    • ankle dorsiflexion
• Reflexes
  • brisk knee & ankle
  • Upgoing plantars
• Sensation
  • sensory level
• Coordination
• Gait
  • stiff, awkward, scissors

Causes

• Spinal cord compression
  • cervical spondylotic myelopathy
• Multiple Sclerosis
• Motor Neurone Disease
• Syringomyelia
• Syphilis
• Sub-acute combined degeneration of the cord
• Spinal cord Infarction
• Familial spastic paraparesis
• parasagittal lesions
• Bilateral cerebrovascular disease

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