The two lower limb paralysis known as the cut-off Huan. Absolutely is mostly from below the neck swelling caused damage to the spinal cord. [Causes] trauma, the blade of a stab wound caused by spinal cord injury rod cut, bleeding or spinal fracture of the spine and spinal cord contusion general infection caused by acute transverse myelitis, peripheral neuropathy, spinal disease, spinal cord compression lesions, degeneration Paraplegia and other diseases can arise.
[Clinical manifestation - the state of paralysis, muscle tension points flaccid paralysis and spastic paraplegia; paraplegia lesions on the brain of the cut-off Huan, spinal paralysis, peripheral nerve paraplegia; according to neuronal damage at the site on the motor neuron Paraplegia and the motor neuron paraplegia.
[Diagnosis]
(A) flaccid paralysis of lower extremities to reduce muscle tension, tendon reflexes to reduce or disappear as its characteristics.
1. Under the motor neurons of flaccid paralysis: The motor neuron disease caused by a flaccid paralysis is characterized by paralysis of varying degrees, can be incomplete or complete. Complete flaccid paralysis to the same degree of paralysis on both sides. Muscular atrophy with vasomotor obstacles such as floating suction, skin bluish violet, as well as skin nutrition obstacles, the current root irritation lesions, may have muscle fiber fibrillation. Tendon reflexes reduce or even disappear, especially Achilles tendon reflex, without pyramidal levy, no Banski levy, while sphincter obstacles. Such as nerve damage Mawei have incontinence, or because the bladder muscle paralysis, a nerve bladder, showed persistent incontinence.
2. On the motor neurons of flaccid paralysis: performance for the complete paralysis of both lower extremities, muscle tension reduction, partial reflection disappeared posture, leg tendon reflexes disappear, shallow reflection (cremaster reflection, abdominal reflex) disappeared. Babinski can levy. In addition to flaccid paralysis, the disease following Qianshen feel diminish or disappear, while incontinence. A muscular atrophy, such muscle atrophy and under different motor neuron damage, not selectively, but the lower limbs broad muscular atrophy.
(B) is a spastic paraplegia on motor neuron disease, bilateral lesions caused by the pyramidal tract. Zu Jian at the foot, knee buckling, a spastic gait. Tendon hyperreflexia with hyperactivity, that is, traction tendon reflexes when a series of reflex movement, such as the patellar clonic and ankle, such as clonic. The positive reflection on both sides of pathology, spinal cord with automatic reflex, that is to stimulate the back foot, a leg buckling reflection. Spastic paraplegia patients with sphincter more obstacles for the performance of the urgency of urination, and sometimes delay for the performance of urination and even urinary retention. Ants have their sense of obstacles to a sense of numbness, tingling can sometimes have, such as electric shock-like pain, the general sense without obstacles. Spastic paraplegia generally divided into three types:
1. Onslaught of hidden: the passage of onset hidden, slow progress, spinal intermittent claudication. Light paralysis, abnormal gait, hyperreflexia tendon, muscle tension increased slightly, Babinski positive sign and with other pyramidal levy.
2. Extension (spastic) paraplegia type: two with straight-leg, muscle tension increased tendon hyperreflexia, Babinski positive sign.
3. Buckling (spastic) paraplegia type: two-leg buckling clear, almost completely lost their lower limbs at the capacity and can not stand up and walking, loss of tendon reflexes may be, many of this type of extension of transitional from paraplegia.
[Clinical manifestation - the state of paralysis, muscle tension points flaccid paralysis and spastic paraplegia; paraplegia lesions on the brain of the cut-off Huan, spinal paralysis, peripheral nerve paraplegia; according to neuronal damage at the site on the motor neuron Paraplegia and the motor neuron paraplegia.
[Diagnosis]
(A) flaccid paralysis of lower extremities to reduce muscle tension, tendon reflexes to reduce or disappear as its characteristics.
1. Under the motor neurons of flaccid paralysis: The motor neuron disease caused by a flaccid paralysis is characterized by paralysis of varying degrees, can be incomplete or complete. Complete flaccid paralysis to the same degree of paralysis on both sides. Muscular atrophy with vasomotor obstacles such as floating suction, skin bluish violet, as well as skin nutrition obstacles, the current root irritation lesions, may have muscle fiber fibrillation. Tendon reflexes reduce or even disappear, especially Achilles tendon reflex, without pyramidal levy, no Banski levy, while sphincter obstacles. Such as nerve damage Mawei have incontinence, or because the bladder muscle paralysis, a nerve bladder, showed persistent incontinence.
2. On the motor neurons of flaccid paralysis: performance for the complete paralysis of both lower extremities, muscle tension reduction, partial reflection disappeared posture, leg tendon reflexes disappear, shallow reflection (cremaster reflection, abdominal reflex) disappeared. Babinski can levy. In addition to flaccid paralysis, the disease following Qianshen feel diminish or disappear, while incontinence. A muscular atrophy, such muscle atrophy and under different motor neuron damage, not selectively, but the lower limbs broad muscular atrophy.
(B) is a spastic paraplegia on motor neuron disease, bilateral lesions caused by the pyramidal tract. Zu Jian at the foot, knee buckling, a spastic gait. Tendon hyperreflexia with hyperactivity, that is, traction tendon reflexes when a series of reflex movement, such as the patellar clonic and ankle, such as clonic. The positive reflection on both sides of pathology, spinal cord with automatic reflex, that is to stimulate the back foot, a leg buckling reflection. Spastic paraplegia patients with sphincter more obstacles for the performance of the urgency of urination, and sometimes delay for the performance of urination and even urinary retention. Ants have their sense of obstacles to a sense of numbness, tingling can sometimes have, such as electric shock-like pain, the general sense without obstacles. Spastic paraplegia generally divided into three types:
1. Onslaught of hidden: the passage of onset hidden, slow progress, spinal intermittent claudication. Light paralysis, abnormal gait, hyperreflexia tendon, muscle tension increased slightly, Babinski positive sign and with other pyramidal levy.
2. Extension (spastic) paraplegia type: two with straight-leg, muscle tension increased tendon hyperreflexia, Babinski positive sign.
3. Buckling (spastic) paraplegia type: two-leg buckling clear, almost completely lost their lower limbs at the capacity and can not stand up and walking, loss of tendon reflexes may be, many of this type of extension of transitional from paraplegia.
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