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11 Possible Causes for Cerebral Edema, Circumduction Gait

  • Stroke

    These patients are at high risk for progressive neurologic deterioration and death due to malignant cerebral edema, and they are best cared for in the intensive care unit[] In poor flow states―which occur with thrombotic and embolic ischemic stroke, as well as with increased ICP due to cerebral edema―the cerebral vasculature loses vasoregulatory[] Managing patients with malignant cerebral infarction remains one of the foremost challenges in medicine.[]

  • Brain Laceration

    […] perfusion decreases leading to tissue hypoxia, a decrease in serum pH levels& an increase in CO2 level- causes cerebral vasodilation& edema- further increasing ICP.[] If the pressure exceeds 40 mmHg, cerebral hypoxia, ischemia, edema, hydrocephalus, and herniation can occur.[] Scheinker IM (1947) Cerebral swelling. Histopathology, classification and clinical significance of brain edema. J Neurosurg 4: 255–258 PubMed CrossRef Google Scholar 32.[]

  • Hemiplegia

    Focal status epilepticus results in unilateral cerebral edema of the epileptic hemisphere in the acute phase followed by cerebral hemiatrophy.[] With mild hemiparesis, loss of normal arm swing and slight circumduction may be the only abnormalities.[] They advocate a proactive approach in the detection and management of cerebral edema in HHE causing intracranial hypertension.[]

  • Pyramidal Tract Lesion

    These findings were consistent with vasogenic edema.[] […] dysfunction of the blood–brain barrier (BBB), which results in vasogenic edema [ 9 ].[] First is cerebral hyperperfusion, caused by systemic hypertension and which leads to inadequate brain autoregulation, especially in the posterior circulation, and secondary[]

  • Paraparesis

    Pathologic study showed cerebral edema, but no loss of myelin.[] If the patient can walk, look for a spastic gait with bilateral circumduction described as “scissoring”, and whilst they are standing inspect the spine for scars.[] Entries on cerebellar diseases, peripheral neuropathies, various dementias, diagnostic tests (both clinical and laboratory), forms of cerebral edema, dissociative signs and[]

  • Infantile Hemiplegia

    "Never give up" E- Gait training: Circumduction gait is the way that a hemiplegic patient walks. this is an incorrect way for walk.Gait training must start depend on this[] Intracerebral hemorrhageIntracerebral hemorrhage  At the entry point of brainAt the entry point of brain  Hematoma and cerebral edemaHematoma and cerebral edema produces[] With mild hemiparesis, loss of normal arm swing and slight circumduction may be the only abnormalities.[]

  • Bilateral Leg Weakness

    Inject 7 to 5 cm in the pelvis so that cerebral edema with narrowing of the tongue.[] Look for circumduction of the leg or diminished swing of the arm. A waddling or lordotic gait occurs with chronic muscle weakness Coordination.[] Gait: Watch a patient walk! This is often the easiest way to demonstrate a hemiparesis from an upper motor neuron lesion.[]

  • Hemiparesis

    A cerebral magnetic resonance was performed ( Fig. 1 A) showing multiple supratentorial space-occupying-lesions with peripheral contrast enhancement surrounded by edema.[] With mild hemiparesis, loss of normal arm swing and slight circumduction may be the only abnormalities.[] Diplegic Gait Patients have involvement on both sides with spasticity in lower extremities worse than upper extremities.[]

  • Nothnagel's Syndrome

    […] fascicle and medial left cerebral peduncle (Figures 2 and 3).[] The hemiparetic gait is also characteristic with foot drop causing circumduction as the involved leg is swung out and forward before the next step.[] MRI brain with contrast was performed and revealed a ring-enhancing lesion with associated vasogenic edema in the left side of the midbrain, involving the left third nerve[]

  • Acute Disseminated Encephalomyelitis

    Brain imaging with MRI Acute hemorrhagic leukoencephalitis o diffuse white matter lesions, often large o associated with cerebral edema 29.[] He manifested a right circumduction gait with stand-by assistance, a cane, and bilateral AFO.[] He died of intractable cerebral edema on day 17 of illness, 10 days after the onset of neurologic symptoms. At autopsy, the brain was edematous, weighing 1,560 g.[]

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