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13 Possible Causes for Cerebral Edema, Circumduction Gait, Dysarthria

  • 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[ncbi.nlm.nih.gov] Dysarthria is more prevalent in left than in right hemisphere lesions.[ncbi.nlm.nih.gov] 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[emedicine.com]

  • Hemiplegia

    Focal status epilepticus results in unilateral cerebral edema of the epileptic hemisphere in the acute phase followed by cerebral hemiatrophy.[ncbi.nlm.nih.gov] Dysarthria: 2 Severe; patient speech is so slurred as to be unintelligible in the absence of or our of proportion to any dysphagia, or is mute/anarthric 11.[cns.org] With mild hemiparesis, loss of normal arm swing and slight circumduction may be the only abnormalities.[web.archive.org]

  • 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.[quizlet.com] Dysphagia, aphasia, apraxia, dysarthria, paralysis, as well as visual and other problems can occur. 4.[csuchico.edu] If the pressure exceeds 40 mmHg, cerebral hypoxia, ischemia, edema, hydrocephalus, and herniation can occur.[journalofethics.ama-assn.org]

  • Pyramidal Tract Lesion

    These findings were consistent with vasogenic edema.[em-consulte.com] Although right hemiplegia with facial weakness and dysarthria were noted, sensations to pinpricks were intact.[casereports.bmj.com] One month later she presented with mild dysarthria and mild left hemiparesis.[jstage.jst.go.jp]

  • Ataxia

    […] white matter lesions indicative of edema and small infarct are most common MRI findings.[doi.org] Patient 2 initially presented with an increased startle response and myoclonic jerks, and subsequently developed severe limb and gait ataxia, dysarthria, oculomotor disturbances[ncbi.nlm.nih.gov] There are some specific gaits: the waddling gait of hip girdle weakness; the steppage gait of foot-drop; the swinging gait of quadriceps weakness; and the circumducting or[dartmouth.edu]

  • Spastic Paraparesis-Deafness Syndrome

    Entries on cerebellar diseases, peripheral neuropathies, various dementias, diagnostic tests (both clinical and laboratory), forms of cerebral edema, dissociative signs and[books.google.com] Affected individuals may present with focal weakness of the extremities such as stumbling or poor handgrip or bulbar findings such as dysarthria and dysphagia.[explainmedicine.com] This pattern of hypertonicity is responsible for the classic gait with the affected person demonstrating circumduction and toe walking.[jnnp.bmj.com]

  • Paraparesis

    Pathologic study showed cerebral edema, but no loss of myelin.[jamanetwork.com] Impaired fine coordination of hands (9/14) and dysarthria (6/14) in some patients suggested cerebellar involvement.[neurology.org] 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.[ptpaces.wordpress.com]

  • Hemiparesis

    A cerebral magnetic resonance was performed ( Fig. 1 A) showing multiple supratentorial space-occupying-lesions with peripheral contrast enhancement surrounded by edema.[elsevier.es] A 57-year-old man was referred to the ED for wake-up right-sided hemiparesis, hypoesthesia, dysarthria, and a National Institutes of Health Stroke Scale score of 7.[ncbi.nlm.nih.gov] With mild hemiparesis, loss of normal arm swing and slight circumduction may be the only abnormalities.[stanford25.wordpress.com]

  • Infantile Hemiplegia

    Intracerebral hemorrhageIntracerebral hemorrhage  At the entry point of brainAt the entry point of brain  Hematoma and cerebral edemaHematoma and cerebral edema produces[slideshare.net] Children affected with athetoid cerebral palsy may be perceptive and intelligent; however, because of the involuntary movements and dysarthria, they are often unable to communicate[britannica.com] "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[your-pt.blogspot.com]

  • Bilateral Leg Weakness

    Inject 7 to 5 cm in the pelvis so that cerebral edema with narrowing of the tongue.[smj.org.sa] A brain stem lesion may also cause dysarthria, dysphagia, Horner's syndrome, cerebellar signs, spinothalamic sensory loss.[ole.bris.ac.uk] Look for circumduction of the leg or diminished swing of the arm. A waddling or lordotic gait occurs with chronic muscle weakness Coordination.[pedclerk.bsd.uchicago.edu]

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