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30 Possible Causes for Circumduction Gait, Constipation, Dysarthria

  • Stroke

    Loss of bowel control or constipation also may occur after a stroke.[web.archive.org] Dysarthria is more prevalent in left than in right hemisphere lesions.[ncbi.nlm.nih.gov] […] have double vision or find it hard to see problems with your memory and difficulty concentrating difficulty controlling your bladder and bowel movements (incontinence or constipation[bupa.co.uk]

  • Hemiplegia

    […] dizziness or hypertension : GB-20, LIV-3 For urinary incontinence : UB-23, ("Burning Mountain" technique) For retention of urine or difficult urination : LI-6, SJ-4 For constipation[americandragon.com] 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]

  • Ataxia

    The usual clinical features are constipation, fatigue, cold intolerance and weight gain.[scielo.br] 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 Paraplegia

    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] Moreover, a number of patients reported gastrointestinal problems, including constipation (14.6%), alternation of constipation and diarrhea (8.0%), fecal incontinence (11.6%[emedicine.medscape.com] We examined a 66-year-old Japanese woman manifesting gait disturbance and spastic dysarthria for 6years with positive family history.[ncbi.nlm.nih.gov]

  • Hereditary Spastic Paraplegia

    Moreover, a number of patients reported gastrointestinal problems, including constipation (14.6%), alternation of constipation and diarrhea (8.0%), fecal incontinence (11.6%[emedicine.medscape.com] The patient manifests typical clinical signs for SPG35 (youth onset gait impairment, progressive spastic paraparesis on lower limbs, dysarthria, white matter changes in MRI[ncbi.nlm.nih.gov] This pattern of hypertonicity is responsible for the classic gait with the affected person demonstrating circumduction and toe walking.[jnnp.bmj.com]

  • Paraparesis

    A survey recently conducted among adults with hereditary spastic paraparesis (HSP) showed that constipation, alternate constipation and diarrhea, fecal incontinence (FI),[mdmag.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

    CHA2DS2VASC and HASBLED scores Monitor for complications: Acute Haemorrhagic transformation of ischaemic stroke Aspiration pneumonia Subacute Pressure sores DVT and PE Pneumonia Constipation[medicaleducationleeds.com] 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]

  • Spastic Paraplegia Type 2

    Constipation may lead to alternating constipation/diarrhea. Constipation is also a known independent risk factor linked to urinary incontinence [ 20 ].[ojrd.biomedcentral.com] A 29-year-old man developed progressive spastic quadriplegia from early childhood with dysarthria, ataxia, dysphagia, and intellectual delay, but he displayed no nystagmus[ncbi.nlm.nih.gov] This pattern of hypertonicity is responsible for the classic gait with the affected person demonstrating circumduction and toe walking.[jnnp.bmj.com]

  • Bilateral Leg Weakness

    She had noted urinary frequency and constipation in the previous two weeks.[ncbi.nlm.nih.gov] 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]

  • X-linked Parkinsonism-Spasticity Syndrome

    This pattern of hypertonicity is responsible for the classic gait with the affected person demonstrating circumduction and toe walking.[jnnp.bmj.com] Bladder Post Bladder Surgery Prostatectomy with nerve removal Prune Belly Syndrome Pudendal Nerve Palsy Radical Prostatectomy Schmidli Autonomic Neuropathy Slow Transit Constipation[bladderbowel.gov.au] The common clinical problems in SCA are gait ataxia, eye movement abnormalities (nystagmus or jerkiness and double vision), and dysarthria (speech difficulty).[bcm.edu]

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