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19 Possible Causes for Circumduction Gait, Dysarthria

  • Stroke

    Dysarthria is more prevalent in left than in right hemisphere lesions.[ncbi.nlm.nih.gov] In our case series, all patients had dysarthria as a presenting symptom.[ncbi.nlm.nih.gov] Dysarthria is a frequent and persisting sequel to stroke and arises from varied lesion locations.[ncbi.nlm.nih.gov]

  • Hemiplegia

    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] Diplegic Gait Patients have involvement on both sides with spasticity in lower extremities worse than upper extremities.[web.archive.org]

  • Pyramidal Tract Lesion

    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] Lesions of the basal ganglia will also cause hyperkinetic dysarthria.[csuchico.edu]

  • Brain Laceration

    Dysphagia, aphasia, apraxia, dysarthria, paralysis, as well as visual and other problems can occur. 4.[csuchico.edu]

  • Ataxia

    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] Many diseases involve the cerebellum and produce ataxia, which is characterized by incoordination of balance, gait, extremity and eye movements, and dysarthria.[ncbi.nlm.nih.gov]

  • 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] We examined a 66-year-old Japanese woman manifesting gait disturbance and spastic dysarthria for 6years with positive family history.[ncbi.nlm.nih.gov] Phenotypic variability was observed, including age-at-onset, dysarthria and pes cavus.[ncbi.nlm.nih.gov]

  • Hemiparesis

    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.[web.archive.org] An 89-year-old man with diabetes treated with metformin 500 mg/day and glimepiride 4 mg/day was hospitalized because of hypoglycemic right hemiparesis and dysarthria (casual[ncbi.nlm.nih.gov]

  • Infantile Hemiplegia

    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] With mild hemiparesis, loss of normal arm swing and slight circumduction may be the only abnormalities.[web.archive.org]

  • Paraparesis

    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] […] specific, isolated families, the following symptoms have included: Mental retardation Dementia Epilepsy Peripheral neuropathy Retinopathy Optic neuropathy Deafness Ataxia Dysarthria[disabled-world.com]

  • Bilateral Leg Weakness

    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] There was no visual disturbance, dysphagia, dysarthria, or bladder or bowel disturbance. There was no prodromal illness or vaccination.[n.neurology.org]

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