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10 Possible Causes for Circumduction Gait, Dysarthria, Focal Neurologic Deficit

  • Stroke

    Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of ischemic stroke diagnosis.[ncbi.nlm.nih.gov] Dysarthria is more prevalent in left than in right hemisphere lesions.[ncbi.nlm.nih.gov] The literature documents numerous case reports of patients presenting with focal neurological deficits subsequently attributed to hypoglycaemia.[ncbi.nlm.nih.gov]

  • Brain Laceration

    Survivors from severe TBI may have seizures, focal neurologic deficits, dementia, or the persistent vegetative state. Trauma is a risk factor for Alzheimer's disease.[neuropathology-web.org] Dysphagia, aphasia, apraxia, dysarthria, paralysis, as well as visual and other problems can occur. 4.[csuchico.edu] Department, the Glascow Coma Scale can give a rough idea of the severity of neurological depression but it is hard to sort through the effects of different lesions and predict if neurological[neuropathology-web.org]

  • Pyramidal Tract Lesion

    The patient made a complete recovery without neurological deficits; follow-up MRI 2 days later revealed complete lesion resolution ( figure 2 ).[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]

  • Hemiparesis

    Two major patterns of presentation are described: 1) 25% of patients follow a stroke-like pattern of multiple recurrent episodes of focal neurologic deficits with a variable[ijcasereportsandimages.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]

  • Benedict Syndrome

    Intra cranial hemorrhage (ICH) Sudden onset focal neurological deficit that progresses over minutes to hours is the classic presentation of ICH.[explainmedicine.com] […] hand syndrome – facial weakness and severe dysarthria and dysphagia that occur in conjunction with a clumsy or paretic hand; usually due to a lacunar infarct of the basis[prod.wiki.cns.org] The hemiparetic gait is also characteristic with foot drop causing circumduction as the involved leg is swung out and forward before the next step.[emedicine.medscape.com]

  • 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[your-pt.blogspot.com] SymptomsSymptoms  Focal neurological deficitFocal neurological deficit  SeizureSeizure  MigraineMigraine  FeverFever  LethargyLethargy  HeadacheHeadache  DYstoniaDYstonia[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]

  • Bilateral Leg Weakness

    deficits Focal Central Multiple sclerosis; stroke Peripheral Peripheral neuropathy; radiculopathy Diffuse Central Amyotrophic lateral sclerosis Peripheral Guillain-Barré[aafp.org] 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]

  • Acute Disseminated Encephalomyelitis

    A variety of focal neurologic deficits may be present, as with MS. Examination of CSF is typically normal.[webeye.ophth.uiowa.edu] The patient needed mechanical ventilation for 10 days, and after extubation, he presented hypotonia, ataxia, dysarthria, as well as weak gag and cough reflexes.[ncbi.nlm.nih.gov] He manifested a right circumduction gait with stand-by assistance, a cane, and bilateral AFO.[karger.com]

  • Nothnagel's Syndrome

    neurological deficits Which imaging modality should be ordered if subarachnoid hemorrhage is suspected?[studyblue.com] MSA-c is a form of MSA with predominant cerebellar features such as gait and limb ataxia, oculomotor dysfunction and dysarthria.[orpha.net] The hemiparetic gait is also characteristic with foot drop causing circumduction as the involved leg is swung out and forward before the next step.[emedicine.medscape.com]

  • Myoclonic Dystonia Type 15

    Secondary dystonias are often accompanied by other neurological deficits, occur at rest and are associated with different hereditary and environmental causes.[neuroweb.us] With hysterical gait, there tends to be no leg circumduction, hyperreflexia or Babinski sign.[aafp.org] […] thalamotomy and pallidotomyon CT and MRI-guided,and the postoperative results showed dyskinesia symptoms of the patients were significantly improved and complications (such as dysarthria[omicsonline.org]

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