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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.[] Dysarthria is more prevalent in left than in right hemisphere lesions.[] The literature documents numerous case reports of patients presenting with focal neurological deficits subsequently attributed to hypoglycaemia.[]

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

  • Pyramidal Tract Lesion

    The patient made a complete recovery without neurological deficits; follow-up MRI 2 days later revealed complete lesion resolution ( figure 2 ).[] One month later she presented with mild dysarthria and mild left hemiparesis.[] Lesions of the basal ganglia will also cause hyperkinetic dysarthria.[]

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

  • Benedict Syndrome

    Intra cranial hemorrhage (ICH) Sudden onset focal neurological deficit that progresses over minutes to hours is the classic presentation of ICH.[] […] 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[] The hemiparetic gait is also characteristic with foot drop causing circumduction as the involved leg is swung out and forward before the next step.[]

  • 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[] SymptomsSymptoms  Focal neurological deficitFocal neurological deficit  SeizureSeizure  MigraineMigraine  FeverFever  LethargyLethargy  HeadacheHeadache  DYstoniaDYstonia[] 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[]

  • Bilateral Leg Weakness

    deficits Focal Central Multiple sclerosis; stroke Peripheral Peripheral neuropathy; radiculopathy Diffuse Central Amyotrophic lateral sclerosis Peripheral Guillain-Barré[] A brain stem lesion may also cause dysarthria, dysphagia, Horner's syndrome, cerebellar signs, spinothalamic sensory loss.[] Look for circumduction of the leg or diminished swing of the arm. A waddling or lordotic gait occurs with chronic muscle weakness Coordination.[]

  • Acute Disseminated Encephalomyelitis

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

  • Nothnagel's Syndrome

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

  • 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.[] With hysterical gait, there tends to be no leg circumduction, hyperreflexia or Babinski sign.[] […] 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[]

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