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35 Possible Causes for Circumduction Gait, Dysarthria, Pyramidal Tract Signs

  • 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

    Babinski sign in absence of Pyramidal Tract Lesion can occur in physiological and pathological conditions Physiological causes of Babinski sign in absence of Pyramidal Tract[notes.medicosnotes.com] Although right hemiplegia with facial weakness and dysarthria were noted, sensations to pinpricks were intact.[casereports.bmj.com] Neurological examination revealed bilateral pyramidal-tract signs, and paresis of the right arm.[em-consulte.com]

  • Spastic Paraplegia

    In addition to pure forms, in which symptoms are limited to lower limb pyramidal tract dysfunction, complicated forms exist with additional neurological signs and usually[nature.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] 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]

  • Hereditary Spastic Paraplegia

    We present three patients with complicated HSP from two unrelated families, who had early onset progressive cerebellar signs and developed pyramidal tract signs during follow-up[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] 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]

  • 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] , 66 dysarthria and mild facial immobility, 40 cardiac disease, 32 epilepsy, 39 and in the Mast syndrome which consists of spastic paraplegia with dementia, dysarthria, and[jnnp.bmj.com]

  • Ataxia

    Here, we report a Han Chinese family with SCA18; the family members presented with a slowly progressing gait ataxia, pyramidal tract signs, and peripheral neuropathy.[ncbi.nlm.nih.gov] 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]

  • Hemiparesis

    Also, myoclonus or tremor is seen in up to 38% patients, hyperreflexia and other pyramidal tract signs in 85% patients and psychosis, visual hallucinations and paranoid delusions[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]

  • Autosomal Recessive Spastic Paraplegia Type 20

    The main feature of the disease is progressive spasticity in the lower limbs due to pyramidal tract dysfunction.[en.wikipedia.org] […] progressive muscle weakness, paraplegia, muscle wasting in the hands and feet (distal amyotrophy), small stature, developmental delay, learning disorders, speech difficulties (dysarthria[ghr.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]

  • Benedict Syndrome

    tract MLF Medial Lemniscus Medial Medullary Syndrome Signs Ipsilateral Paralysis of Tongue Contralateral Paralysis of arm and leg Contralateral Impared proprioceptive sense[quizlet.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]

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