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13 Possible Causes for Circumduction Gait, Hyperreflexia

  • Stroke

    An examination showed decreased strength on the right side, with hyperreflexia and an up-going plantar response.[]

  • Pyramidal Tract Lesion

    Symptoms include an increase in the muscle tone in the lower extremities, hyperreflexia, positive Babinski and a decrease in fine motor coordination.[] […] decussation causes impairment of movement in the opposite body-half, which is especially severe in the arm and leg and is characterized by muscular weakness, spasticity and hyperreflexia[] There is hypertonia (increased muscle tone, stiffness), hyperreflexia (exaggerated reflexes), and an oscillatory movement known as clonus.[]

  • Spastic Paraplegia

    This case showed spasticity and hyperreflexia with pathological reflexes and ankle clonus as well as muscle weakness in all extremities.[] 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.[] On neurological examination, he showed hyperreflexia, spasticity, and weakness in the lower extremities and bilateral Babinski reflexes.[]

  • Cerebral Palsy with Spastic Diplegia

    Classification Physiologic Classification Spastic (most common) Velocity-dependent increased muscle tone and hyperreflexia with slow, restricted movement due to simultaneous[] The subject demonstrated improvements in left hip and knee flexion and decreased left hip abduction and circumduction during gait after three weeks of IMOT.[]

  • Paraparesis

    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.[] Clonus is usually a pathologic finding, but a few beats, particularly at the ankles, can be found in healthy persons who have constitutional hyperreflexia.[] Hereditary spastic paraparesis Spastic leg paraparesis Changes in gait or there would be difficulty attaining usual gait Hyperreflexia Clonus Sensation is altered Neurological[]

  • Autosomal Recessive Spastic Paraplegia 52

    Spastic Gait Patients with uncomplicated HSP generally exhibit bilaterally symmetrical gait disturbance, 56 including short stride length (because of difficulty flexing the[] Spasticity is usually accompanied by HYPERREFLEXIA and variable degrees of MUSCLE WEAKNESS.[] […] seizures (in some patients) Spasticity Thin or absent corpus callosum (in some patients) Mental retardation, severe Delayed psychomotor development Loss of ability to walk Hyperreflexia[]

  • Hemiparesis

    With mild hemiparesis, loss of normal arm swing and slight circumduction may be the only abnormalities.[] Strength changes will be investigated by measuring muscle hypertrophy, hyperreflexia, and passive stiffness.[] 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[]

  • Nothnagel's Syndrome

    The hemiparetic gait is also characteristic with foot drop causing circumduction as the involved leg is swung out and forward before the next step.[] In some cases, pyramidal signs (generalized hyperreflexia and positive Babinski sign) are observed.[]

  • Ataxia

    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[] Motor examination showed lower limb physiologic hyperreflexia without spasticity, and power testing was normal. Sensory examination was normal.[] […] scissors gait of upper motor neuron weakness.[]

  • Old Age

    The subject presented with mental state changes (confusion and agitation), hyperreflexia, diaphoresis, nausea, vomiting, fever, and a general tonic-clonic seizure which developed[] Variable step width (lurching to one side or the other) suggests poor motor control, which may be due to frontal or subcortical gait disorders.[] Circumduction (moving the foot in an arc rather than a straight line when stepping forward) occurs in patients with pelvic muscle weakness or difficulty bending the knee.[]

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