Upper Extremity Spasticity: Causes & Reasons

Possible Causes for Upper Extremity Spasticity

Autosomal Recessive Spastic Paraplegia Type 46

She first noticed gait disturbance and spasticity in the lower extremities together with nocturnal leg cramps and pain attacks in the upper limbs at age of 28 years. [omicsonline.org]

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

There was hyperreflexia in both upper and lower limbs and spastic paraplegia with a bilateral Babinski sign. [journals.plos.org]

Autosomal Recessive Spastic Paraplegia Type 44

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

There was hyperreflexia in both upper and lower limbs and spastic paraplegia with a bilateral Babinski sign. [journals.plos.org]

(eg, spasticity) and eventually involve the muscles of all 4 extremities and the trunk, as well as bulbar muscles. [emedicine.medscape.com]

Autosomal Recessive Spastic Paraplegia Type 20

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

There was hyperreflexia in both upper and lower limbs and spastic paraplegia with a bilateral Babinski sign. [journals.plos.org]

[…] paraplegia 0001258 Upper limb spasticity Uncontrollable movement in upper arms 0006986 Showing of 84 | Last updated: 5/1/2019 Troyer syndrome is caused by mutations in the [rarediseases.info.nih.gov]

Autosomal Dominant Spastic Paraplegia Type 29

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

There was hyperreflexia in both upper and lower limbs and spastic paraplegia with a bilateral Babinski sign. [journals.plos.org]

All of them started with symptoms consisting of gait difficulties and weakness in the lower extremities, and their neurologic examination showed an upper motor neuron syndrome [ajnr.org]

Cervical Spina Bifida without Hydrocephalus

Spasticity in the upper extremities occurs in approximately 20% of patients with myelomeningocele. [emedicine.medscape.com]

[…] of posterior fossa structures (e.g. cerebellum, brainstem) through foramen magnum leading cause of death in infants Sxs: intermittent apnea, stridor, nystagmus, weak cry, upper-extremity [orthopaedicsone.com]

New-onset weakness or spasticity in the upper extremities may be a hallmark of progressive neurologic dysfunction. [emedicine.medscape.com]

Spastic Diplegia

The legs are often more affected than the upper extremities, but spastic diplegia often affects the hips and/or pelvis as well. Spastic means stiff or contracted. [mycerebralpalsychild.org]

Usually, the legs or lower extremities are affected more than the upper extremities or arms. [beasleyfirm.com]

Patients have more extensive involvement of the lower extremity than the upper extremity which allows most patients to eventually walk. [cerebralpalsylawdoctor.com]

Cerebral Palsy with Spastic Diplegia

The legs are often more affected than the upper extremities, but spastic diplegia often affects the hips and/or pelvis as well. Spastic means stiff or contracted. [cerebral-palsy-information.com]

Patients have more extensive involvement of the lower extremity than the upper extremity which allows most patients to eventually walk. [cerebralpalsylawdoctor.com]

Spastic hemiplegia Typically, the upper extremity is much more affected than the lower extremity with this form of Spastic Cerebral Palsy. [cerebralpalsygroup.com]

Mixed Cerebral Palsy

Spastic hemiplegia (20-30%) One side of the body effected, including an upper and lower extremity Upper extremity spasticity effected more than lower extremity Double hemiplegia [wikem.org]

Spasticity may be present in one of three forms in these children; Spastic diplegia (lower extremities more involved than uppers) Spastic quadriplegia (all four extremities [cham.org]

Spastic diplegia (30-40%) – Cerebral palsy affecting bilateral lower extremities more than upper extremities; in some cases, the lower extremities are solely involved Spastic [emedicine.medscape.com]

Myelopathy

[…] in the lower extremities Motor weakness in the extremities Gait difficulties ("spastic gait," hesitant and jerky) Myelopathic or "upper motor neuron" findings such as spasticity [emoryhealthcare.org]

[…] signs; - lateral cord involvement: causes spasticity, hyper-reflexia, and frank clonus in lower extremities; - posterior cord involvement: causes decline in ability to walk [wheelessonline.com]

The first sign is commonly gait spasticity, followed by upper extremity numbness and loss of fine motor control in the hands. [emoryhealthcare.org]

Autosomal Recessive Spastic Paraplegia Type 52

Over time spasticity progresses to involve the upper extremities, resulting in a spastic tetraplegia. [ncbi.nlm.nih.gov]

Examination of individuals with uncomplicated HSP reveals signs of upper motor neuron deficits in the lower extremities: bilateral, approximately symmetrical, lower extremity [neupsykey.com]

Early-onset hypotonia evolves into progressive lower-extremity spasticity. The majority of children become non-ambulatory and usually wheelchair bound. [ncbi.nlm.nih.gov]

Cervical Myelopathy

There may also be spasticity with weakness of the upper or lower extremities. [necksolutions.com]

Spinal Cord Infarction

Physical examination revealed flaccid paresis of the upper extremities. Spasticity at 2 mos after injury, but no detectable weakness, developed in the lower extremities. [ncbi.nlm.nih.gov]

Several hours later, she noted chest tightness, back and neck pain, and later bilateral upper-extremity weakness. [ncbi.nlm.nih.gov]

The patient seems to have an infarct in the anterior spinal artery distribution, with clinical, imaging, and electrodiagnostic findings of upper-extremity lower-motor neuron [ncbi.nlm.nih.gov]

Primary Lateral Sclerosis

Her speech became dysarthric and upper extremities spasticity was noticed over the last 6 months. [scielo.br]

Patients typically present with gradual lower extremity spasticity, hyperreflexia, weakness, and pain, which may be asymmetric at onset. [visualdx.com]

Primary lateral sclerosis (PLS) is a progressive, degenerative disease of upper motor neurons characterized by progressive spasticity (ie, stiffness). [emedicine.com]

Spastic Paraplegia

Spasticity in hemiplegia is characterised by extensor predominance in the lower extremity and flexor predominance in the upper. [onlinelibrary.wiley.com]

ITB pump therapy should only be considered in extreme cases of spasticity and has been found to be most effective in treating spasticity in the lower and upper extremities [aans.org]

Complex types involving the lower extremities and may affect the upper extremities to a lesser degree. [ivami.com]

Posterior Fusion of Lumbosacral Vertebrae-Blepharoptosis Syndrome

extremities, spasticity of the upperand lower extremities. [myslide.es]

[…] pain in the nape area aggravated by coughing,sneezing, fainting, dizziness, blurred vision, decreased pain and temperaturesensitivity, as well as muscle strength in the upper [myslide.es]

Autosomal Recessive Spastic Paraplegia Type 7

Complex types involving the lower extremities and may affect the upper extremities to a lesser degree. [ivami.com]

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

Spastic paraplegia, variably associated with cognitive decline, thin corpus callosum, upper extremity weakness, dysarthria and nystagmus ~ 1% ADHSP† ~ 8% ADHSP† ~ 5% ARHSP [1pdf.net]

Autosomal Dominant Spastic Paraplegia Type 6

Complex types involving the lower extremities and may affect the upper extremities to a lesser degree. [ivami.com]

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

There was hyperreflexia in both upper and lower limbs and spastic paraplegia with a bilateral Babinski sign. [journals.plos.org]

Spastic Quadriplegic Cerebral Palsy Type 2

Spastic Diplegia Cerebral Palsy Spastic Diplegic Cerebral Palsy Spastic diplegia is a form of cerebral palsy where both of the legs have abnormal stiffness. [cerebral-palsy-information.com]

Autosomal Dominant Spastic Paraplegia Type 8

Complex types involving the lower extremities and may affect the upper extremities to a lesser degree. [ivami.com]

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

There was hyperreflexia in both upper and lower limbs and spastic paraplegia with a bilateral Babinski sign. [journals.plos.org]

Foramen Magnum Meningioma

extremity.[2] Spastic quadriparesis as well as lower CN palsies are aggravated and serious final symptomatology.[2] Our patient presented with a progressive numbness of both [journals.lww.com]

upper limbs accompanied with hyperesthesia on the shoulders. [journals.lww.com]

[…] syndrome often starts with a unilateral arm sensory as well as motor deficits, which advance to the ipsilateral leg, then the contralateral leg, and ultimately contralateral upper [journals.lww.com]

Autosomal Recessive Spastic Paraplegia Type 56

Spasticity was severe in the lower extremities and was accompanied by significant weakness. The upper extremities were found to be mildly hypotonic. [cags.org.ae]

Occasional patients with this form had upper extremity hyperreflexia, pes cavus and sphincter disturbances, even at the early stages. [thieme-connect.com]

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

Autosomal Recessive Spastic Paraplegia Type 26

Complex types involving the lower extremities and may affect the upper extremities to a lesser degree. [ivami.com]

She first noticed gait disturbance and spasticity in the lower extremities together with nocturnal leg cramps and pain attacks in the upper limbs at age of 28 years. [omicsonline.org]

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

Adult Primary Lateral Sclerosis

It affects the lower extremities, trunk, upper extremities, and bulbar muscles (usually in that order). [pallipedia.org]

His examination was significant for hyperreflexia and spasticity in all 4 limbs, minimal voluntary movement of his upper extremities, lower extremity paresis, and dysarthria [ajnr.org]

Primary lateral sclerosis (PLS) is a progressive, degenerative disease of upper motor neurons characterized by progressive spasticity (ie, stiffness). [emedicine.medscape.com]

Athetoid Cerebral Palsy

[…] diplegia is the lower extremities affected, with little to no upper-body spasticity. [cerebralpalsyworld.com]

[…] involvement of upper extremity spasticity more than lower extremity spasticity (eg, right side involved with right arm more than right leg). [emedicine.medscape.com]

Autosomal Recessive Spastic Paraplegia Type 24

Complex types involving the lower extremities and may affect the upper extremities to a lesser degree. [ivami.com]

She first noticed gait disturbance and spasticity in the lower extremities together with nocturnal leg cramps and pain attacks in the upper limbs at age of 28 years. [omicsonline.org]

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

X-Linked Spastic Paraplegia Type 34

[…] adductor-lengthening surgery, and children with upper extremity spasticity. [aetna.com]

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

There was hyperreflexia in both upper and lower limbs and spastic paraplegia with a bilateral Babinski sign. [journals.plos.org]

Autosomal Recessive Spastic Paraplegia Type 18

Spasticity was severe in the lower extremities and was accompanied by significant weakness. The upper extremities were found to be mildly hypotonic. [cags.org.ae]

She first noticed gait disturbance and spasticity in the lower extremities together with nocturnal leg cramps and pain attacks in the upper limbs at age of 28 years. [omicsonline.org]

[…] predominantly in the lower extremities with weakness, spasticity and hyperreflexia, and bilateral extensor plantar response. [ajnr.org]

Cerebral Palsy

[…] involvement of upper extremity spasticity more than lower extremity spasticity (eg, right side involved with right arm more than right leg). [emedicine.medscape.com]

The typical types of cerebral palsy are as follows: Spastic hemiplegia (20-30%) – Cerebral palsy predominantly affecting 1 side of the body, including an arm and a leg, with [emedicine.medscape.com]

Pseudohypoparathyroidism

Examination revealed functional upper extremities with spastic paraplegia of bilateral lower extremities. [ncbi.nlm.nih.gov]

PATIENT SAMPLE: We report on a 14-year-old obese male with PHP and progressive lower extremity weakness secondary to congenital spinal stenosis. [ncbi.nlm.nih.gov]

Botulinum Toxin

The degree of spasticity was assessed via the Modified Ashworth Scale and the upper limb motor function via the Fugl Meyer Upper Extremity Scale at the baseline and 4 and [ncbi.nlm.nih.gov]

[…] and lower extremity spasticity and chronic migraine. [ncbi.nlm.nih.gov]

Botulinum toxin in severe upper extremity spasticity among patients with traumatic brain injury: an open-labeled trial. [drugs.com]