Central paralysis: Difference between revisions
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(Original text from WikiSkripta: Centrální obrna https://www.wikiskripta.eu/w/Centr%C3%A1ln%C3%AD_obrna) |
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Revision as of 19:33, 18 May 2022
The central or also spastic form of polio is characterized by involvement of the central motoneuron. Thus, the lesion is located in the CNS , whether in the brain or spinal cord. The etiology can be varied, eg: strokes, tumors, CNS inflammation, trauma, subdural or epidural hematomas, etc. Depending on the severity and location, we distinguish between plegia (complete paralysis) and paresis (partial paralysis only).
Characteristics of central paralysis
- Spasticity — increased resting muscle tone; the patient is stiff
- Hyperreflexia — reflexes are more vivid, more pronounced and their reflector zone is widened
- Paresis or plegia
- Muscle hypotrophy — often due to inactivity
- Irritant phenomena — manifestations of the pyramid path (Babinski, Juster,...)
