Paralysis

Introduction Incomplete sex. Clinically, in order to judge the degree of sputum, the muscle strength is divided into 0 degrees - 5 degrees, six levels of evaluation criteria: 0, completely sputum; level 1, can be seen or felt in the touch, muscle contraction, can not produce limb movement Level 2, the limb can move in bed, but can not be lifted; level 3, the limb can be lifted for mild activity; level 4, the limb can act as resistance to resistance, can hold and walk; level 5, normal muscle strength .

Cause

1, single sputum more common in the middle cerebral artery lesions such as cerebral hemorrhage cerebral infarction cerebrovascular stenosis brain trauma brain tumors and other effects on the cortical motor area.

2, hemiplegia is common in the middle of the middle cerebral artery branch of the membranous artery supply area bleeding or occlusion brain tumor brain abscess demyelinating disease and glioma in the subcortical white matter and other factors affecting the internal capsule lesions hemiplegia can also have a partial feeling Obstacle and hemianopia.

3, cross-sex sputum is a brain stem lesion is common in brain stem vascular disease, inflammation, tumor trauma and so on.

4, paraplegia is common in spinal cord infection, tumor injury, optic demyelination and so on.

5, peripheral nerve spasm is common in amyotrophic lateral sclerosis, single neuritis, polyneuritis, infection, vascular disease, tumor and systemic diseases.

6, muscle lesions and neuromuscular junction lesions caused by sputum common in myasthenia gravis polymyositis progressive muscular dystrophy periodic paralysis.

an examination

Related inspection

Cranial CT examination of cerebrospinal fluid chemical examination cerebrospinal fluid protein

Increased muscle tone, hyperreflexia, shallow reflexes disappeared, so-called joint (joint) movement and pathological reflexes, sputum muscles did not shrink, and electrical tests showed no degenerative response.

Laboratory inspection:

The necessary selective laboratory tests include: blood routine, blood electrolytes, blood sugar, and urea nitrogen.

Other auxiliary inspections:

The necessary optional auxiliary inspection items include:

1. Examination of the skull base, CT and MRI.

2. Cerebrospinal fluid examination.

3. Chest, ECG, ultrasound.

Differential diagnosis

The palsy needs to be distinguished from the symptoms below.

Acute myelitis: more common in young adults, rapid onset, symptoms and signs of general infection and transverse spinal cord damage, increased protein and cells in cerebrospinal fluid. Limb sputum is a stagnation of sputum, muscle tension is reduced, sputum reflexes are weakened or disappeared, and no pathological reflexes. After several weeks, the phenomenon of spinal shock gradually decreased, muscle tension and tendon reflex increased, and pathological reflex appeared. Defecation and retention become incontinence and reflex urination occurs.

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