Carlton, a high levy

Cause pathogenesis of the tibial nerve afferent nerve, in the center of the spinal cord after a horn cells-4 -5 spinal cord and the spinal cord 1-2 anterior horn cells, efferents to the deep peroneal nerve. Babinski sign pyramidal tract damage is a very reliable indication was particularly prevalent in the pyramidal tract injury, can be found in deep sleep, deep anesthesia. drug or alcohol intoxication, spinal disease, stroke, seizures after Todd's palsy and hypoglycemia when shock. Allergic pain, foot pain is stabbed overweight, chorea or sign Xu hyperactivity often involuntary movements. There will be Babinslci levy, which is due to patients with hyperactivity about it. Clinical manifestations in patients with recumbent examiner for corneas gastrocnemius, as there was great toe dorsiflexion. The clinical significance of the same Babinski sign. Differential diagnosis (1) amyotrophic lateral sclerosis (amyotrophic lateral scleros is) Early Win-side upper extremity muscles atrophy, the gradual emergence of other limb muscle atrophy and lower extremities and trunk spouse may suffer and Finally facial muscles and muscle involvement will shrink ,1-2 years to the development of systemic muscular atrophy. Early pyramidal tract little damage, the early diagnosis more difficult, we must have a clear pyramidal tract levy before diagnosis. About half of the above Babinski sign, no sensory dysfunction and incontinence, pressure sores were rare occurrence. OK early ants sense pain. (2) cerebral hemorrhage (cerebral haemorrhage) over a history of hypertension, Standing in the 50-60-year-old disease, physical activity or emotional excitement at the sudden onset and rapid, early headache, vomiting, and other signs of increased intracranial pressure, disturbance of consciousness, accompanied by meningeal irritation and hemiplegia, aphasia, and other regional cerebral symptoms, aggravate their condition, there may be unconscious and lower limbs, muscle tension, breathing nasal voice, repeated vomiting, often ranging from bilateral pupil, General bleeding side of the pupil to expand, and in some cases two lateral gaze to the bleeding, bleeding lesions in the contralateral hemiplegia, low muscle tone, Babinski sign was. Acupuncture hemiplegic no response. Lumbar puncture can was BCSF, CT showed high density lesions. MRI, T1W, T2W high brain signals. (3) form of cerebral thrombosis (cerebral thrombosis) multiple in 60 years and older. associated with history of hypertension and arteriosclerosis and coronary heart disease or diabetes history, more men than women. Standing in a quiet sleep or rest at the onset ,1-4 days from the peak, coma lighter, headache, or vomiting symptoms rare Pupil not change, the fundus arteriosclerosis, lesions contralateral limb paralysis, he often appears hemiplegia, aphasia, the partial body sensory dysfunction, such as hemianopsia. Neck resistance, low muscle tone, on the side of Babinski sign, Cadau grams of high levy and the levy was Carlton. CSF examination were normal, the brain CT showed low-density areas. MRI, T1M low signal area, slightly higher signal-T2 M district. (4) Multiple sclerosis (multiple sclerosis) in more than 20 -40 between the incidence Few below 10 years of age (3%) and over the age of 50 (5%) incidence, more females than males. Many mitigating and relapse history, more diplopia, unilateral or bilateral limb weakness, the feeling of physical abnormality, Cone beam damage, there will be the spastic limb paralysis, and can demonstrate to paraplegia, tetraplegic three limb paralysis, hemiplegia, or simply paralysis, tendon hyperreflexia, Babinski sign was. (5) epidemic benign nerve myasthenia gravis (benign epidmic neural myasthe 2003/10/06) is the early low heat or fever, incubation period of about a week, accompanied by upper respiratory infections, throat tightness, Gastrointestinal symptoms. Lymphadenopathy, enlarged lymph nodes in the neck obviously nervous system involvement by-side headache, neck pain and hard, muscle pain. Nystagmus, diplopia, myoclonus, throat myasthenia gravis, physically weak and ineffectual normal tendon reflexes, hyperthyroidism or diminishes, Pathological levy positive. FASCICLE fibrillation, accompanied by muscle pain and tenderness, skin hypersensitivity. Insomnia and dreams, emotional instability, lack of concentration, depression, hysteria - like attack, and so on. (6) hypertensive encephalopathy (hypertensiver encephalopathy) styles to be radical - or serious measured in patients with hypertension, intense performance as headache, dizziness, vomiting, Inside or mental disorder. The comprehensive development of the disease may take 12-48 hours after systemic convulsion, myoclonus, coma and focal neurological disorders, neurological sequelae may arise, aphasia, Focal seizures and retinal or cortical blindness may also arise as papillary edema, hemorrhage and retinal exudates, blood pressure suddenly increased. Pathological positive reflection. CSF were normal lumbar puncture, the pressure increased. (7) Multiple Dementia (dementiacaused multiple cerebr al infarcion) main symptoms are memory loss, mental retardation, orientation obstacles, poor judgment and lack of insight. Obviously declined in recent memory, easily forgotten, but the memory remained generally much better, very familiar to those who do not know, the time and place of a mistake. Professional knowledge forgotten, calculated poor, not words to express the words, not even coherent, spirit weak, and insensitive, selfish, self-centered, accompanied by emotional instability, Biqijizao, confusion, paranoia, and so on. Late dementia, radial artery, dorsalis pedis artery, femoral artery pulsatility both normal vascular murmur can be heard. Increased tendon reflexes, Babinski sign bilateral positive. Palm chin reflex, suck reflex, brow positive reflection. (8) uveal big encephalitis (uveoencephalitis) age of onset in 25 -50 year old see often in the spring of incidence. First symptoms of meningeal irritation, drowsiness, unconsciousness and even have hemiplegia and aphasia. Hemiplegic side increased muscle tone, enhance tendon reflexes, Babinski sign was. 1 -2 weeks incidence of acute diffuse uveitis, visual smaller, congestive ciliary body, iris after adhesion, Miosis. vitreous opacity, or retinal edema. As nipple congestive edge unclear, even retinal detachment. Tinnitus can still arise, deafness and balance disorders. Skin may appear white, white hair and alopecia. (9) hepatic myelopathy (hepatic myelopathy) of the disease actually is not uncommon, because most of the patients both hepatic encephalopathy, the clinical symptoms were encephalopathy awareness and movement disorders are misdiagnosed exposure. Pathological examination revealed spinal cord after beam, the beam side of demyelination. The disease incidence has been slow, sexual aggravated limbs weakness, unsteady gait, can be accompanied by sphincter barrier. Double muscle strength, decreased, increased muscle tone, tendon hyperreflexia often jerks, pathological reflex positive. Tuning fork vibration and joint position McGREGOR diminish pain, sensitivity to normal. Paralyzed limb muscle 3 -4 level. Complete paraplegia rare, no obvious sense of the level of the lesion. Elevated blood ammonia. (10) subacute combined degeneration (subacute combined degeneration) The disease has no obvious family history or gender differences. In many middle-aged onset of chronic, progressive increase, toes and fingers early end symmetry paresthesia, gradually extending to the proximal. Two lower extremity weakness, reduce muscle tension, mild muscle atrophy, tendon reflexes slow. Depth of feeling may be obstacles that were peripheral distribution, can be accompanied by muscle tenderness, after cable and lateral variability limbs are weak, Muscle tension increased, abdominal reflexes disappear. Babinski sign, Cadau grams levy positive. And incontinent, pernicious anemia associated with the pale, dyspepsia and geriatrics. Peripheral blood and bone marrow smears giant cell anemia high hemoglobin. (11) hyperparathyroidism (hyperparathyroidism) Major symptoms Tongue muscle tremor, muscle atrophy, similar to amyotrophic lateral sclerosis. Some have hoarseness, vocal cord paralysis, dysphagia. A few patients with nerve deafness or tendon hyperreflexia, knock on the side contralateral tendon reflexes when physically active reflection there, Babinski sign was. The proximal lower limb muscle fatigue easily and often unable to. Pelvic belt and shoulder girdle muscles after the event often feel pain and abnormal muscle atrophy may arise. The involvement of muscle low muscle tone, brisk tendon reflexes. Back pain and tenderness associated with no fixed location. (12) hysteria paraplegia (hysteric paraplegia) mostly females, Disease ago with mental factors, flaccid and spastic paraplegia can be seen, the market is very dynamic and transient was flaccid, Instantaneously was spastic, sphincter no obstacles, no pressure sores and skin nutritional disorder and muscular atrophy, tendon reflexes and shallow reflection normal. No Babinski sign. Wealth implied.