Monday, March 10, 2008
Grosso Limoges levy
Cause pathogenesis of afferent nerve center of the ulnar nerve, spinal cord centers in 6 -8, a thoracic myelopathy, efferents to the median nerve, ulnar nerve, the reflex was more cerebral cortex said before exercise is detrimental to the district. Bilateral was common in a wide range of functional cortex weakening, not positioning significance. Clinical manifestations in patients with left hand grip section 2 -5 pointed's first section, to the right of deciding Tapping patients fingertips palms, Bending caused fingers. Rossolimo's levy for the upper limb flexor hyperreflexia performance, see the tendon in the normal hyperreflexia, It is not pathological reflex. Was particularly prevalent in the pyramidal tract lesions, and spastic hemiplegia. Differential diagnosis (a) spastic hemiplegia (spastcic neck) limbs hypermyotonia , physical activity limitation, upper extremity in the lower limb. The upper limbs and lower limbs extensors of the flexor group paralyzed obviously, the performance of the upper extremity buckling, leg extension, fingers were buckling state, forearm settled landowners buckling, obviously Wrist flexion, strong fingers to the palmar flexion, thumb adduction strength, tendon hyperreflexia, reflecting the expansion of domain often have ankle clonus with patellar clonus, Babinski sign positive, Rossolimo levy, Mendel - bechterew levy positive. (2) pyramidal tract lesions (pyramidal tract disease) back to the central ago, District damage before exercise, there limitations epilepsy, often a single-limb paralysis, the performance of spastic paralysis, muscular tension, Tendon hyperreflexia, abdominal, cremaster reflex weakened, Babinski sign positive bilateral Grosso Limoges levy positive. (3) amyotrophic lateral sclerosis (amyotrrophic lateral sclerosis) more than 40 years old onset. Bilateral or hand side of the antics of weakness, muscular atrophy began to emerge, the size of the fish, the muscle between the bone and muscle Lumbrical Obviously, gradually to the forearm, upper arm extension and the former Department, myasthenia gravis and muscular fibrillation. As Cone beam damage appeared increased muscle tone, tendon hyperreflexia. Hoffman Rossolimo levy and the levy positive medullary damage, there dysarthria unclear, the pungent drinking water, dysphagia, gag reflex disappear. Muscle atrophy and tongue vibrate. Chin reflection and angular distortion positive reflection.
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