He referred our clinic when he can only ambulated with support, after urinary and fecal hesitancy began with progressive paraplegia in last 2 weeks. There were no fever, dermal lesion, lympadenopathy and organomegaly, in his physical examination. Upper thoracal vertebral spinous processes were sensible at his back side. Muscular strengths were 3-4/5 distally and 4/5 proximally at lower extremit...

Case presentation: A male baby born by Cesarean section at 37 weeks (APGAR 9/9), weighing 4280 g, stature of 53 cm and cephalic perimeter 38 cm. The 29 years-old mother (G5P4A1), previously hypertensive, had an active COVID-19 infection during childbirth. She no other comorbidities. At four months, he presented with motor skills developmental delay, showcasing hypertonia the lower limbs axial h...

The upper motor neuron (UMN) syndrome is a collection of interactive positive signs (associated with spastic hypertonia) and negative signs, such as muscle weakness and loss of voluntary control. In clinical practice, the distinction between active and passive functions allows identifying appropriate treatment objectives. During the last decades, many studies have evaluated the possibility to t...

culty in walking. The symptoms had first appeared 2 weeks earlier. Her medical history included type 2 diabetes treated with metformin and a thyroid goiter treated with surgery and levothyroxine. On clinical examination, she presented permanent hypertonia in the lower limb and bilateral dystonia of the extensor hallucis longus muscles. Intermittent spasms were associated with hypertonia. The sp...