Renal cell carcinoma presenting with pulmonary embolism is rare occurrence as evident by published few isolated case reports. However pulmonary embolism associated with compressive myelopathy as presentation is not reported. Authors reports a 32 – years female who presented with complaints of rapidly progressing difficulty and shortness of breath along with numbness and spastic quadriparesis fo...

Damage of the central nervous system often produces an upper motoneuron (UMN) syndrome. Characteristics of the UMS include the presence of positive and negative signs. Positive signs are increased phasic and tonic stretch reflexes, clonus, co-contraction, released flexor reflexes, spastic dystonia, and associated reactions, whereas negative signs signify the loss or impairment of voluntary move...

The clinical and radiographic presentation of a child with spastic tetraplegia, anticonvulsant drug-induced rickets, borderline hypothyroidism and multiple slipped epiphyses is described. While the metabolic abnormalities were being treated, the parents denied surgical treatment and have been non-compliant with bracing of the wrist, ankle and knee deformities. By two years of medical treatment,...

couid b?e *'01?/s were held in the extended position and sPa.stieitv e?f+? ^exe^' but extension was resisted by ran?e of i1T1 ? ^exo.r muscles. There was a normal abfliif>freSlsted flexi?n and extension at the hip joints, tho?p k Was decked by spasm of the adductors; changes were more marked on the right side. In walking there was marked adduction of the thighs, producing a tendency to cross-le...

Although they are common symptoms of ALS , there is little information on the prevalence spasticity and spasticity-related pain. Consecutive patients were prospectively recruited from an referral center. Clinical assessment, functional scores, features pains has been recorded. In a cohort 150 patients, 36% presented with spasticity. Spastic younger, longer duration disease. Spasticity accelerat...

This case report summarizes occupational therapy services provided to a participant after botulinum toxin A (BTA) injections and her improvements 2 years later. The injections were performed to neutralize spasticity in the left upper extremity after a stroke. Along with BTA, the participant received occupational therapy for 12 weeks, using neurodevelopmental and biomechanical approaches and an ...

Analysis of 200 cases reveals that the two neurological syndromes, brachial neuritis and myelopathy, associated with cervical spondylosis are distinct with relatively little overlap. While upper limb motor and sensory loss are doubtless due to nerve root compression in cases of "pure' brachial neuritis, they are more likely to be due to cord damage in cases with myelopathy (with spastic parapar...

Exostosis of the rib with neural foraminal extension as a cause of spinal cord compression and scoliosis has to the best of our knowledge not been reported. We describe a young male with hereditary multiple exostosis who presented with a spastic gait, lower limb weakness and a deformity of the upper back. Radiographic imaging revealed a lesion arising from the left second rib which was encroach...

Here we report an acute effect of aquatic pole walking (PW) training intervention on a 64-year-old male patient with chronic hemiparesis and symptoms of spasticity in the right lower limb. A comparison of over ground walking before and after 20 minutes of aquatic PW training revealed a significant improvement in gait performance. As a main result, the average speed of walking after the interven...

An adolescent boy with spastic diplegic cerebral palsy presented with crouch gait. He had bilateral severe flexion deformities of knees and hips. He was treated with single event multilevel surgery for the correction of deformities. Surgical procedures included bilateral adductor release, iliopsoas lengthening, bilateral femoral shortening and patella plication. Persistent hypertension was note...