Quadriplegia

Overview of bilateral lower extremity paralysis, said tetraplegic. Cause pathogenesis brain, brain stem and spinal cord of bilateral pyramidal tract, spinal nerve root of gray, Peripheral neuropathy (such as cerebrovascular disease, cancer, inflammation, etc.) neuromuscular conduction disturbances and muscle disease can cause quadriplegia. Quadriplegia caused the lesions simultaneously. Clinical manifestations brain, brain stem and spinal cord damage submitted motor neuron paralysis, and the remaining lesions was lower motor neuron paralysis. Differential diagnosis (1) brain lesions caused by brain disease caused by tetraplegic tetraplegic styles for the elderly, Implicit was the onslaught of sexual conduct limbs incomplete spastic paralysis, accompanied by dysarthria, Dysphagia pseudobulbar palsy, and other symptoms. Multiple Sclerosis to be repeated attack bilateral hemiplegia, accompanied pseudobulbar palsy, cerebral hemisphere lesion, brain edema will have to Quadriplegia and brain tonic. (2) brainstem lesions caused by tetraplegic brainstem to the development of bilateral lesions may cause tetraplegic. his paralyzed limbs were incomplete spastic paralysis, accompanied by cranial nerve damage. (3) cervical lesions caused by spinal cord lesions tetraplegic Common tetraplegic. Foramen magnum vicinity of the tumor, there will be tetraplegic, characterized by paralysis to be first order of the side arm, spread beyond the ipsilateral lower limb again to the other side of upper and lower extremities. Central and upper cervical spinal cord tumors, paralysis was hidden sexual attack, Spastic Quadriplegia. Cervical enlargement tumor was flaccid arm, leg was spastic quadriplegia for the corresponding arm anterior horn and root damage appeared flaccid paralysis. Cone beam due to lower extremity injury appeared spastic paralysis. Amyotrophic lateral sclerosis beam is Quadriplegia arm began to appear muscular atrophy, after lower limb paralysis. Spinal cord hemorrhage, trauma caused by tetraplegic, characterized by sudden onset, the start of the limbs flaccid paralysis gradually to the transitional spastic paralysis, and accompanied by various types of sensory dysfunction. (4) peripheral neuropathy caused by a tetraplegic. Acute infection multiple nerve root Yan : Quadriplegia-based disease the most common symptoms, more than double leg paralysis, soon after the double arm paralysis, or sudden tetraplegic. and to lower extremity symptoms. Reduce muscle tension, reduce or tendon reflexes disappear. A subjective sensory dysfunction and cerebrospinal fluid protein and cell separation. 2. Acute Polio : The disease can lead to lower motor neuron sexual tetraplegic, but no sensory dysfunction, CSF can increase cell. 3.Landry's palsy : from double-leg paralysis, soon to move upwards, there breathing disorders, After emerging upper extremity paralysis, often in the late cranial nerve paralysis before death. (5) myopathy caused by a tetraplegic. For muscular dystrophy : paralysis of the limbs and muscle atrophy in the proximal Obviously, more muscular atrophy paralyzed Obviously, pseudo-hypertrophy, onset in children, may have a family history of genetic. 2. Polymyositis (DM) : subacute onset, muscle atrophy while pots with amyotrophic obvious. 3. Periodic Paralysis : As more potassium anomalies associated with quadriplegia. If hypokalemia limbs shoulder girdle and pelvic muscle paralysis brought by the proximal distal spread, a reflection reduce muscle, normal tendon reflexes or reduced, no sensory dysfunction. And hyperkalemic periodic paralysis accompanied by paralysis of the limbs, often start with the beginning of the distal limbs, muscle inherent hyperreflexia, Most tendon reflexes disappear, subjective and objective sensory dysfunction.