Decorso clinico e Quadro clinico attuale
Quadro neuro-motorio:
Quadro di tetraplegia post - traumatica completa ASIA A, con livello neurologico C6 (si segnala ipoestesia TA-Doin territorio C6 a destra).
Nessun movimento volontario distale a C6 (buona stenia del muscolo ERC bilateralmente, assente estensore ulnare del carpo, mal testabile possibile saltuaria contrazione volontaria del tricipite brachiale con F 1/5, assenti movimenti in flessione di polso, assenti movimenri alle mani. Prono-supinazione possibile con buona stenia a sinistra, a destra supinazione possibile con buona forza, mentre la pronazione ha F 1/5 (compreso con movimento di spalla).
Ipotrofia dei muscoli flessori di polso e interossei, saltuari spasi involontari alle dita.
Nessun movimento volontario sottolesionale.
Presenza di ipertono con spasmi involontari a livello a tronco e degli arti inferiori (in terapia con baclofe per os). Tale ipertono si presenta prevalentemente a letto e non interferisce nei passaggi posturali nè vieni definito distrubante dal paziente.
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Clinical course and current clinical pictureNeuro-motor framework:Full frame of post-traumatic tetraplegia ASIA A, with neurological level C6 (Note hypoesthesia TA-Doin territory C6 right).No voluntary movement distal to C6 (good stenia ulnar extensor muscle ERC bilaterally, carpal, poorly testable can absent occasional voluntary contraction of the triceps brachii with F 1/5, flexion of wrist movements, absent movimenri absent in your hands. Prono-Supination possible with good stenia left, right supinating possible with good strength, while the 1/F has 5 pronation (including shoulder movement).Interosseous muscles and wrist flexor muscles hypotrophy, occasional involuntary spasi fingers.No voluntary movement associated subinjury.Presence of hypertonia with involuntary spasms in level a trunk and lower limbs (baclofe therapy per os). The hypertonia is presented mainly in bed and does not interfere in postural passages nor come defined distrubante the patient.
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Clinical course and current Clinical picture
neuromotor Framework:
Framework of quadriplegia post - traumatic complete ASIA A, with the neurological level C6 (it is reported hypoesthesia TA-C6 Doin territory right).
No distal voluntary movement to C6 (good stregths muscle ERC bilaterally absent extensor carpi ulnaris, poorly testable possible occasional voluntary contraction of the triceps brachial with F 1/5, absent movements in flexion of the wrist, absent movimenri hands. Prono-supination possible with good stregths left, right supination possible with good strength, while pronation has F 1/5 (including with movement of the shoulder).
hypotrophy flexor wrist and interosseous muscles, occasional involuntary Spasi fingers.
No voluntary movement sottolesionale .
Presence of hypertonic with involuntary spasms in a trunk and lower limbs (treated with oral baclofe). Such overtone occurs predominantly in bed and does not interfere in the posture changes nor come distrubante defined by the patient.
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