More Related Content Similar to paraplegia-120919045136-phpapp01.pdf (20) More from NamanMishra87 (6) paraplegia-120919045136-phpapp01.pdf3. • Both upper limbs + Both lower limbs
QUADRIPLEGIA
• Only one upper limb
MONOPLEGIA
5. Paraplegia in
extension
Paraplegia in flexion
Lower limbs take an
extensor attitude
Lower limbs take an attitude
of flexion
Only pyramidal tracts are
involved
Both pyramidal &
extrapyramidal tracts are
involved
Evolution early Evolution late
7. • SPINAL CAUSES
1. Compressive
2. Non compressive
• Motor neuron disease
• Multiple sclerosis
• Frederich`s ataxia
• Subacute combined degeneration
10. • Extradural (80%)
1. Caries spine
2. Myeloma,Lymphoma,Metastatic deposits in
vertebra
3. Patchy meningitis
4. Prolapsed intervertebral disc
12. • SUDDEN ONSET
• CEREBRAL CAUSES
1. Thrombosis of unpaired anterior cerebral
artery
2. Superior sagittal sinus thrombosis
13. • SPINAL CAUSES
1. Acute tranverse myelitis
2. Injury to spinal cord
3. Thrombosis of anterior spinal artery
4. Haematomyelia
5. Post vaccinal
6. Prolapsed intervertebral disc
14. CAUSES OF FLACCID
PARAPLEGIA (LMN type)
• UMN lesion in shock stage
• Sudden onset in neuronal shock,acute transverse
myelitis,spinal injury
15. •LMN lesion involving anterior horn cells
or peripheral nerves
1. Acute anterior poliomyelitis
2. Acute infective polyneuropathy
3. Progressive muscular atrophy
16. • Diseases affecting posterior nerve roots
• Tabes dorsalis
• Diseases affecting myoneural junction
1. Myasthenia gravis
2. Periodic paralysis due to hypo or hyperkalemia