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Spastic hemiplegia is a neuromuscular condition of spasticity that results in the muscles on one side of the body being in a constant state of contraction. It is the "one-sided version" of spastic diplegia. It falls under the mobility impairment umbrella of cerebral palsy. About 20–30% of people with cerebral palsy have spastic hemiplegia. [1]
English: This image shows an example of affected areas to represent the differences between paraplegia (left), hemiplegia (middle), and quadriplegia (right). Please note these areas may differ for each condition and are dependent upon the neurological level of injury.
The types of spastic cerebral palsy are generally distinguished by the primary areas of the body that are affected. [2] Spastic hemiplegia Hemiplegia is a type of cerebral palsy affecting one vertical half of the body (such as one arm and one leg). [15] [16] The affected side of the body is opposite the affected area of the brain in hemiplegia.
Spastic cerebral palsy affects the motor cortex [110] of the brain, a specific portion of the cerebral cortex responsible for the planning and completion of voluntary movement. [111] Spastic CP is the most common type of overall cerebral palsy, representing about 80% of cases. [112] Botulinum toxin is effective in decreasing spasticity. [10]
Alternating hemiplegia (also known as crossed hemiplegia) is a form of hemiplegia that has an ipsilateral cranial nerve palsies and contralateral hemiplegia or hemiparesis of extremities of the body. The disorder is characterized by recurrent episodes of paralysis on one side of the body. [ 1 ]
Spasticity, a velocity-dependent change in muscle tone; Clasp-knife response where initial higher resistance to movement is followed by a lesser resistance; Babinski sign is present, where the big toe is raised (extended) rather than curled downwards (flexed) upon appropriate stimulation of the sole of the foot. The presence of the Babinski ...
Hemiplegia, in its most severe form, is the complete paralysis of one entire side of the body. Either hemiparesis or hemiplegia can result from a variety of medical causes, including congenital conditions, trauma, tumors, traumatic brain injury and stroke. [1]
[1] One major characteristic used to identify a lower motor neuron lesion is flaccid paralysis – paralysis accompanied by loss of muscle tone. This is in contrast to an upper motor neuron lesion , which often presents with spastic paralysis – paralysis accompanied by severe hypertonia .