Hyperreflexia Hoffmans Sign Clonus 2
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- Опубликовано: 27 сен 2024
- This video shows a gentleman with Hyperreflexia, a Positive Hoffman's test, Clonus and incoordination. If you see this during your evaluation, you need to be suspicious of a central cervical cord lesion(stenosis), head injury and occasionally MS to name a few. Let me know what you think of this video. Also feel free to thank these folks for showing the real signs and symptoms that often times you only read about in school.
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Great demo. Clear and not too fast. Great capturing of the results of the tests too. Thx!
Sorry this was late but Thank you!
Clear understanding
This is pretty much exactly how I go through my neuro exam with my patients.
Hi Bobby,I've developed a "process" with different diagnoses and it keeps the evaluation in order. Thanks for the comment! Best, Paul
I started watching your videos because since 2013 my arms and legs have been getting progressively weaker. I finally found a doctor to take me seriously and she sent me for an MRI which showed spinal cord compression at C7 to 4mm. I had that herniated disc removed on August 15, 2022, but I am still having the same weakness in my arms and legs. Along with the weakness I have shortness of breath. What is the likelihood that the spinal cord issue was a coincidence and something else isn't going on?
Hi Paul, Thanks for the video. How were you sure that it was a central cervical stenosis and not another pathology such as MS ? I see you referred to the neurosurgeon here and that you considered treatment based on PT methods.
Follow up MRI showed significant c-spine stenosis.
Can I ask what about a positive c7 makes you want to also check the lower extremities?
Babinski should have been extensor response with other positive signs of upper motor neuron lesion. Is there any reason for plantar response?
Great sir thanks
Great physical
Thank you!!
Could it be ALS?
Also a central cervical cord stenosis.
just curious, did he end up having surgery? or resolved through therapy?
No he did not.
Is hyperreflexia serious ? Reason I’m asking is I’m 4plus in my lower extremities
Have a large herniated disk at t8t9 but neurosurgeon said the surgery is to risky
Lots of people have hyperefflexia. It's when you have it both in the UE's and LE's along with a positive Babinski, and clonus you should be concerned. Also, look out for LE incoordination and even bowel and bladder issues.
Ortho EVAL Pal With Paul Marquis
Thanks for information they said hyperreflexia is coming from the herniated disk in thoracic spine as it become a new symptom in last month as herniated disk has grown
I enjoyed watching your videos as it is been very educational to help me understand what’s happening with my degenerative spinal disease and also understand what doctors are saying about my condition
Thank you for reply
Clonus has arrived was referred to a different neurosurgeon at university of Florida for decompressing my cord in the tspine
I saw a positive Hoffman's on this man's right hand but not his left? Maybe it was the cam angle.
You are correct. It is the camera angle. He was positive on both sides.
Very informative and easy to understand. Thank you.
Can u present some cases having neck pain without disc...having facet joint problem or some local cause which can be diagnosed clinically
This was very helpful, thank you.
Hoffman's +ve and absent Babinski??? How?
these are 2 completely independent signs
Babinski indicates lower motor neuron lesion. The hoffmans sign can be from many things everything from simple anxiety disorder, severe kidney disease, multiple sclerosis and ALS
I think Babinski is in favor of upper motor lesions
Très intéressant mais pk ya pas une traduction en français. C'est pas tt le monde comprend l englais. Merci
bonjour Radia, j'aurais aimé savoir comment faire traduire mes vidéos en français. Ma langue maternelle est le français acadien. Je ferai de mon mieux.
@@OrthoEvalPal Je m'intéresse bcq a votre vidéo. Sont très très riche.en très importante pour moi pour comprendre mes études. Mais bn c'est pas grave je vais essayer d apprendre cette langue surtt en ce confinement. Merci de me répondre. Merci pour tes vidéos. Bn courage et bn continuation.
What is plus 2 clonus
Didn't think I graded it in this video. If I did, I might have meant he has clonus too??
American Spinal Injury Association
upper limb motor ax
C5 elbow flexion
C6 wrist extension
C7 elbow extension
C8 middle finger distal IP jt flexion
T1 little finger abduction
hay what could be the level of stenosis...?? C5?
Severe Stenosis at C5 & C6
this is very interesting! Thank you for the content
Thank you so much. Greatly appreciate it.
You are welcome Gie!