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Doctor insights on: Hereditary Spastic Paraparesis

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What is hereditary spastic paraparesis?

What is hereditary spastic paraparesis?

Rare condition: Progressive leg weakness and spasticity (tightness and catching of leg with flexion), caused by autosomal dominant and recessive or x-linked genetics, with usual slow progression and normal life span. Mri may demonstrate atrophy of brain and/or spinal cord. ...Read more

Dr. Andrew Berry
5 doctors shared insights

Partial Paralysis Of Lower Limbs (Definition)

Paraparesis suggests you can move both legs but are weak. Often can be due to spinal cord problems ...Read more


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What can I do about my hereditary spastic paraparesis?

What can I do about my hereditary spastic paraparesis?

Treat the symptoms: If the process is stable, and not progressing, best to try anti-spasticity meds, such as baclofen, tizanidine, or even a pump. Botox injections, although off-label, might be useful. Acupuncture has promise. Splints, braces, exercises all may help. If legal in your state, medical marijuana may help, as the research from europe suggests benefit in the spasticity associated with ms. ...Read more

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What is the definition of hereditary spastic paraparesis?

What is the definition of hereditary spastic paraparesis?

Hereditary SP: Hsp, is a genetic disorder transmitted as autosomal dominant, meaning one of the parent has the disease in order to pass it to the offspring. It is a progressive spasticity in the legs , may be associated with hypertonic urinary incontinence, seizure, dementia, or peripheral neuropathy. ...Read more

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Any treatment for heriditary spastic paraparesis? Accompanied by sensory neuropathy?

Any treatment for heriditary spastic  paraparesis? Accompanied by sensory neuropathy?

Symptomatic treatmen: Hsp is a group of inherited disorders, often insidiously progressive and severe. There are no effective treatments to the underlying damage to the nerve axons so treatment is symptomatic. Baclofen, dantrolene and tinazidine may help with spasticity; oxybutinin with urinary urgency; gabapentin, Pregabalin and duloxetine for neuropathy. Vitamins, d, e and b6 may also help. Physical therapy also. ...Read more

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What is tropical spastic paraparesis?

Disorder of sp cord: A subacute condition with impairment of lower extremity >upper extremity function, sensory abnormalities, bladder functioning and girdling lumbar pain. About 80 % of patients with tsp have antibodies to htlv-1 (not aids virus..Htlv-3) the disorder and similar disorders were described in caribbean patients. ...Read more

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Paraparisis cause? Its also known as familiar spastic paraplegia?

Paraparisis cause? Its also known as familiar spastic paraplegia?

See below: Paraparesis is a milder form of paraplegia ( which should mean no movement in the lower extremities but is sometimes used synonymously) familial spastic paraplegia is a paraplegia with family history of unknown etiology and is diagnosed when all the other causes have been ruled out. ...Read more

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Can u treat hereditary spastic paralegia?

Can u treat hereditary spastic paralegia?

Yes and no: Hereditary spastic diplegia or paraplegia is a slowly progressive stiffening of the legs. Some progress more rapidly and need aggressive therapy and bracing and even surgery. More often it is very slow and can be be dealt with without braces or surgery but with appropriate therapy. There is no cure, but there is good management. ...Read more

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What is the definition of hereditary spastic paraplegia?

Genetic?: Hereditary spastic pareplegia is the name given to a mainly motor disability often in lower extremities slowly progressive with a geographical distribution.The condition often does not cause sensory or bladder problems and all tests including mri, CSF studies B12 levels etc are normal some of these cases have antibodies to htlv 1 viruses in the blood or cerebrospinal fluid. ...Read more

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What does it mean if the doctor diagonosed paraparesis?

Usually: Both legs are too weak to stand or walk, indicating most likely a spinal cord issue. The tone and function of sphincters may be affected. Paraplegia means absolute lack of tone, sometimes the next step. ...Read more

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What's the difference between Spasticity and spasm?

What's the difference between Spasticity and spasm?

Neuro vs muscular: To me spasm is a local muscle involuntary contraction and spasticty is a neurologic problem loss of cortical control of motor function causing inability to appropriately relax muscles sign of a upper motor neuron injury ...Read more

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What is a spastic gait?

What is a spastic gait?

Gait: A spastic gait is a very stiff sometimes robotic looking walk where the patient has difficulty coordinating the leg movements. The gait typically has a "jerky" movement and it varies depending on severity of the spasticity. ...Read more

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What can be done for familiar spastic paresis?

What can be done for familiar spastic paresis?

Several things: Having these types of symptoms can best be solved by having your doctor perform a thorough evaluation. Only through this type of process can he/she discover what's going on and how best to help you. ...Read more

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Whatif I have familiar spastic paresis. Do I need help?

Whatif I have familiar spastic paresis. Do I need help?

Prevent complication: It is important to be under the care of a doctor with experience treating spasticity to maintain the best level of function in spite of the disease. A physical medicine and rehabilitation specialist (physiatrist) can help. ...Read more

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What is the definition or description of: Progressive spasticity?

What is the definition or description of: Progressive spasticity?

Progressive spastici: Spasticity = muscles remain involuntarily contracted which can cause tightness/ stiffness. It is usually due to injury of brain or spinal cord. In this case, the spasticity worsens over time. ...Read more

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How do we differentiate spasticity and rigidity? What are the differences?

How do we differentiate spasticity and rigidity? What are the differences?

Velocity dependent: Spasticity is velocity dependent- the faster you try to move the limb the more resistance you will encounter. Rigidity is a fixed resistance not affected by speed. ...Read more

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Hi doctors, can you tell me what is spasticity and how can you tell if you have it?

Spasticity: Spasticity is basically "stiffness" in the arms and legs, a rigid posture with resistance to movement. When one moves an arm of a spastic patient is more rigid. When one tries to walk with spasticity the gait is very stiff and rigid, an almost robotic type movement ...Read more

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What can make muscle spastic?

What can make muscle spastic?

Stroke: Muscular spasticity occurs when upper motor nerve cells are damaged, such as brain or spinal cord (not peripheral nerves). Therefore, any brain or cord problem can cause spasticity (stroke, ms, variations of als, trauma, infections, etc). ...Read more

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How can I control spastic hemiparesis?

How can I control spastic hemiparesis?

PT/Baclofen or botox: To help with spasticity, things like Baclofen pumps and Botox injections into the muscle have shown to reduce the stiffness and increase function. Most of the time, a physiatrist (physical medicine and rehab physician) does these procedures. Other interventions include pt, occupational therapy, speech and behavior therapy. ...Read more

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What is the definition of spastic diplegia?

What is the definition of spastic diplegia?

Spastic diplegia: Spastic diplegia is a clinical senario of severe increased tone and spasticity of both lower extremities and most common associated with cerebral palsy. ...Read more

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