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Spastic hemiparesis

MedGen UID:
56345
•Concept ID:
C0154694
•
Disease or Syndrome; Finding
Synonym: Spastic hemiplegia
SNOMED CT: Spastic hemiplegia (79633009)
 
HPO: HP:0011099
Monarch Initiative: MONDO:0001168

Definition

Unilateral paresis (weakness) with spasticity of the affected muscles and increased tendon reflexes. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Spastic hemiparesis

Conditions with this feature

Neurodevelopmental disorder with hearing loss and spasticity
MedGen UID:
1794234
•Concept ID:
C5562024
•
Disease or Syndrome
Neurodevelopmental disorder with hearing loss and spasticity (NEDHLS) is characterized by hearing loss, global developmental delay/impaired intellectual development, spastic-dystonic cerebral palsy, focal or generalized epilepsy, and microcephaly. Some children present with hypotonia (Richard et al., 2021).
See: Condition Record
Neurodevelopmental disorder with hearing loss and spasticity

Professional guidelines

PubMed

Treatment Outcomes of Pediatric Status Epilepticus in a Tertiary Pediatric Intensive Care Unit.
Cavusoglu D, Sınmaz EE, Dundar NO, Can FK, Anil AB, Sarioglu B
Pediatr Emerg Care 2021 Jul 1;37(7):360-364. doi: 10.1097/PEC.0000000000001914. PMID: 32149989
Surgical and molecular considerations in the treatment of pediatric thalamopeduncular tumors.
Lee RP, Foster KA, Lillard JC, Klimo P Jr, Ellison DW, Orr B, Boop FA
J Neurosurg Pediatr 2017 Sep;20(3):247-255. Epub 2017 Jul 7 doi: 10.3171/2017.4.PEDS16668. PMID: 28686121Free PMC Article
Treatment of various movement disorders with botulinum A toxin injection: an experience of 900 patients.
Poungvarin N, Devahastin V, Viriyavejakul A
J Med Assoc Thai 1995 Jun;78(6):281-8. PMID: 7561552

Recent clinical studies

Etiology

Clinical aspects, neuroimaging, and electroencephalography of 35 cases of hemiconvulsion-hemiplegia syndrome.
Albakaye M, Belaïdi H, Lahjouji F, Errguig L, Kuate C, Maiga Y, Diallo SH, Kissani N, Ouazzani R
Epilepsy Behav 2018 Mar;80:184-190. Epub 2018 Feb 3 doi: 10.1016/j.yebeh.2017.12.018. PMID: 29414550
Tractography guides the approach for resection of thalamopeduncular tumors.
Foley R, Boop F
Acta Neurochir (Wien) 2017 Sep;159(9):1597-1601. Epub 2017 Jul 3 doi: 10.1007/s00701-017-3257-2. PMID: 28674731
Results by motor cortex stimulation in treatment of focal dystonia, Parkinson's disease and post-ictal spasticity. The experience of the Italian Study Group of the Italian Neurosurgical Society.
Pagni CA, Albanese A, Bentivoglio A, Broggi G, Canavero S, Cioni B, Rose MD, Simone CD, Franzini A, Lavano A, Landi A, Meglio M, Modugno M, Romanelli L, Romito LM, Sturiale C, Valzania F, Zeme S, Zenga F
Acta Neurochir Suppl 2008;101:13-21. doi: 10.1007/978-3-211-78205-7_3. PMID: 18642628
Gait control in hemiparesis.
Knutsson E
Scand J Rehabil Med 1981;13(2-3):101-8. PMID: 7345566
Prenatal origin of congenital spastic hemiparesis.
Michaelis R, Rooschüz B, Dopper R
Early Hum Dev 1980 Sep;4(3):243-55. doi: 10.1016/0378-3782(80)90029-8. PMID: 7418636

Diagnosis

Acute encephalopathy with biphasic seizures and late reduced diffusion in a Spanish girl.
García-Boyano M, Caballero-Caballero JM, Alguacil-Guillén M, Baquero-Artigao F
Brain Dev 2020 Mar;42(3):307-310. Epub 2020 Jan 25 doi: 10.1016/j.braindev.2019.12.004. PMID: 31992519
Spasticity-induced Pectoralis minor syndrome: a case-report.
Aktas I, Kaya E, Akpinar P, Atici A, Unlu Ozkan F, Palamar D, Akgun K
Top Stroke Rehabil 2020 May;27(4):316-319. Epub 2019 Nov 27 doi: 10.1080/10749357.2019.1691807. PMID: 31774031
Mills' syndrome revisited.
Jaiser SR, Mitra D, Williams TL, Baker MR
J Neurol 2019 Mar;266(3):667-679. Epub 2019 Jan 10 doi: 10.1007/s00415-019-09186-3. PMID: 30631918Free PMC Article
Technique of Pronator Teres Rerouting in Pediatric Patients With Spastic Hemiparesis.
Oishi S, Butler L
J Hand Surg Am 2016 Oct;41(10):e389-e392. Epub 2016 Aug 18 doi: 10.1016/j.jhsa.2016.07.104. PMID: 27546440
Neurographic studies in hemiplegic patients.
Milanov I
Funct Neurol 1995 Mar-Apr;10(2):77-82. PMID: 7557555

Therapy

Spasticity-induced Pectoralis minor syndrome: a case-report.
Aktas I, Kaya E, Akpinar P, Atici A, Unlu Ozkan F, Palamar D, Akgun K
Top Stroke Rehabil 2020 May;27(4):316-319. Epub 2019 Nov 27 doi: 10.1080/10749357.2019.1691807. PMID: 31774031
Results by motor cortex stimulation in treatment of focal dystonia, Parkinson's disease and post-ictal spasticity. The experience of the Italian Study Group of the Italian Neurosurgical Society.
Pagni CA, Albanese A, Bentivoglio A, Broggi G, Canavero S, Cioni B, Rose MD, Simone CD, Franzini A, Lavano A, Landi A, Meglio M, Modugno M, Romanelli L, Romito LM, Sturiale C, Valzania F, Zeme S, Zenga F
Acta Neurochir Suppl 2008;101:13-21. doi: 10.1007/978-3-211-78205-7_3. PMID: 18642628
Mechanisms of tizanidine action on spasticity.
Milanov I, Georgiev D
Acta Neurol Scand 1994 Apr;89(4):274-9. doi: 10.1111/j.1600-0404.1994.tb01680.x. PMID: 8042446
Mechanisms of baclofen action on spasticity.
Milanov IG
Acta Neurol Scand 1992 May;85(5):305-10. doi: 10.1111/j.1600-0404.1992.tb04048.x. PMID: 1621492
Prenatal origin of congenital spastic hemiparesis.
Michaelis R, Rooschüz B, Dopper R
Early Hum Dev 1980 Sep;4(3):243-55. doi: 10.1016/0378-3782(80)90029-8. PMID: 7418636

Prognosis

Clinical aspects, neuroimaging, and electroencephalography of 35 cases of hemiconvulsion-hemiplegia syndrome.
Albakaye M, Belaïdi H, Lahjouji F, Errguig L, Kuate C, Maiga Y, Diallo SH, Kissani N, Ouazzani R
Epilepsy Behav 2018 Mar;80:184-190. Epub 2018 Feb 3 doi: 10.1016/j.yebeh.2017.12.018. PMID: 29414550
Technique of Pronator Teres Rerouting in Pediatric Patients With Spastic Hemiparesis.
Oishi S, Butler L
J Hand Surg Am 2016 Oct;41(10):e389-e392. Epub 2016 Aug 18 doi: 10.1016/j.jhsa.2016.07.104. PMID: 27546440
The role of epilepsy in early language development in a child with a congenital lesion in the right hemisphere.
Mayor-Dubois C, Maeder-Ingvar M, Deonna T, Roulet-Perez E
Dev Med Child Neurol 2008 Nov;50(11):870-5. doi: 10.1111/j.1469-8749.2008.03162.x. PMID: 19046180
Results by motor cortex stimulation in treatment of focal dystonia, Parkinson's disease and post-ictal spasticity. The experience of the Italian Study Group of the Italian Neurosurgical Society.
Pagni CA, Albanese A, Bentivoglio A, Broggi G, Canavero S, Cioni B, Rose MD, Simone CD, Franzini A, Lavano A, Landi A, Meglio M, Modugno M, Romanelli L, Romito LM, Sturiale C, Valzania F, Zeme S, Zenga F
Acta Neurochir Suppl 2008;101:13-21. doi: 10.1007/978-3-211-78205-7_3. PMID: 18642628
Treating chronic hemiparesis with modified biofeedback.
Wissel J, Ebersbach G, Gutjahr L, Dahlke F
Arch Phys Med Rehabil 1989 Aug;70(8):612-7. PMID: 2764691

Clinical prediction guides

Disorder of phase-related modulation of soleus H-reflex during hip movement in stroke patients.
Tanabe S, Kamiya A, Muraoka Y, Masakado Y, Tomita Y
Electromyogr Clin Neurophysiol 2006 Jul-Aug;46(4):241-6. PMID: 16929631
Comparison of the impact of a single session of isokinetic or isotonic muscle stretch on gait in patients with spastic hemiparesis.
Maynard V, Bakheit AM, Shaw S
Clin Rehabil 2005 Mar;19(2):146-54. doi: 10.1191/0269215505cr853oa. PMID: 15759529
Bimanual movement coordination in spastic hemiparesis.
Steenbergen B, Hulstijn W, de Vries A, Berger M
Exp Brain Res 1996 Jun;110(1):91-8. doi: 10.1007/BF00241378. PMID: 8817260
Coordination between posture and movement in a bimanual load lifting task: putative role of a medial frontal region including the supplementary motor area.
Viallet F, Massion J, Massarino R, Khalil R
Exp Brain Res 1992;88(3):674-84. doi: 10.1007/BF00228197. PMID: 1587326
Prenatal origin of congenital spastic hemiparesis.
Michaelis R, Rooschüz B, Dopper R
Early Hum Dev 1980 Sep;4(3):243-55. doi: 10.1016/0378-3782(80)90029-8. PMID: 7418636

Recent systematic reviews

Scalp acupuncture for post-stroke spastic hemiparesis: A systematic review and meta-analysis.
Zhang D, Zou W, Zhang B, Guo P
Medicine (Baltimore) 2024 Mar 1;103(9):e37167. doi: 10.1097/MD.0000000000037167. PMID: 38428878Free PMC Article
Muscle and tendon properties of the spastic lower leg after stroke defined by ultrasonography: a systematic review.
Schillebeeckx F, DE Groef A, DE Beukelaer N, Desloovere K, Verheyden G, Peers K
Eur J Phys Rehabil Med 2021 Aug;57(4):495-510. Epub 2020 Dec 11 doi: 10.23736/S1973-9087.20.06462-X. PMID: 33305547

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