Spastic paraparesis: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Spastic paraparesis: clinical features. Increased tendon reflexes, Clonus, Positive Babinski sign, Hypertonia. Fully referenced neurology checklist.

Clinical features

  • Increased tendon reflexes
  • Clonus
  • Positive Babinski sign
  • Hypertonia
  • Spasms: extensor or flexor spasms
  • Spastic co-contraction
  • Muscle weakness
  • Fatigability
  • Impaired dexterity

Complications: contractures: types

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Complications: others

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Assessment scales

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References

  1. Thibaut A, Chatelle C, Ziegler E, Bruno MA, Laureys S, Gosseries O. Spasticity after stroke: physiology, assessment and treatment. Brain Inj 2013; 27:1093-1105.
  2. Ghai A, Garg N, Hooda S, Gupta T. Spasticity - pathogenesis, prevention and treatment strategies. Saudi J Anaesth 2013; 7:453-460.

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