Table 1.
Names of clinical features of muscle hypertonus | Pathogenesis | Diagnostic examinations | Treatment |
---|---|---|---|
Spasticity | Lesion of the corticospinal pathways | Clinical examination, neuroimaging methods | Phenol injection, electrostimulation sec. Hufschmidt, kinetic therapy, baclofen etc |
Rigidity | l-dopa deficiency | Clinical examination, neuroimaging methods | l- dopa, etc |
Cramps | Heredity, secondary to various causes | Mg++, etc | |
Tetanic spasms | Ca++ or Mg++ deficiency | EMG multiplets provoked by ischemia or hyperventilation | Ca++ or Mg++, D3 |
Myotonia | Slowed muscle relaxation due to myogenic electrical hyperexcitability | Clinical examination, EMG, warm-up test | Sodium channel blockers, carbamazepine |
Neuromyotonia | Heredity, peripheral distal nervous lesion | Clinical examination, EMG | Carbamazepine, corticosteroids |
Contracture | Various | Clinical examination, local curare test | Neurolysis |
Paroxysmal, symmetric, generalised spasms in full consciousness | Spinal lesion | Clinical neurological observation, spinal MR | Corticosteroids |