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. 2013 Dec;32(3):170–173.

Table 1.

Features differentiating already used terms.

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