Spastic Paraparesis

Routine for examination of lower limbs:   Inspect (wasting, fasciculations, wheelchair/walking aid, catheter, pes cavus) Gait and Rhomberg’s test Tone Power Reflexes Sensation (sensory level, joint position sense and vibration) Coordination   If time allows and you suspect spastic paraparesis proceed as follows:   Eyes: eye movements (INO, nystagmus), RAPD Mouth: tongue fasciculations Hands and … Continue reading Spastic Paraparesis