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D.D of Wasting in Small Ms of The Hand
D.D of Wasting in Small Ms of The Hand
D.D of Wasting in Small Ms of The Hand
The small muscles of the hand are supplied by C8 and T1 spinal segments wasting of
these muscles may be due to:
1. A.H.C. lesions:
Anterior spinal Motor
Trasverse
poliomyelitis artery neurone syringomyelia
myelitis
occlusion disease
Onset Acute acute acute gradual Gradual
Regressive or Regressive or
Course Regressive Progressive Progressive
stationary stationary
Middle & old
Age 6m – 2y Any age any age 15 – 35 y
age
- Asymmetrical - At the level - Both U.L show - U.L. tonic - U.L show flaccid
- L.L. More of lesion flaccid atrophy - L.L. show spastic
than U.L. (C8-T1) - Both L.L. show - L.L. spastic - Fasciculation
- fasciculation flaccid spastic - Fasciculation
Motor
- Below the
level of
lesion
spastic
No Sensory level Sensory level of No Jacket sensory loss of
C8-T1 dissociative in dissociative nature
Sensory nature (touch & (touch & deep sensation
deep sensation are are intact) with sacral
intact) spare.