The primary outcome of the study was change in muscle tone and spastic hypertonia
as measured by the change in average Ashworth scale (AS) score in the lower extremity (LE) of the affected body side from baseline to month six.
Neurological examination revealed bilateral horizontal nystagmus and hypertonia
in both legs with nearly normal muscle strength in the four limbs.
A very common and acceptable theory says that raised resting anal sphincter pressure or anal muscle spasm causes comparative ischemia of mucosa of anal canal particularly in posterior midline tears, which results in persistence of internal sphincter hypertonia
followed by hard stool due to constipation.
Other reported neurologic sequelae include congenital limb contractures, dysphagia, sensorineural hearing loss, epilepsy, and abnormalities of tone or movement, including marked hypertonia
and signs of extrapyramidal involvement (14,15).
Spastic movement disorders such as cerebral palsy frequently lead to bruxism with masseter muscle hypertonia
Comprehensive multispecialty medical and developmental follow-up documented that 10 of 13 infants had dysphagia, 7 had epilepsy, 3 had chorioretinal abnormalities, all 13 had hypertonia
, and 12 had pyramidal and extrapyramidal signs with dystonia (MMWR.
All infants had a degree of neurologic damage, with global developmental delays, hypertonia
of the limbs, and pyramidal and extrapyramidal signs; most infants had abnormal movement of the tongue, contributing to dysphagia.
CNS examination revealed generalized hypertonia
, hyperreflexia, and spasticity and upgoing plantars.
In healthy controls, we found five patients with gynecological diseases (endometriosis, myoma uteri, and PCOS), two patients with hypothyreosis, one with hypertonia
, and one with pancreas divisum.
6,13 Stretch reflex is responsible for regulation of muscle stiffness and exaggerated response as this is responsible for hypertonia
Reinhold's system, beginning in 1952, was the first medical approach to acupuncture of substance, an electrodermal method to measure "energy" at the topical acupuncture points as anatomical references and to evaluate ailments from a state of hypertonia
or hypotonia measured electronically.
On the 5th day, baby developed a seizure, which was characterised by a staring gaze and motor manifestations such as diffuse extension with hypertonia
of the upper limbs.