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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Disorientation Of Hands And Legs Long After Suffering From Polio?

Patient (~70, male) presenting with disorientation and hallucinations but knows family members. Hands are curled under and seized. Legs are curled, seized and locked at the knees. Has experienced recent prolonged issues with C. diff. but resolved. (Fecal implant) Past polio infection, history of alcoholism but sober for several years. Non smoker.
posted on Wed, 18 Nov 2015
Twitter Wed, 22 Apr 2020 Answered on
Twitter Thu, 23 Apr 2020 Last reviewed on
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General Surgeon 's  Response
Hello,

* As per my clinical experience, the disorientation of hands and legs do indicate damage to lateral spinothalamic tract and corticospinal tracts controlling the co ordinated movements with sensory pathway.

* However, a detailed physical examination with sensory and motor evaluation, peripheral reflexes are mandatory to make this diagnosis which is exclusively clinical.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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What Causes Disorientation Of Hands And Legs Long After Suffering From Polio?

Hello, * As per my clinical experience, the disorientation of hands and legs do indicate damage to lateral spinothalamic tract and corticospinal tracts controlling the co ordinated movements with sensory pathway. * However, a detailed physical examination with sensory and motor evaluation, peripheral reflexes are mandatory to make this diagnosis which is exclusively clinical. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel