. . . "\u0627\u0644\u0634\u0644\u0644 \u0627\u0644\u0631\u0628\u0627\u0639\u064A \u0627\u0644\u062A\u0634\u0646\u062C\u064A\u060C \u0627\u0644\u0645\u0639\u0631\u0648\u0641 \u0623\u064A\u0636\u064B\u0627 \u0628\u0627\u0633\u0645 \u0634\u0644\u0644 \u0627\u0644\u0623\u0637\u0631\u0627\u0641 \u0627\u0644\u0623\u0631\u0628\u0639\u0629 \u0627\u0644\u062A\u0634\u0646\u062C\u064A\u060C \u0647\u0648 \u0645\u062C\u0645\u0648\u0639\u0629 \u0641\u0631\u0639\u064A\u0629 \u0645\u0646 \u0627\u0644\u0634\u0644\u0644 \u0627\u0644\u062F\u0645\u0627\u063A\u064A \u0627\u0644\u062A\u0634\u0646\u062C\u064A \u0627\u0644\u0630\u064A \u064A\u0624\u062B\u0631 \u0639\u0644\u0649 \u0627\u0644\u0623\u0637\u0631\u0627\u0641 \u0627\u0644\u0623\u0631\u0628\u0639\u0629 (\u0627\u0644\u0630\u0631\u0627\u0639\u064A\u0646 \u0648\u0627\u0644\u0633\u0627\u0642\u064A\u0646). \u0628\u0627\u0644\u0645\u0642\u0627\u0631\u0646\u0629 \u0645\u0639 \u0627\u0644\u0634\u0644\u0644 \u0627\u0644\u0631\u0628\u0627\u0639\u064A\u060C \u064A\u064F\u0639\u0631\u0641 \u0627\u0644\u0634\u0644\u0644 \u0627\u0644\u0631\u0628\u0627\u0639\u064A \u0627\u0644\u062A\u0634\u0646\u062C\u064A \u0628\u0623\u0646\u0647 \u062A\u0634\u0646\u062C \u0641\u064A \u0627\u0644\u0623\u0637\u0631\u0627\u0641 \u0628\u062F\u0644\u0627\u064B \u0645\u0646 \u0627\u0644\u0634\u0644\u0644 \u0627\u0644\u0634\u062F\u064A\u062F. \u0648\u064A\u0645\u0643\u0646 \u062A\u0645\u064A\u064A\u0632\u0647 \u0639\u0646 \u063A\u064A\u0631\u0647 \u0645\u0646 \u0623\u0634\u0643\u0627\u0644 \u0627\u0644\u0634\u0644\u0644 \u0627\u0644\u062F\u0645\u0627\u063A\u064A \u0628\u0623\u0646 \u0627\u0644\u0645\u0635\u0627\u0628\u064A\u0646 \u0628\u0647\u0630\u0647 \u0627\u0644\u062D\u0627\u0644\u0629 \u064A\u0638\u0647\u0631 \u0639\u0644\u064A\u0647\u0645 \u062D\u0631\u0643\u0627\u062A \u062A\u0634\u0646\u062C\u064A\u0629 \u0642\u0627\u0633\u064A\u0629 \u0646\u0627\u062A\u062C\u0629 \u0639\u0646 \u0641\u0631\u0637 \u062A\u0648\u062A\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062A."@ar . . . . . . . "12521638"^^ . . . . . "Spastic quadriplegia"@en . . . . "G11.4"@en . . . . . . . . . . . . . . . . . "Per tetraplegia spastica si intende l'impossibilit\u00E0 di movimento e funzionalit\u00E0 di braccia, gambe e tronco. La tetraparesi spastica \u00E8 invece una forma di paralisi cerebrale che colpisce entrambi gli arti superiori e inferiori che si traduce in una perdita parziale dei movimenti degli arti. Il coinvolgimento della muscolatura volontaria di tutti e quattro gli arti comporta spesso deficit sensoriali e difficolt\u00E0 anche gravi di movimento intenzionale o esteso di braccia e gambe. La compromissione pu\u00F2 risultare emilateralmente pi\u00F9 significativa, rendendo possibile il mantenimento o il recupero della funzionalit\u00E0 o di parte di essa almeno con due arti. Il quadro clinico della tetraparesi spastica comprende ipertono muscolare e rigidit\u00E0, accompagnati da collaterale perdita di controllo miotonico nei muscoli antagonisti in un contesto di . I riflessi osteotendinei possono essere molto accentuati o, al contrario, risultare scarsi o addirittura assentii. Solitamente si registra incontinenza sfinterica e vescicale. L'attivit\u00E0 sessuale risulta compromessa, tuttavia pu\u00F2 verificarsi il desiderio di stimolazione al mantenimento della sensibilit\u00E0 nell'area genitale. La coordinazione \u00E8 poco sviluppata e i movimenti risultano imprecisi e scarsamente efficaci. Essendoci un malfunzionamento nella trasmissione dei segnali nervosi, la gestualit\u00E0 risulta mal direzionata e grossolana. Il coinvolgimento della muscolatura rende difficile anche respirare, e la capacit\u00E0 polmonare \u00E8 ridotta. L'alta faticabilit\u00E0 e la debolezza complicano generalmente il quadro clinico. Le cause primarie della tetraparesi spastica sono essere di origine traumatica, congenita o degenerativa: \n* compromissioni del tessuto nervoso derivanti da traumi subiti dal midollo spinale a livello del rachide cervicale \n* danni derivanti da ischemie, infarti o altre complicanze legate al sistema circolatorio \n* tetraparesi congenita, solitamente conseguenza di paralisi cerebrale perinatale \n* sclerosi multipla \n* poliomielite, encefalite, mielite traversa, miopatie, enterovirus, porfiria \n* esiti di tumore cerebrale \n* botulismo \n* sindrome di Guillain-Barr\u00E9"@it . . . . . "10993"^^ . . "Per tetraplegia spastica si intende l'impossibilit\u00E0 di movimento e funzionalit\u00E0 di braccia, gambe e tronco. La tetraparesi spastica \u00E8 invece una forma di paralisi cerebrale che colpisce entrambi gli arti superiori e inferiori che si traduce in una perdita parziale dei movimenti degli arti. Il quadro clinico della tetraparesi spastica comprende ipertono muscolare e rigidit\u00E0, accompagnati da collaterale perdita di controllo miotonico nei muscoli antagonisti in un contesto di . I riflessi osteotendinei possono essere molto accentuati o, al contrario, risultare scarsi o addirittura assentii."@it . . . . . 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"La cuadriplejia esp\u00E1stica, tambi\u00E9n conocida como par\u00E1lisis de tipo esp\u00E1stico, hemiplej\u00EDa esp\u00E1stica o giplej\u00EDa esp\u00E1stica. Se presenta por lo regular en reci\u00E9n nacidos de t\u00E9rmino con bajo peso para su edad gestacional; es la m\u00E1s grave y representa entre un 10 y un 40 % de las PC. En la mayor\u00EDa de los casos son problemas prenatales, aunque tambi\u00E9n se presenta por causas perinatales y post natales.Las infecciones y las disgenesias cerebrales (degeneraci\u00F3n cerebral) son las m\u00E1s comunes. Es frecuente que se asocien a cavidades intracerebrales que se comunican con los ventr\u00EDculos (por quiste encef\u00E1lico) en forma bilateral, con lesiones qu\u00EDsticas m\u00FAltiples de la sustancia blanca, atrofia cortical difusa e hidrocefalia. Los trastornos de la migraci\u00F3n neuronal tambi\u00E9n se toman con frecuencia. Algunos pacientes presentan disformismo facial. Dentro de las infecciones prenatales, la m\u00E1s frecuente es por citomegalovirus y rub\u00E9ola. Hay una espasticidad generalizada, muchos casos tienden al opistot\u00F3nos, pobre modalidad de las extremidades con reflejos aumentados. Es alto el \u00EDndice de crisis epil\u00E9pticas hasta en un 90%, logr\u00E1ndose solo el control en un 46%. Habitualmente son ni\u00F1os con un marcado retraso psicomotor con microcefalia, alteraciones visuales y auditivas."@es . . . . . "Tetraplegia spastica"@it . . "\u0634\u0644\u0644 \u0631\u0628\u0627\u0639\u064A \u062A\u0634\u0646\u062C\u064A"@ar . "G11.4" . . . . . . . . "1112597301"^^ . . . . "210141"^^ . "Spastic quadriplegia"@en . . . . . . "Spastic quadriplegia, also known as spastic tetraplegia, is a subset of spastic cerebral palsy that affects all four limbs (both arms and legs). Compared to quadriplegia, spastic tetraplegia is defined by spasticity of the limbs as opposed to strict paralysis. It is distinguishable from other forms of cerebral palsy in that those afflicted with the condition display stiff, jerky movements stemming from hypertonia of the muscles. Spastic quadriplegia, while affecting all four limbs more or less equally, can still present parts of the body as stiffer than others, such as one arm being tighter than another arm, and so forth. Spastic triplegia, meanwhile, involves three limbs (such as one arm and two legs, or one leg and two arms, etc.); spastic diplegia affects two limbs (commonly just the legs), spastic hemiplegia affects one or another entire side of the body (left or right); and spastic monoplegia involves a single limb."@en . . "Spastic quadriplegia"@en . . . . . . . . "baclofen"@en . "La cuadriplejia esp\u00E1stica, tambi\u00E9n conocida como par\u00E1lisis de tipo esp\u00E1stico, hemiplej\u00EDa esp\u00E1stica o giplej\u00EDa esp\u00E1stica. Se presenta por lo regular en reci\u00E9n nacidos de t\u00E9rmino con bajo peso para su edad gestacional; es la m\u00E1s grave y representa entre un 10 y un 40 % de las PC."@es . . . . "Spastic quadriplegia, also known as spastic tetraplegia, is a subset of spastic cerebral palsy that affects all four limbs (both arms and legs). Compared to quadriplegia, spastic tetraplegia is defined by spasticity of the limbs as opposed to strict paralysis. It is distinguishable from other forms of cerebral palsy in that those afflicted with the condition display stiff, jerky movements stemming from hypertonia of the muscles."@en . "210141" . . . "Cuadriplejia esp\u00E1stica"@es . .