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Diagnosed with right hemiparesis, responding to physical therapy, occasionally shows involuntary leg movement. Cause?

Hello doc. My mother has been diagnosed with right hemiparesis due to clot in the brain. It has been a month now. She is showing little improvement with physical therapy . My only question to you is that her affected right leg sometimes moves on its own, will turn in, or widen out. Is this normal ? Why does this happen ?
Asked On : Fri, 30 Nov 2012
Answers:  2 Views:  63
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Brain stroke is a major cause of disability. However, your mother would show gradual improvement in her weakness over time, with good physiotherapy.

Spontaneous movements of the paralysed side can occur due to what is called reflex movements. Sometimes, tone in the affected limb can increase, which can cause flexor spasms. Both these situations are normal and there is no need to worry.

In rare cases, there could be focal fits in the affected side, where there would be jerky movements. This condition requires medications.

Please talk to her neurologist, who would be able to sort this out.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Answered: Fri, 14 Dec 2012
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Neurologist, Surgical Dr. Sunil Gautam's  Response
GOOD sign that she is improving from total weakness to gain some power in limbs with physiotherapy kindly continue physiotherapy . Regarding spontanious movement this is sign neuronal activity at spinal level with no control from brain this will continue with developing some stiffness inhand and leg.If it continue and becomes persistant then it can be controlled by drugs.
Answered: Sun, 16 Dec 2012
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