Pusher syndrome: Difference between revisions
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{{Infobox medical condition | |||
| name = Pusher syndrome | |||
| synonyms = Contraversive pushing | |||
| field = [[Neurology]] | |||
| symptoms = [[Postural imbalance]], [[falling]] towards the [[hemiparetic]] side | |||
| complications = Increased risk of [[falls]], difficulty with [[rehabilitation]] | |||
| onset = Typically after a [[stroke]] | |||
| duration = Variable, can improve with therapy | |||
| causes = Damage to the [[posterolateral thalamus]] | |||
| risks = [[Stroke]], particularly affecting the [[right hemisphere]] | |||
| diagnosis = Clinical assessment, observation of postural control | |||
| differential = [[Vestibular disorders]], [[cerebellar ataxia]] | |||
| treatment = [[Physical therapy]], [[occupational therapy]], [[balance training]] | |||
| prognosis = Generally good with appropriate therapy | |||
| frequency = Occurs in approximately 10% of stroke patients | |||
}} | |||
'''Pusher syndrome''' is a [[neurological disorder]] characterized by postural control disturbance, where patients actively push away from the non-paretic side towards the paretic side. This is often observed in patients who have had a [[stroke]]. | '''Pusher syndrome''' is a [[neurological disorder]] characterized by postural control disturbance, where patients actively push away from the non-paretic side towards the paretic side. This is often observed in patients who have had a [[stroke]]. | ||
== Symptoms == | == Symptoms == | ||
The main symptom of pusher syndrome is the patient's active pushing towards their paretic side with the non-paretic limb, leading to a lateral postural imbalance. Patients with pusher syndrome also have a tilted perception of body orientation in relation to gravity. | The main symptom of pusher syndrome is the patient's active pushing towards their paretic side with the non-paretic limb, leading to a lateral postural imbalance. Patients with pusher syndrome also have a tilted perception of body orientation in relation to gravity. | ||
== Causes == | == Causes == | ||
Pusher syndrome is often observed in patients who have had a stroke, particularly those with right brain damage. However, it can also occur in patients with left brain damage. The exact cause of pusher syndrome is not well understood, but it is thought to be related to damage in the brain areas responsible for perception of body orientation. | Pusher syndrome is often observed in patients who have had a stroke, particularly those with right brain damage. However, it can also occur in patients with left brain damage. The exact cause of pusher syndrome is not well understood, but it is thought to be related to damage in the brain areas responsible for perception of body orientation. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of pusher syndrome is based on clinical observation and assessment. The [[Scale for Contraversive pushing (SCP)]] is often used to assess the severity of the syndrome. | Diagnosis of pusher syndrome is based on clinical observation and assessment. The [[Scale for Contraversive pushing (SCP)]] is often used to assess the severity of the syndrome. | ||
== Treatment == | == Treatment == | ||
Treatment for pusher syndrome is primarily [[physiotherapy]] and [[occupational therapy]], aimed at improving balance and functional mobility. Therapy often involves strategies to correct the patient's altered perception of body orientation. | Treatment for pusher syndrome is primarily [[physiotherapy]] and [[occupational therapy]], aimed at improving balance and functional mobility. Therapy often involves strategies to correct the patient's altered perception of body orientation. | ||
== Prognosis == | == Prognosis == | ||
The prognosis for pusher syndrome varies. Some patients recover fully with therapy, while others may continue to experience balance problems and require ongoing support. | The prognosis for pusher syndrome varies. Some patients recover fully with therapy, while others may continue to experience balance problems and require ongoing support. | ||
== See also == | == See also == | ||
* [[Stroke]] | * [[Stroke]] | ||
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* [[Physiotherapy]] | * [[Physiotherapy]] | ||
* [[Occupational therapy]] | * [[Occupational therapy]] | ||
== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Neurological disorders]] | [[Category:Neurological disorders]] | ||
[[Category:Stroke]] | [[Category:Stroke]] | ||
[[Category:Physiotherapy]] | [[Category:Physiotherapy]] | ||
[[Category:Occupational therapy]] | [[Category:Occupational therapy]] | ||
{{stub}} | {{stub}} | ||
{{No image}} | {{No image}} | ||
Latest revision as of 06:10, 4 April 2025
| Pusher syndrome | |
|---|---|
| Synonyms | Contraversive pushing |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Postural imbalance, falling towards the hemiparetic side |
| Complications | Increased risk of falls, difficulty with rehabilitation |
| Onset | Typically after a stroke |
| Duration | Variable, can improve with therapy |
| Types | N/A |
| Causes | Damage to the posterolateral thalamus |
| Risks | Stroke, particularly affecting the right hemisphere |
| Diagnosis | Clinical assessment, observation of postural control |
| Differential diagnosis | Vestibular disorders, cerebellar ataxia |
| Prevention | N/A |
| Treatment | Physical therapy, occupational therapy, balance training |
| Medication | N/A |
| Prognosis | Generally good with appropriate therapy |
| Frequency | Occurs in approximately 10% of stroke patients |
| Deaths | N/A |
Pusher syndrome is a neurological disorder characterized by postural control disturbance, where patients actively push away from the non-paretic side towards the paretic side. This is often observed in patients who have had a stroke.
Symptoms[edit]
The main symptom of pusher syndrome is the patient's active pushing towards their paretic side with the non-paretic limb, leading to a lateral postural imbalance. Patients with pusher syndrome also have a tilted perception of body orientation in relation to gravity.
Causes[edit]
Pusher syndrome is often observed in patients who have had a stroke, particularly those with right brain damage. However, it can also occur in patients with left brain damage. The exact cause of pusher syndrome is not well understood, but it is thought to be related to damage in the brain areas responsible for perception of body orientation.
Diagnosis[edit]
Diagnosis of pusher syndrome is based on clinical observation and assessment. The Scale for Contraversive pushing (SCP) is often used to assess the severity of the syndrome.
Treatment[edit]
Treatment for pusher syndrome is primarily physiotherapy and occupational therapy, aimed at improving balance and functional mobility. Therapy often involves strategies to correct the patient's altered perception of body orientation.
Prognosis[edit]
The prognosis for pusher syndrome varies. Some patients recover fully with therapy, while others may continue to experience balance problems and require ongoing support.
See also[edit]
References[edit]
<references />
