Pusher syndrome

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Pusher syndrome (pronounced: /ˈpʊʃər ˈsɪndroʊm/) is a neurological disorder that is often observed in patients who have had a stroke. The syndrome is characterized by the patient's tendency to actively push away from the non-paretic side and towards the paretic side, leading to a loss of postural balance.

Etymology

The term "Pusher syndrome" was first used in medical literature in the late 20th century. The name is derived from the patient's behavior of "pushing" towards the side of their body that is affected by weakness or paralysis.

Symptoms

Patients with Pusher syndrome exhibit a number of distinctive symptoms. These include:

  • A strong tendency to push towards the paretic side
  • Resistance to passive correction of posture
  • Poor awareness of body orientation in relation to verticality

Diagnosis

Diagnosis of Pusher syndrome is typically based on clinical observation. The Scale for Contraversive Pushing (SCP) is often used to assess the severity of the syndrome.

Treatment

Treatment for Pusher syndrome typically involves physical therapy and occupational therapy. The goal of treatment is to improve the patient's awareness of body orientation and to correct their postural imbalance.

Prognosis

The prognosis for patients with Pusher syndrome varies. Some patients may make a full recovery with appropriate treatment, while others may continue to experience symptoms for an extended period of time.

See also

External links

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