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opisthotonos

Causes of Opisthotonos

It is characterized by severe and sustained hyperextension of the neck and back, often resulting in the body assuming a rigid arching position.

  • Meningitis, encephalitis, tetanus, and brain injuries are disorders of the central nervous system.

  • Electrolyte imbalances and uremia are metabolic disorders.

  • As an example, strychnine poisoning is a toxic exposure.

  • Genetic disorders that affect the regulation of muscle tone are rare developmental abnormalities.

Symptoms of Opisthotonos

Opisthotonos is characterized by the following symptoms:

  • A severe arching of the neck and back is known as hyperextension.

  • Muscle stiffness: Muscles become unyielding and stiff.

  • Back and neck pain: Especially in the muscles.

  • Throat muscles are affected by neck hyperextension causing difficulty swallowing.

  • Muscle rigidity can cause breathing difficulties in severe cases.

Diagnosis of Opisthotonos

Opisthotonos is diagnosed by:

  • Assessing the symptoms associated with arching posture in a clinical setting.

  • Inquiring about recent illnesses, toxins, or developmental issues.

  • Tests muscle tone, reflexes, and evaluates signs of central nervous system dysfunction in a neurological examination.

Treatment of Opisthotonos

The goal of treatment is to address the underlying cause and relieve symptoms:

  • Provide a calm environment and use padding to prevent injury during episodes.

  • Treatments may include muscle relaxants, anticonvulsants, or antibiotics depending on the cause.

  • In severe cases, respiratory and cardiac functions are monitored and supported.

  • The purpose of physical therapy is to regain muscle strength and mobility after treatment.

Prevention of Opisthotonos

By avoiding known risk factors, preventive measures can be taken:

  • Preventable infections like tetanus can be prevented through vaccination.

  • Handling toxic substances with caution and providing adequate supervision in environments where injury may occur are safe practices.

  • Infections and metabolic disturbances should be treated early to reduce the risk of complications leading to opisthotonos.

 

There are several essential aspects of opisthotonos covered in this overview, including its causes, symptoms, diagnosis, treatment options, and prevention measures.

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