Paralytic Attack

The sudden loss of muscle control is known medically as a paralytic attack. Paralytic attacks disrupt the nerve signals that trigger muscle movements, leading to temporary or permanent immobilisation.

While terrifying, paralytic attacks are generally caused by treatable conditions, such as strokes, spinal injuries, and neurological disorders. However, prompt medical attention is crucial for the best chance of recovery. This article covers the symptoms, causes, diagnosis, and treatment of paralytic attacks.

What is a Paralytic Attack?

A paralytic attack refers to the sudden onset of paralysis—the inability to wilfully move parts of the body. Attacks lead to muscle weakness or complete loss of motor function in areas of the body. The extent, duration, and cause of paralytic depend on the location and severity of injury to the nervous system.

The intricate network of nerves in our body transmits signals from the brain to muscles, triggering movement. A disruption anywhere along these neural pathways blocks signal transmission, preventing muscles from contracting on command.

Paralytic attacks cause affected body parts to become limp and unresponsive. Without nervous input, muscles stop functioning. Paralysis can strike just one limb or spread more extensively to other parts of the body.

Type of Paralysis

Healthcare providers characterise paralytic attacks based on the pattern of muscle weakness:

• Monoplegia: One limb, either an arm or leg, experiences paralysis.
• Hemiplegia: Paralysis affects one side of the body – the arm and leg.
• Paraplegia: Both legs and sometimes part of the torso lose motor function.
• Quadriplegia: All four limbs are immobilised due to damage in the spinal cord. The chest and torso may also be affected.
• Diplegia: Identical parts on both sides suffer paralysis, such as both arms or legs.

In terms of the extent of nerve damage and recovery potential:

• Complete paralysis
  • Total loss of voluntary movement and sensation below the injury level.
  • Muscles become flaccid and shrink.
  • Recovery is unlikely.
• Incomplete paralysis
  • Some neural connections remain intact, allowing partial movement and sensation to persist.
  • Mobility may improve with rehabilitation.

Paralytic Attack Symptoms and Signs

The main symptom of a paralytic attack is sudden muscle weakness, coupled with the inability to move the affected region. Early attack symptoms and signs include:

• Tingling, burning, cold, or "pins and needles" sensations in extremities
• Sharp nerve pain
• Involuntary twitching, jerking, or spasming of muscles
• Gradual loss of control and coordination of limbs
• Loss of sensation to touch, pressure extremes, vibration, etc.
• Gait abnormalities like dragging legs
• Slurred, slow speech
• Vision problems
• Difficulty passing urine or stool

The parts of the body impacted depend on the site of nerve damage. For example, spinal cord injury in the neck region causes quadriplegia, and so on.

Causes of The Paralytic Attack

Paralysis arises from some form of injury or disruption to the communication network linking the brain and muscles. Common causes include:

• Ischemic strokes result from a loss of blood supply, leading to the death of brain cells that control movement.
• Hemorrhagic strokes occur when bleeding within the brain compresses regions responsible for coordinating movement.
• Spinal cord trauma involves damage to delicate spinal tissue, blocking communication between the brain and body parts governed by regions below the injury site.
• Nerve compression, caused by factors such as herniated discs, tumours, or injuries, hampers signal transmission to the related body part.
• Neurological disorders, including diseases like multiple sclerosis, Parkinson's, and polio, attack nerves, often resulting in paralytic.
• Infections, caused by viruses or bacteria, can lead to inflammation that interferes with neural signalling.
• Autoimmune disorders occur when misguided antibodies target and destroy nerve insulation or other components, disrupting cell signalling.
• Toxins, such as neurotoxins like lead, arsenic, and mercury, can damage nerves.

Finding the main cause is key to treating paralytic effectively.

Complications

Complications for paralytic can include:

• Bedsores and skin infections – With limited mobility, prolonged pressure on the skin causes ulcerated sores prone to infection.
• Urinary tract infections – An inability to fully empty the bladder increases the risk of infection.
• Respiratory issues – Chest muscle paralytic affects breathing, making it shallow and weak. Hence, pneumonia becomes a prime concern.
• Blood clots – Individuals with paralytic who are sedentary face an increased risk of blood clotting in the veins, causing deep vein thrombosis. These clots can break off and embed in the lungs, further leading to pulmonary embolism.
• Bone thinning – Paralyzed limbs accelerate osteoporosis and the risk of fractures.
• Depression – Coping with major life changes due to paralytic takes a psychological toll, raising the risk of depression.

Diagnosis

Doctors diagnose the causes of a paralytic attack through the following methods:

• Physical examination: Checking muscle strength, tone, reflexes, and coordination.
• Medical history: Uncovering recent injuries, infections, or exposure to toxins.
• Blood tests: Measuring muscle enzymes and antibodies that implicate disorders.
• Spinal taps: Analysing spinal fluid composition for signs of inflammation.
• Imaging tests such as MRI, CT scans, and X-rays: Revealing abnormalities in the spinal cord, nerves, or brain.
• Nerve function tests, such as EMG, assess electrical signalling.

Treatment of Paralytic Attack

The treatment focuses on protecting functional nerve connections and restoring non-functional ones.

• IV fluids and corticosteroids reduce spinal cord swelling after acute injury.
• Surgery repairs damaged vertebrae and discs, decompressing pinched nerves.
• Draining infections alleviates nerve irritation, allowing conductivity to improve.
• Plasmapheresis filters out antibodies attacking nerves in autoimmune conditions.
• Physical and occupational therapy builds muscle strength and retrains nerve pathways.
• Mobility devices aid in movement.

Adaptation is essential, even in cases of permanent paralytic. Assistive technology allows independent function through devices such as:

• Motorised wheelchairs
• Standing wheelchairs supporting upright activity
• Mobility aids like canes, crutches, and walkers
• Hand and arm braces maintaining grip
• Speech synthesis technology
• Environmental control systems for lighting, temperature, electronics, etc.

When to see a doctor

Seek emergency assistance immediately if any signs of a paralytic attack occur. Rapid treatment within hours of onset can minimise nerve damage and prevent lasting mobility loss.

Also, contact your doctor if you experience:

• Progressive numbness
• Tingling
• Weakness
• Problems moving any body parts

Gradual paralytic may indicate a treatable condition, such as vitamin deficiencies or thyroid issues.

Conclusion

Paralytic attacks create disruptions in mobility through injury or disease, attacking the nerves controlling muscle function. While extremely frightening, paralytic is manageable. Though complete reversals are unlikely with extensive damage, therapy can restore partial function. Implementing adaptive techniques and assistive technology further helps in limiting paralytic attacks. Stay vigilant for any attack symptoms and respond immediately to retain neural connections vital for movement. Prioritising recovery and adaptation allows enjoying full, active lifestyles despite paralytic attacks.

FAQs

1. Can paralytic be prevented?

Ans: Paralytic risk is reduced by wearing protective gear during activities, installing home safety features like handrails, improving lighting, maintaining healthy lifestyle factors, treating infections quickly, and limiting alcohol.

2. What are the secondary effects of paralytic?

Ans: Common secondary effects of paralytic include bedsores, breathing issues, infections, blood clots, osteoporosis, depression, and digestive problems.

3. How long does a paralytic attack last?

Ans: Paralytic attack duration depends on the cause; temporary paralytic with spinal shock or inflammation resolves over days to weeks, while permanent paralytic from stroke/spinal injury may improve gradually over time.

4. Does High BP cause a paralytic?

Ans: Extremely high blood pressure can cause paralytic by increasing artery blockages that interrupt blood supply to the brain and spinal cord, resulting in oxygen starvation and nerve damage.

CARE Medical Team

13