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191 Possible Causes for Abnormal Gait, Absent Knee Reflex, Paresthesia

  • Chronic Inflammatory Demyelinating Polyneuropathy

    Knee and ankle jerk reflexes were absent. No abnormalities involving the cranial nerves were found.[omicsonline.org] Pure sensory CIDP presents with sensory loss, pain, and poor balance with abnormal gait or walking.[gbs-cidp.org] The authors present the case of a 65-year-old woman who was admitted for paraparesis and paresthesias in the inferior limbs.[ncbi.nlm.nih.gov]

  • Charcot-Marie-Tooth Disease

    Sensory loss is often identified when the doctor tests for deep tendon reflexes, such as the knee jerk, which are reduced or absent in CMT patients.[web.archive.org] Several distinct and abnormal gait patterns were identified in children with CMT, with increasing gait abnormalities in more functionally severe cases.[ncbi.nlm.nih.gov] Patients also complain of numbness and tingling in their feet and hands, but paresthesias are not as common as in acquired neuropathies.[doi.org]

  • Friedreich Ataxia

    Most people with FA also have reduced or absent leg reflexes, such as the knee-jerk reflex. In a small fraction of people, FA leads to hearing loss or visual impairment.[web.archive.org] Related Cases Disease: Friedreich’s Ataxia Degenerative Nerve Diseases Symptom/Presentation: Ataxia, Dizziness, and Vertigo Abnormal Gait Specialty: Genetics Medical History[pediatriceducation.org] reflexes, and dysarthria is minimal or absent. 73 74 76 Comparing the clinical parameters of those with point mutations to those homozygous for a GAA expansion, Cossee et[doi.org]

  • Myxedema

    Risk Factors Age over 50 years Being female Assessment Lethargy and fatigue Weakness, muscle aches, paresthesias Intolerance to cold Weight gain Dry skin and hair Loss of[rnpedia.com] Paresthesia, ataxia, and prolongation of the deep tendon reflexes are characteristic neurologic manifestations. Bell's palsy due to hypothyroidism has been reported.[emjournal.net] […] just above the collar bone) Carpal tunnel syndrome : One of the nerve in the arm (forearm and hand) known as median nerve is compressed at the wrist causing the hands to tingle[bestonhealth.com]

  • Tabes Dorsalis

    The deep tendon reflexes are also diminished or absent; for example, the “knee jerk” or patellar reflex may be lacking ( Westphal’s sign ).[medical-institution.com] gait (see GAIT DISORDERS, NEUROLOGIC), OPTIC ATROPHY; Argyll-Robertson pupils, hypotonia, hyperreflexia, and trophic joint degeneration (Charcot's Joint; see ARTHROPATHY,[connects.catalyst.harvard.edu] A 39-year-old man presented with tingling paresthesia in the lower limbs, difficulty in walking, and loss of vision.[ncbi.nlm.nih.gov]

  • Alcoholic Neuropathy

    Neuropathy can not only cause changes in sensation/pain, but can also cause weekness and difficulty walking due to these changes. All bad stuff.[sci.rutgers.edu] Depending on the level of nerve damage in diabetic and alcoholic neuropathy (polyneuropathy) damage sensitivity (numbness, tingling, burning, and "goose"), pain and muscle[minclinic.ru] Other possible symptoms include loss of balance; loss of coordination; difficulty walking; trouble speaking or understanding speech; and vision problems.[livestrong.com]

  • Hyperkalemic Periodic Paralysis

    Weakness can be accompanied by glove-and-stocking paresthesias.[ncbi.nlm.nih.gov] […] complete heart block, Mobitz type II second-degree atrioventricular block, ventricular tachycardia, ventricular fibrillation and asystole, muscle cramps, weakness, paralysis, paresthesias[jpharmacol.com] In some individuals, paresthesias, probably induced by the hyperkalemia, herald the weakness.[ncbi.nlm.nih.gov]

  • Lumbosacral Plexus Disorder

    There is an absent or reduced knee jerk reflex, although ankle jerks are commonly preserved.[patient.info] Such patients may have difficulty walking in the dark or on irregular surfaces because of proprioceptive problems with the feet.[dartmouth.edu] Mild recovery Disputed Neurogenic Thoracic outlet syndromes with no objective plexus change Rib changes: None Symptoms: Variable; Few objective Pain & paresthesias: lower[neuromuscular.wustl.edu]

  • Vitamin B12 Deficiency

    On presentation, 50% of patients have absent ankle reflexes with relative hyperreflexia at the knees. Plantars are initially flexor and later extensor.[emedicine.medscape.com] Neurologic signs and symptoms: Numbness—tingling Weakness of legs, arms, trunk Impaired vibration—position sense Abnormal reflexes Unsteady or abnormal gait Balance problems[b12awareness.org] ., paresthesia, peripheral neuropathy, spinal cord degeneration), Psychiatric symptoms (irritability, personality change, depression), Cardiovascular problems (e.g., myocardial[kidsnewtocanada.ca]

  • Lumbar Disk Herniation

    Diminished Knee and Ankle Joint Reflexes Knee Reflex - L2 and L3 nerve damage causes abnormal knee joint reflex.[epainassist.com] Diagnosis Examination in a patient with suspected lumbar (intervertebral) disk disease may feature the following: Abnormal gait Abnormal postures Decreased lumbar range of[emedicine.medscape.com] Ball, M.D. 6 Citing Articles A 29-year-old woman presented to the spine clinic with new-onset pain in her right leg, accompanied by paresthesia.[nejm.org]

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