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52 Possible Causes for Absent Ankle Reflex, Bilateral Babinski's Reflex

  • Friedreich Ataxia

    Tendon reflexes are absent in almost all cases but may be weakly present if the patient is examined early in the course of the disease.[emedicine.medscape.com] His reflexes were absent and Babinski sign was present bilaterally. A nine-year-old sister was found to have mild ataxia but was otherwise neurologically intact.[ncbi.nlm.nih.gov] Patellar and ankle jerks are affected most profoundly.[emedicine.medscape.com]

  • Upper Motor Neuron Disease

    , upgoing plantars and clonus) Absent ankle reflexes Tongue wasting and fasciculations Increased jaw jerk Dysarthric speech Sensation was normal Coordination was in proportion[medicaleducationleeds.com] Bilateral upper and lower limb weakness with increased bilateral upper limb reflexes and Babinski reflexes were found.[bmcneurol.biomedcentral.com] , Babinski Decreased or absent: hyporeflexia, cutaneous reflexes decreased or absent Involuntary movements Muscle spasms: flexor or extensor With denervation: fasciculations[physiotherapy-treatment.com]

  • Hereditary Areflexic Dystasia

    Reflexes are normal in approximately two thirds of patients. In one study, ankle jerks were absent in 37.5%, and areflexia occurred in 12.5%.[emedicine.medscape.com]

  • Spinal Cord Concussion

    This is a systematic review. The study aimed to evaluate whether spinal cord concussion (SCC) patients can safely return to play sports and if there are factors that can predict SCC recurrence or the development of a spinal cord injury (SCI). Although SCC is a reversible neurologic disturbance of spinal cord[…][ncbi.nlm.nih.gov]

  • Vitamin E Deficiency

    , bilateral Babinski's sign, reduced proprioception at four limbs, pes cavus and fasciculations of the tongue.[ncbi.nlm.nih.gov] […] speech; muscular strength and trophism were slightly diminished in the distal muscles of four limbs and there was hypotonia of the arms; he presented absent deep tendon reflexes[ncbi.nlm.nih.gov]

  • Abetalipoproteinemia

    Abetalipoproteinemia is a disorder that interferes with the normal absorption of fat and fat-soluble vitamins from food. It is caused by a mutation in microsomal triglyceride transfer protein resulting in deficiencies in the apolipoproteins B-48 and B-100, which are used in the synthesis and exportation of[…][en.wikipedia.org]

  • Anterior Spinal Artery Syndrome

    On examining her lower limbs, her tone was flaccid with absent knee and ankle reflexes bilaterally, power in both her lower limb were 0/5 , her sensation was markedly reduced[oatext.com]

  • Pernicious Anemia

    ankle reflex, increased knee reflex response, and extensor plantar response. [22] Other than anemia, hematological symptoms may include cytopenias , intramedullary hemolysis[en.wikipedia.org] […] or absent.[ispub.com] […] failure. [20] [ page needed ] A complication of severe chronic PA is subacute combined degeneration of spinal cord , which leads to distal sensory loss (posterior column), absent[en.wikipedia.org]

  • Myelopathy

    This combination of neuropathy and myelopathy is one of the causes of the time-honoured neurological ‘paradox’ of absent ankle reflexes with upgoing plantar responses.[pn.bmj.com] The biceps and supinator reflexes (C5 and C6) may be absent, with a brisk triceps reflex (C7).[aafp.org] This pattern is almost pathognomonic of cord compression because of cervical spondylosis at the C5-C6 interspace. 12 Ankle clonus and Babinski's sign (pathologic extension[aafp.org]

  • Cervical Myelopathy

    For example, if the compression is at C5-C6, the biceps and supinator reflexes[c5, C6] may be absent, with a brisk triceps reflex (C7).[boneandspine.com] Ankle clonus may also be present in some patients.[boneandspine.com] The reflexes may be absent at the level of compression.[boneandspine.com]

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