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21 Possible Causes for Absent Ankle Reflex, Bilateral Babinski's Reflex, Hyperreflexia

  • Friedreich Ataxia

    We report two patients with delayed-onset, hyperreflexia and gradually progressive disease.[ncbi.nlm.nih.gov] 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] His examination was significant for spastic gait, hyperreflexia, and sensory neuropathy. Genetic testing revealed a compound heterozygous mutation in the FXN gene.[ncbi.nlm.nih.gov]

  • Upper Motor Neuron Disease

    No spasticity or hyperreflexia.[brainscape.com] , 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] , Babinski Decreased or absent: hyporeflexia, cutaneous reflexes decreased or absent Involuntary movements Muscle spasms: flexor or extensor With denervation: fasciculations[physiotherapy-treatment.com]

  • Myelopathy

    Clinical hyperreflexia was tested at the MCP joint, using a six-axis load cell.[ncbi.nlm.nih.gov] 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] Symptoms and Signs Cord compression commonly causes gradual spastic paresis, paresthesias, or both in the hands and feet and may cause hyperreflexia.[merckmanuals.com]

  • Cervical Myelopathy

    BACKGROUND: Gait dysfunction associated with spasticity and hyperreflexia is a primary symptom in patients with compression of cervical spinal cord.[ncbi.nlm.nih.gov] 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] Abstract Diabetes may affect the typical physical findings associated with cervical spondylotic myelopathy, as coexisting diabetic neuropathy may dampen expected hyperreflexia[ncbi.nlm.nih.gov]

  • 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] Detrusor hyperreflexia was noted in 8 patients, a normal bladder in 1 and detrusor areflexia in 1.[ncbi.nlm.nih.gov] At first the lower limb paralysis was flaccid and areflexic but after several weeks spasticity, hyperreflexia, and Babinski signs appeared.[lksom.temple.edu]

  • Cervical Cord Compression

    Two patients did not show satisfactory improvement after the decompression of the entrapment lesions, and six patients had hyperreflexia of lower limbs.[ncbi.nlm.nih.gov] 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] Several findings indicative of an ongoing pathological process involving the cervical spinal cord are: Hyperreflexia - A brisk triceps reflex accompanied by the absence of[symptoma.com]

  • Spinal Cord Transection

    Muscle hypertonia with spastic paresis Increased proprioceptive reflex: hyperreflexia Inexhaustible clonus : e.g., ankle clonus Anal reflex remains absent Pathological reflexes[amboss.com] When the stage of spinal shock passes, the typical UMN picture within hyperreflexia and spastic paralysis below the level of the injury supervenes.[casemed.case.edu] Ipsilaterally, paralysis, loss of vibration and position sense below the level of the lesion, hyperreflexia, and an extensor toe sign are present.[emedicine.medscape.com]

  • Pernicious Anemia

    […] impaired ability to coordinate movement (ataxia), a positive Babinski sign (outward motion of the big toe caused by stroking the sole of the foot), and/or exaggerated reflexes (hyperreflexia[rarediseases.org] ankle reflex, increased knee reflex response, and extensor plantar response. [22] Other than anemia, hematological symptoms may include cytopenias, intramedullary hemolysis[en.wikipedia.org] Pernicious Anemia Macrocytic anemia, glossitis, peripheral neuropathy, weakness, hyperreflexia, ataxia, and other neurological manifestations characterize classical vitamin[clinlabnavigator.com]

  • Amyotrophic Lateral Sclerosis

    […] remains normal Physical exam neck ptosis (neck drop) due to neck extensor weakness manual muscle testing elicits muscle cramping upper motor neuron (UMN) signs spasticity hyperreflexia[orthobullets.com] At clinical examination, ankle reflex was absent but the other deep tendon reflexes were brisk. She had amyotrophy and fasciculations in the 4 limbs.[dx.doi.org] The upper motor signs include spasticity, hyperreflexia and weakness. The lower motor signs include amyotrophy, weakness and fasciculations.[symptoma.com]

  • Spinal Epidural Hematoma

    At the neurological examination, he was found to have tetra-hyposthenia with tetra-hyperreflexia.[em-consulte.com] Deep tendon reflexes were absent at the knees and ankles bilaterally.[jpma.org.pk] […] exhibited low-grade fever (oral 37.5 C) and severe cervical paraspinal muscle spasm accompanied by 4/5 quadriparesis (based on muscle strength grading 0–5), left upper limb hyperreflexia[surgicalneurologyint.com]

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