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121 Possible Causes for Absent Ankle Reflex, Extremity Ataxia, Progressive Polyneuropathy

  • Chronic Alcoholism

    Wernicke-Korsakoff syndrome (ataxia, confusion, ophthalmoplegia), amnesic problems, peripheral neuropathy and dementia.[patient.info] Investigations Alcohol level is useful in acute comatose state: Alcohol level 300 mg/100 ml extreme intoxication (drowsiness and then coma).[patient.info]

  • Diabetic Polyneuropathy

    Deep tendon reflexes were symmetric and graded 2 in all extremities.[openaccessjournals.com] The ankle tendon reflex was absent in almost half of our patients (40.4 %).[em-consulte.com] Ms Q is a 52-year-old woman who has had progressive polyneuropathy in the setting of diabetes for the past 8 years.[ncbi.nlm.nih.gov]

  • Guillain-Barré Syndrome

    Guillain-Barré syndrome is a rare condition in pregnancy which is characterised by symmetrical progressive ascending polyneuropathy.[ncbi.nlm.nih.gov] , and loss of deep tendon reflexes with relative sparing of strength in the extremities and trunk.[icd10data.com] F waves implicates nerve root involvement delayed/absent H reflex correlates with decreased/absent ankle reflex MRI cauda equina gandolinium enhancement in acute cases DIfferential[step2.medbullets.com]

  • Arsenic-Induced Polyneuropathy

    […] jerks, tremors, seizures, an impaired ability to coordinate voluntary movements (ataxia), and/or inability to stand or walk.[rarediseases.org] Proximal lower limb muscles were affected in 40% patients, rare upper limb involvement and ankle reflexes were absent in all with evidence of axonal degeneration and reinnervation[annalsofian.org] ., sensory ataxia due to vitamin B 12 deficiency) Deep tendon reflexes References: [10] [11] [12] [9] Subtypes and variants Diabetic polyneuropathy Definition : progressive[amboss.com]

  • Vitamin B12 Deficiency

    peripheral neuropathy, and spinal degeneration.[ncbi.nlm.nih.gov] In later stages, spasticity, extensor plantar responses, greater loss of position and vibratory sensation in the lower extremities, and ataxia emerge.[merckmanuals.com] Diabetes is associated with neuropathy, cognitive impairment, several causes of anaemia and is on everyone’s list of causes of absent ankle reflexes with upgoing plantars;[ageing.oxfordjournals.org]

  • Chronic Inflammatory Demyelinating Polyneuropathy

    Shortly after HSCT the patient developed progressive polyneuropathy of the lower legs and hypoesthesia. Five months later a severe dementia followed.[ncbi.nlm.nih.gov] On admission, the patient exhibited bifacial, extremity weakness, ataxia, impaired sensation, and areflexia. Electrophysiology and nerve biopsy suggested demyelination.[ncbi.nlm.nih.gov] Knee and ankle jerk reflexes were absent. No abnormalities involving the cranial nerves were found.[omicsonline.org]

  • Vasculitis

    Neuropathy Sensory or Sensory-Motor General patterns Mononeuritis multiplex (13%) Asymmetric polyneuropathy (85%) Distal symmetric polyneuropathy (2%) More slowly progressive[neuromuscular.wustl.edu] Sensory loss: Large Small fiber modalities Gait: Sensory ataxia; Romberg positive Motor: Normal strength Tendon reflexes: Absent or Reduced Course Neuropathy onset: 1 to[neuromuscular.wustl.edu] : Absent at ankles (43%) Progression Slow over years Duration at presentation: Mean 5 years Diabetes: 12%; Less frequent than controls Antibodies Serum IgM target: Trisulfated[neuromuscular.wustl.edu]

  • Pernicious Anemia

    We describe a case of a young black woman with gradually progressive lower extremity paresthesias, weakness, and ataxia as the primary presenting symptoms of pernicious anemia[ncbi.nlm.nih.gov] A complication of severe chronic PA is subacute combined degeneration of spinal cord, which leads to distal sensory loss (posterior column), absent ankle reflex, increased[en.wikipedia.org] ), ataxia and positive Babinski reflexes.[doi.org]

  • Familial Progressive Polyneuropathy

    Abstract The purpose of this study was to evaluate the clinical and pathological features in patients with progressive-type familial amyloidotic polyneuropathy (FAP) using[ncbi.nlm.nih.gov] […] with marked disturbances of sensation and ataxia of movement and caused by an interstitial hypertrophic neuritis that ascends with consecutive medullary [cord] lesions.[karger.com] […] foot swelling Fatigue Muscle cramps Diminished or absent ankle reflexes HNPP Testing (Not all evaluation and tests may be necessary.)[foundationforpn.org]

  • Polyneuropathy

    There are only sensory symptoms, e.g. sensory ataxia, numbness and pain.[nnjournal.net] Knee and ankle jerk reflexes were absent. No abnormalities involving the cranial nerves were found.[omicsgroup.org] Convert to ICD-10-CM : 356.4 converts directly to: 2015/16 ICD-10-CM G60.3 Idiopathic progressive neuropathy Approximate Synonyms Idiopathic progressive neuropathy Polyneuropathy[icd9data.com]

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