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171 Possible Causes for Absent Ankle Reflex, Hallucinations

  • Chronic Alcoholism

    Abstinence syndrome with chronic alcoholism causes serious mental disorders in the form of hallucinations and fainting.[] The strange pathological conditions resulting from chronic alcoholism give rise to other fearful hallucinations.[] In the event of discontinuation of alcohol drinking, the patient exhibits anxiety, anger, sweating, nausea, headaches, limb tremor, in the most severe cases, hallucinations[]

  • Hyperkalemia

    CNS symptoms of digitalis toxicity include the following: Drowsiness Lethargy Fatigue Neuralgia Headache Dizziness Confusion or giddiness Hallucinations Seizures (rare) Paresthesias[]

  • Hypokalemia

    A patient can experience psychosis, hallucinations, and depression when their potassium is low.[] […] amounts of urine or feeling thirsty most of the time Fainting due to low blood pressure Abnormal psychological behavior: depression , psychosis, delirium, confusion, or hallucinations[]

  • Vitamin B12 Deficiency

    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;[] Mood was depressive and hallucinations were noted. Laboratory analyses were normal, except for a low vitamin B(12) level ( 150 pg mL(-1)).[] On presentation, 50% of patients have absent ankle reflexes with relative hyperreflexia at the knees. Plantars are initially flexor and later extensor.[]

  • Peripheral Neuropathy

    Most people with PN have reduced or absent ankle reflexes (involuntary responses to a stimulus).[] A case of biopsy-proven sarcoid meningoencephalitis presented with hallucination, nominal aphasia and dementia [in Japanese].[] Classically, ankle jerk reflex is absent in peripheral neuropathy.[]

  • Alcohol Hallucinosis

    Clinical signs The cardinal sign is absent ankle reflexes (table 3). Without this, it is difficult to make a diagnosis of DSDP.[] […] and formicative hallucinations) as well as verbal auditory hallucinations.[] Hallucination Defined A hallucination is the experience of seeing or hearing things that aren’t there while awake and conscious.[]

  • Sarcoidosis

    Absent ankle jerks; stocking‐glove sensory loss Normal strength; DTR absent in the LL; non‐dissociated hypoaesthesia to knees Normal strength, hypoaesthesia to mid‐thigh,[] […] vomiting, nausea, jaundice, or abdominal pain Problems with the nervous system, including headache, dizziness, vision problems, seizures, mood swings, disturbed behavior, hallucinations[] No actual sensory deficit Ankle reflexes abolished Cranial nerve involvement No No Facial diplegia No No No No No No No No CSF cells/ml n.d. n.d. 36 lymph. 3 lymph. n.d. 1[]

  • Guillain-Barré Syndrome

    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[] Vivid dreams, hallucinations, psychosis and REM sleep in Guillain-Barré syndrome. Brain. 2005 Nov. 128:2535-45. [Medline]. Gupta A, Taly AB, Srivastava A, Murali T.[] Cochen V, Arnulf I, Demeret S: Vivid dreams, hallucinations, psychosis and REM sleep in Guillain-Barré syndrome. Brain, 2005, 128, 2535–2545.[]

  • Arsenic-Induced Polyneuropathy

    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[] Overexposure to tin may damage the nervous system and cause psychomotor disturbances including tremor, convulsions, hallucinations, and psychotic behavior.[] .  Tendon reflexes: Absent or Preserved except at ankles  Recovery: With delay after removal of toxin  Progression ("coasting") for 1 to 4 months  Improvement: Months[]

  • Alcoholic Neuropathy

    […] fast heart rate), and if you body is used to significant amounts of alcohol daily, there is a risk of seizures in the first couple days with worsening symptoms (confusion, hallucinations[] In severe cases, you could have a fever, seizures, or hallucinations. If you have any of these symptoms, your drinking may already be a cause for concern.[]

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