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24 Possible Causes for Absent Ankle Reflex, Nocturnal Awakening

  • Chronic Alcoholism

    The concept of "structural plasticity" has emerged as a potential mechanism in neurodegenerative and psychiatric diseases such as drug abuse, depression, and dementia. Chronic alcoholism is a progressive neurodegenerative disease while the person continues to abuse alcohol, though clinical and imaging studies show[…][ncbi.nlm.nih.gov]

  • Diabetic Autonomic Neuropathy

    Diabetic autonomic neuropathy is one of the commonest complications of diabetes. Although it can involve the autonomic nervous system diffusely, symptoms are confined to a single organ system and are responsible for increased incidence of morbidity, reduced quality of life and mortality. Diabetic neuropathy affects[…][symptoma.com]

  • Diabetic Polyneuropathy

    The ankle tendon reflex was absent in almost half of our patients (40.4 %).[em-consulte.com] reflexes: Absent Associated with foot ulcers in chronic DM 7x increase Age: Middle-aged & elderly Location: Soles of feet Neuropathic osteoarthropathy : Frequency increased[neuromuscular.wustl.edu] In prospective studies, the three main independent predictors for foot ulceration have been shown to be absent ankle tendon reflex, impaired monofilament pressure sensation[em-consulte.com]

  • Alcoholic Neuropathy

    Abstract Characteristics of alcoholic neuropathy have been obscured by difficulty in isolating them from features of thiamine-deficiency neuropathy. We assessed 64 patients with alcoholic neuropathy including subgroups without (ALN) and with (ALN-TD) coexisting thiamine deficiency. Thirty-two patients with[…][ncbi.nlm.nih.gov]

  • Diabetic Peripheral Neuropathy

    ankle reflexes.[f1000research.com] Ankle reflexes are usually reduced or absent, and knee reflexes may also be reduced in some cases.[clinical.diabetesjournals.org] Toronto consensus criteria define probable neuropathy as the presence of two or more of the following: neuropathic symptoms, decreased distal sensation, or decreased or absent[f1000research.com]

  • Hypokalemic Periodic Paralysis

    Hypokalemic periodic paralysis (hypoKPP) is a rare, autosomal dominant channelopathy characterized by muscle weakness or paralysis when there is a fall in potassium levels in the blood. In individuals with this mutation, attacks often begin in adolescence and most commonly occur on awakening or after sleep or rest[…][en.wikipedia.org]

  • Diabetic Enteropathy

    reflexes: Absent Associated with foot ulcers in chronic DM 7x increase Age: Middle-aged & elderly Location: Soles of feet Neuropathic osteoarthropathy : Frequency increased[neuromuscular.wustl.edu] Pansensory Occasional: Selective involvement of fiber types Small fiber Thermal thresholds: Reduced Pain Often involved early Large fiber Vibration sense: Reduced Paresthesias Ankle[neuromuscular.wustl.edu]

  • Erythromelalgia

    Knee jerk reflexes were 2 bilaterally. Ankle jerk reflex was absent bilaterally. The rest of the physical exam was normal. His only medical history was Type 1 diabetes.[omicsonline.org]

  • Poliomyelitis

    Fatigue that occurs after awakening may reflect sleep disturbances that are commonly due to musculoskeletal pain but may also reflect nocturnal pulmonary abnormalities.[web.archive.org]

  • Ataxia

    Mood changes with irritability, aggressivity and nocturnal awakening are also relevant diagnostic signs.[ijponline.biomedcentral.com] Although cerebellar ataxia is the prominent symptom in SAOA, patients often have additional nonataxia signs, including pyramidal tracts signs, decreased or absent ankle reflexes[ncbi.nlm.nih.gov] The association of brisk jerks and absent ankle reflexes may occur.[orpha.net]

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