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198 Possible Causes for Absent Ankle Reflex, Progressive Polyneuropathy

  • Chronic Alcoholism

    A case of Campylobacter fetus subspecies fetus meningitis is reported. The patient had underlying diseases, namely chronic alcoholism and diabetes mellitus. The infection did not respond to Piperacillin and Cefotaxime, but did respond to Ampicillin and Moxalactam. The patient was discharged on the 33rd hospital day[…][ncbi.nlm.nih.gov]

  • Diabetic Polyneuropathy

    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] The ankle tendon reflex was absent in almost half of our patients (40.4 %).[em-consulte.com] […] extremities and by flaccid paralysis. progressive hypertrophic polyneuropathy Déjérine-Sottas disease.[medical-dictionary.thefreedictionary.com]

  • Guillain-Barré Syndrome

    Guillain-Barré syndrome is a rare condition in pregnancy which is characterised by symmetrical progressive ascending polyneuropathy.[ncbi.nlm.nih.gov] 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] An 81-year-old man presented with fever, confusion and rapidly-progressive flaccid tetraparesis.[ncbi.nlm.nih.gov]

  • Alcoholic Neuropathy

    […] of alcoholic polyneuropathy.[en.wikipedia.org] Results: Symmetric sensory-dominant polyneuropathy predominantly involving the lower limbs was the major clinical pattern.[n.neurology.org] Alcohol-dependent individuals are therefore at higher risk of inadequate intake of several vitamins ( Fairfield and Fletcher, 2002 ) and progression to alcoholic polyneuropathy[alcalc.oxfordjournals.org]

  • Arsenic-Induced Polyneuropathy

    ., 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] 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] Consider a hereditary cause, long-term toxic exposure, or a metabolic disorder if patients have a slowly progressive chronic polyneuropathy.[merckmanuals.com]

  • Vitamin B12 Deficiency

    peripheral neuropathy, and spinal degeneration.[ncbi.nlm.nih.gov] 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] On presentation, 50% of patients have absent ankle reflexes with relative hyperreflexia at the knees. Plantars are initially flexor and later extensor.[emedicine.medscape.com]

  • Peripheral Neuropathy

    Most people with PN have reduced or absent ankle reflexes (involuntary responses to a stimulus).[thebody.com] Most types of polyneuropathy progress fairly slowly, over months or years, but rapidly progressive polyneuropathy also occurs.[en.wikipedia.org] The primary manifestations of polyneuropathy are slowly progressive numbness and paresthesias, with burning sensations in the feet usually in a symmetrical pattern.[ncbi.nlm.nih.gov]

  • Diabetic Autonomic Neuropathy

    Said G (1981) Progressive centripetal degeneration in polyneuropathies [French] . Rev Neurol 137 : 573–588 9.[nature.com] In some patients, symptoms remain stable over time and fewer experience progressive deterioration [3].[escardio.org] The course is chronic and progressive; in rare cases, however, the neuropathy resolves spontaneously in six to 12 months.[aafp.org]

  • Vasculitis

    : 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] Neuropathy Sensory or Sensory-Motor General patterns Mononeuritis multiplex (13%) Asymmetric polyneuropathy (85%) Distal symmetric polyneuropathy (2%) More slowly progressive[neuromuscular.wustl.edu] Often not length dependent Hands 40%: More common than in other sensory neuropathies Cramps: Occasional Weakness (22%): Feet or Toes; More common with IgM M-protein Tendon reflexes[neuromuscular.wustl.edu]

  • Chronic Inflammatory Demyelinating Polyneuropathy

    Knee and ankle jerk reflexes were absent. No abnormalities involving the cranial nerves were found.[omicsonline.org] 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] We report a 58-year-old woman with DADS that progressed to a severe case of classic CIDP.[ncbi.nlm.nih.gov]

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