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131 Possible Causes for Absent Deep Tendon Reflex, Proximal Muscle Weakness of the Lower Extremity

  • Lambert Eaton Myasthenic Syndrome

    Debilitating muscle weakness, which is the main clinical manifestation of patients suffering from LEMS, is accompanied by reduced or absent deep tendon reflexes, and by various[] In fact, almost all LEMS patients with oculobulbar or proximal upper extremity weakness also have proximal lower extremity weakness.[] LEMS is characterized by depressed or absent deep tendon reflexes which helps to distinguish it from the myopathies and myositis diseases in which deep tendon reflexes are[]

  • Poliomyelitis

    Deep tendon reflexes are also affected, and are typically absent or diminished; sensation (the ability to feel) in the paralyzed limbs, however, is not affected. [43] The[] Additional findings of fever, prodromal hyperesthesia, more severe residual proximal muscle weakness, and extensive lower extremity impairment requiring mobility with long[]

  • Wound Botulism

    Decreased or absent deep tendon reflexes, pupillary abnormalities, incremental responses to fast repetitive nerve stimulation, and positive serology for Clostridia botulinum[] By history, the most common symptoms were dysphagia (66%), proximal muscle weakness of upper and lower extremity (60%), neck flexor muscle weakness (33%), ophthalmoplegia[] There is mild ptosis on exam and sensation is normal, however deep tendon reflexes are mildly diminished.[]

  • Overlap Syndrome

    There was no obvious wasting but he had generalised hypotonia even of neck and back muscles with absent deep tendon reflexes.[]

  • Botulism

    There may be signs of: Absent or decreased deep tendon reflexes Absent or decreased gag reflex Eyelid drooping Loss of muscle function, starting at the top of the body and[] By history, the most common symptoms were dysphagia (66%), proximal muscle weakness of upper and lower extremity (60%), neck flexor muscle weakness (33%), ophthalmoplegia[] Deep tendon reflexes may be diminished or absent, along with poor anal sphincter tone. Sensation is typically intact. The skin may appear to be flushed.[]

  • Hematomyelia

    deep tendon reflexes Sympathetic interruption Diagnosis/Evaluation Children with spinal cord trauma must be evaluated and recognized promptly.[] 48 hours Transection of Spinal Cord Severe spinal column disturbance Complete loss of motor, sensory and autonomic function below lesion Spinal shock Flaccid paralysis, absent[]

  • Guillain-Barré Syndrome

    At the time of office visit, he could no longer walk or hold up objects, and had absent deep-tendon reflexes as well as weakened left lung breath sounds.[] muscle weakness of the lower extremities.[] An outbreak of Guillain-Barré syndrome (GBS), a disorder characterized by acute, symmetric limb weakness with decreased or absent deep-tendon reflexes, was reported in Barranquilla[]

  • Spinal Muscular Atrophy

    He has tongue fasciculations and absent deep tendon reflexes. Serum creatine phosphokinase and aldolase levels are normal.[] The condition typically affects infants and young children, presenting with progressive, symmetrical, proximal-predominant muscle atrophy and weakness of varying severity[] Other symptoms may include: Decreased or absent deep tendon reflexes, such as the relfex that occurs when you tap on your knee.[]

  • Duchenne Muscular Dystrophy

    deep tendon reflexes and fasciculations • CPK levels are normal • pseudohypertrophy is absent Emery-Dreifuss dystrophy • similar clinical picture • no calf pseudohypertrophy[] Muscle weakness grade varied as follows: patient 1 showed asymmetrical bilateral proximal upper and lower extremities weakness, patient 2 showed asymmetrical bilateral upper[] Weakness typically starts proximally in the lower extremities, then moves distally. Weakness in the upper extremities tends to appear later [1] .[]

  • Congenital Muscular Dystrophy

    The look is vivid, and the deep tendon reflexes are absent. Diagnosis is linked to SMN1 copy number variation. Fig. 7 Infant with early SMA.[] Remarkably, muscle weakness and wasting affected predominantly axial muscles as well as proximal upper and distal lower extremities.[] deep tendon reflexes; facial muscle involvement; elevated serum CK activity; and muscle involvement with histologic features compatible with muscular dystrophy.[]

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