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85 Possible Causes for Absent Knee Reflex, Acute Respiratory Failure, Paresthesia

  • Guillain-Barré Syndrome

    In GBS, deep tendon reflexes in the legs, such as knee jerks, are usually lost. Reflexes may also be absent in the arms.[] CASE REPORT: An 82-year-old woman presented with acute ascending flaccid paralysis and acute respiratory failure.[] CONCLUSIONS A case of a rare variant of GBS is presented with facial diplegia and paresthesia and with unilateral facial palsy.[]

  • Hypokalemia

    She presented with marked hypophosphatemia, hypokalemia, acute renal failure and acute respiratory failure.[] The earliest signs are weakness and muscle cramps and numbness and tingling that usually begin in the lower extremities.[] During admission, he had severe acute respiratory failure secondary to bilateral pneumonia.[]

  • Hyperkalemia

    His hospital course was complicated by the development of acute respiratory distress syndrome, severe sepsis, acute renal failure, placement of a tracheostomy, and recurrent[] […] symptoms Patients with hyperkalemia may be asymptomatic, or they may report the following symptoms (cardiac and neurologic symptoms predominate): Generalized fatigue Weakness Paresthesias[] Non-invasive positive pressure ventilation for treatment of respiratory failure due to severe acute exacerbations of asthma.[]

  • Chronic Inflammatory Demyelinating Polyneuropathy

    Knee and ankle jerk reflexes were absent. No abnormalities involving the cranial nerves were found.[] We examined a 27-year-old woman who developed rapidly progressive quadriplegia and acute respiratory failure that required mechanical ventilation in the intensive care unit[] The authors present the case of a 65-year-old woman who was admitted for paraparesis and paresthesias in the inferior limbs.[]

  • Charcot Marie Tooth Disease

    Sensory loss is often identified when the doctor tests for deep tendon reflexes, such as the knee jerk, which are reduced or absent in CMT patients.[] Postoperative acute respiratory failure following thoracotomy in a patient with Charcot-Marie-Tooth disease. J Clin Anesth 1994;6:434-6.[] Patients also complain of numbness and tingling in their feet and hands, but paresthesias are not as common as in acquired neuropathies.[]

  • Poliomyelitis

    On admission, the abdominal skin reflexes, knee jerks, cremaster and anal reflexes were absent and power in the lower extremities was reduced.[] Abstract During the poliomyelitis epidemics of the last century hospitals were inundated with patients in acute respiratory failure.[] Symptoms are fever, severe headache, stiff neck and back, deep muscle pain, and sometimes areas of hyperesthesia (increased sensation) and paresthesia (altered sensation).[]

  • Hyperkalemic Periodic Paralysis

    Acute Hypercapnic Respiratory Failure due to Thyrotoxic Periodic Paraly- sis. Am J Med Sci 2004;327(5):264–267. Wendorf M, Goldfine ID. Archaeology of NIDDM.[] Weakness can be accompanied by glove-and-stocking paresthesias.[] […] complete heart block, Mobitz type II second-degree atrioventricular block, ventricular tachycardia, ventricular fibrillation and asystole, muscle cramps, weakness, paralysis, paresthesias[]

  • Familial Periodic Paralysis

    He denied any pain or paresthesia. Prior to this episode, the patient had been healthy and denied any recent diarrhea, chest pain, shortness of breath, or weight change.[] Weakness can be accompanied by glove-and-stocking paresthesias.[] In some individuals, paresthesias, probably induced by the hyperkalemia, herald the weakness.[]

  • Peripheral Neuropathy

    Ankle reflexes are usually reduced or absent, and knee reflexes may also be reduced in some cases.[] Goldenberg and Steven White, Neuromuscular Disorders and Acute Respiratory Failure: Diagnosis and Management, Neurologic Clinics, 30, 1, (161), (2012).[] Chemotherapy-induced peripheral neuropathy is a debilitating side effect of chemotherapy, which manifests as paresthesias, dysesthesias, and numbness in the hands and feet[]

  • Thallium Poisoning

    The limb power was grade IV, sensations were normal and ankle reflex absent, although knee reflexes were normal and plantar response flexor. Skin appeared normal.[] Severe paresthesia, ophthalmoplegia, cerebellar and extrapyramidal signs, and alopecia are highly suggestive of thallium poisoning.[] A 42 year old man presented on the third day of illness with flaccid quadriparesis and paresthesia, which were confused with Guillain-Barré syndrome.[]

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