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48 Possible Causes for Acute Respiratory Failure, Hyperreflexia, Long Tract Signs

  • Myelopathy

    […] depending on the level of the lesion and include local pain , stiffness, and impaired sensation, hypotonia , and hyporeflexia at the level of the lesion, and spasticity and hyperreflexia[amboss.com] Physical examination commonly elicits long tract signs such as spasticity, hyperreflexia, and abnormal reflexes such as Babinski or Hoffman's sign.[neurosurgery.ucla.edu] […] sensory deficits - may be the least advanced form of the disease; - Brachialgia and cord syndrome: radicular pain in the upper extremity along with motor and/or sensory long-tract[wheelessonline.com]

  • Amyotrophic Lateral Sclerosis

    […] remains normal Physical exam neck ptosis (neck drop) due to neck extensor weakness manual muscle testing elicits muscle cramping upper motor neuron (UMN) signs spasticity hyperreflexia[orthobullets.com] The upper motor signs include spasticity, hyperreflexia and weakness. The lower motor signs include amyotrophy, weakness and fasciculations.[symptoma.com] Muscle pain may be caused by clonus or hyperreflexia. Many patients complain of muscle cramps.[aafp.org]

  • Spinal Epidural Abscess

    Massive Disc Herniation, Spinal Epidural Abscess or Bony Metastasis) Vertebral Fractures, Osteomyelitis Cauda Equina Syndrome (CES) Note - Cord Compression is a UMN lesion (Hyperreflexia[emdidactic.blogspot.com] A patient’s reflexes may vary from being absent to hyperreflexia with clonus (rhythmic muscle spasms or contractions) and extensor plantar responses (a/k/a Babinski responses[matzuslaw.com] […] with paraplegia and sphincter dysfunction Incomplete spinal cord syndromes Unilateral motor or sensory deficits [ 10 ] Gait ataxia [10] Reflexes may vary from absent to hyperreflexia[emedicine.medscape.com]

  • Cervical Spinal Cord Injury

    Indications for intubation in spinal cord injury are acute respiratory failure, decreased level of consciousness (Glasgow score 9), increased respiratory rate with hypoxia[emedicine.medscape.com] Patients with chronic spinal cord lesions above T-6 are particularly at risk for this response: 85 % will display autonomic hyperreflexia at some time during the course of[trauma.org] Causes of death included respiratory failure with concomitant hypoxemia and acid–base disorders resulting in cardiac arrhythmia and cardiac arrest ( n  95); multiple organ[ncbi.nlm.nih.gov]

  • Multiple Sclerosis

    Irritative or obstructive bladder symptoms, as a result of spinal lesions causing detrusor hyperreflexia and incomplete bladder emptying, can be treated with oral anticholinergic[aetna.com]

  • Arnold-Chiari Malformation Type I

    PubMed Central PubMed Google Scholar Alvarez D, Requena I, Arias M, Valdés L, Pereiso I, De la Torre R: Acute respiratory failure as the first sign of Arnold-Chiari malformation[mrmjournal.biomedcentral.com] Upper spinal cord compression will cause long tract signs (hyperreflexia, Hoffman’s sign, clonus and Babinski’s reflex).[neckandback.com] Upper spinal cord compression will cause long tract signs (hyperreflexia, Hoffman’s sign, clonus and Babinski’s reflex).[neckandback.com]

  • Tricyclic Antidepressant Overdose

    failure, paralysis Airway protection and IPPV, atropine, pralidoxime Opioid Heroin, morphine CNS and respiratory depression, small pupils Hypothermia, bradycardia, respiratory[academic.oup.com] Overdose presents with a sinus tachycardia, mydriasis, coma, hyperreflexia, convulsions, ECG changes, and hypotension.[academic.oup.com] […] arrest, acute lung injury Airway protection, IPPV naloxone Salicylates Aspirin Altered mental status, respiratory alkalosis, metabolic acidosis, tinnitus, hyperpnoea, tachycardia[academic.oup.com]

  • Guillain-Barré Syndrome

    Hyper-acute Guillain-Barrà Syndrome presenting as respiratory failure. Jour Ind Acad Cli Med., 2012; 13(1): 70-71. 23. Hadden RDM, Cornblath DR, Huges RAC, et al.[vdocuments.us] tract signs pharyngeal-cervical-brachial arm weakness, dysphagia and facial weakness pandysautonomia diarrhoea, vomiting, dizziness, abdominal pain, ileus, orthostatic hypotension[lifeinthefastlane.com] […] or respiratory failure.[symptoma.com]

  • Cervical Spine Fracture

    The most common cause of death with acute cervical spinal cord injury is respiratory failure.[openanesthesia.org] Patients with chronic spinal cord lesions above T-6 are particularly at risk for this response: 85 % will display autonomic hyperreflexia at some time during the course of[trauma.org] Hyperreflexia, clonus, Babinski signs, and Hoffmann signs indicate spinal cord compression, although areflexia is common initially in an emergency injury.[orthopaedicsone.com]

  • Stiff-Person Syndrome

    A case of stiff-person syndrome is reported who first presented with muscular hyperactivity and acute respiratory failure followed by heterotopic soft tissue ossification[haematologica.org] A 60-year-old woman with painful muscle spasms and hyperreflexia. N Engl J Med. 2012 Aug 30; 367(9):851-61.[connects.catalyst.harvard.edu] long tracts of the spinal cord.[jnnp.bmj.com]

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