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661 Possible Causes for Areflexia, Paraparesis

  • Syringomyelia

    We describe a 27-year-old female with paraparesis secondary to a massive and tethered cystic dilatation of the VT mimicking syringomyelia.[] A complete physical examination will then be performed to look for signs of any areflexia, muscle weakness or other classic features of Syringomyelia.[] He also had paraparesis and urinary incontinency before the surgery.[]

  • Acute Intermittent Porphyria

    Clinical features were childhood-onset slowly progressive spastic paraparesis, cerebellar ataxia, peripheral neuropathy, and in 2 patients, optic atrophy as well as vertical[] The predominantly motor neuropathy associated with weakness and areflexia in AIP can mimic Guillain-Barré syndrome. [7] Nerve conduction studies help in differentiating these[]

  • Friedreich Ataxia

    Clinical examination showed a spastic paraparesis with normal to pathologically brisk deep tendon reflexes and mild left upper limb ataxia.[] Friedreich ataxia (FRDA) is an autosomal recessive, neurodegenerative disease, characterized by progressive gait and limb ataxia, dysarthria, lower-limb areflexia, Babinski[] Although some distinguishable clinical features (such as limb ataxia and lower limb areflexia) were found in our patients, 90-95% of them had extensor plantar response and[]

  • Spinal Tuberculosis

    Due to appearance paraparesis secondary to vertebral destruction, we removed the abscess and infected bone and reconstruction was carried out with fibular allograft anteriorly[] Examination revealed severe lower limb neurologic deficit, with hypotonia, areflexia, marked sensory loss, and grade 0/5 power in both lower limbs.[] The patient presented with systemic tuberculosis symptoms and signs, and progressive paraparesis.[]

  • Spinal Epidural Abscess

    The authors present a case of a premature twin neonate who developed an epidural abscess with complete paraparesis after coagulase-negative Staphylococcus epidermidis bacteremia[] […] or Bony Metastasis) Vertebral Fractures, Osteomyelitis Cauda Equina Syndrome (CES) Note - Cord Compression is a UMN lesion (Hyperreflexia) and CES is an LMN lesion (Hypo/Areflexia[] A 13-year-old boy without any predisposing factors presented with paraparesis, bladder and bowel involvement.[]

  • Acute Transverse Myelitis

    The diagnosis was based on the development of motor weakness, paraparesis and bladder dysfunction, spinal magnetic resonance imaging findings and detection of anti-varicella[] Children with acute transverse myelitis were more likely to have a sensory level (55%) and areflexia.[] At the time of admission, she was completely bedridden, muscle power in the upper and lower limbs was 1/5 (MRC scale) and generalized areflexia was evident on motor examination[]

  • Spinal Cord Infarction

    This rare entity should be considered when managing patients with acute mono- or paraparesis who have a thoracoabdominal aneurysm with mural thrombi because interventions[] Initially areflexia is present due to spinal shock but, hyperreflexia and spasticity appear later The most common form is anterior spinal artery syndrome.[] Anterior spinal artery (ASA) infarction is a rare but well-described cause of flaccid paraparesis in adults, presenting with a high thoracic spinothalamic sensory level and[]

  • Acute Disseminated Encephalomyelitis

    We describe a man recently diagnosed with multiple myeloma who presented with progressive spastic paraparesis, encephalopathy and multifocal MRI lesions with haemorrhage.[] A 5-year old female presented with acute tetraparesis and areflexia.[] […] event neurological features focal or multi-focal rapid onset over few days early features: encephalopathy: ranges from lethargy to coma hemiparesis cranial nerve palsies paraparesis[]

  • Myelitis

    A 40 year-old man with HIV infection was admitted with asymmetric hypoesthesia in legs and paraparesis.[] In our study, however, 66% of patients had detrusor areflexia or hyporeflexia.[] A 21-year-old woman presented with acute-onset spastic paraparesis. The MRI spinal scan revealed a contrast-enhanced T2 hyperintensity between C5-T2.[]

  • Leptomeningeal Metastasis

    Common symptoms of spinal metastasis are radicular pain, sensory loss, gait disturbances, weakness and pain in the lower back, interscapular area, and the neck, followed by paraparesis[] This produces a lower motor neuron pattern characterized by hypotonia, areflexia, muscle atrophy and fasciculations.[]

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