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38 Possible Causes for Bell's Palsy, Hyporeflexia in the Lower Limbs

  • Guillain-Barré Syndrome

    The differential diagnosis was between a variant of GBS and Bell's palsy.[] One patient had grade IV/V on MRC scale weakness in upper limbs with hyporeflexia and distal paresthesias in upper limbs and hyper-reflexia in lower limbs.[] Similarly, Lewis and Morris 2 described a patient with recurrent herpes simplex associated with Bell's palsy.[]

  • Brain Abscess

    Brain abscess (or cerebral abscess) is an abscess caused by inflammation and collection of infected material, coming from local (ear infection, dental abscess, infection of paranasal sinuses, infection of the mastoid air cells of the temporal bone, epidural abscess) or remote (lung, heart, kidney etc.) infectious[…][]

  • Poliomyelitis

    Post-polio syndrome (PPS) develops in approximately 30% of polio survivors several decades after the acute attack of paralytic poliomyelitis. Some of these patients develop post-poliomyelitis muscular atrophy (PPMA) which is characterized by a slowly progressive muscle weakness. Due to its clinicopathological[…][]

  • Miller-Fisher Syndrome

    Bell's palsy. Nonrecurrent v recurrent and unilateral v bilateral . Arch. Otolaryngol. 110 , 374–377 (1984).[] Urinary Retention Hx of rapidly progressive bilateral leg weakness e.g. after a diarrhoea illness 3-4 weeks before Examn: - Lower limb LMN signs Hyporeflexia Flaccid paralysis[] Common complaints associated with cranial nerve involvement in GBS include the following: Facial droop (may mimic Bell palsy) Diplopias Dysarthria Dysphagia Ophthalmoplegia[]

  • Neck Pain

    This condition involves the forehead muscles as well as the eyelid, and is usually due to damage to the facial nerve, or to Bell's palsy.[] Lower motor neuron signs in the upper limbs (atrophy, hyporeflexia).[] Cerebral palsy. Conditions which may mimic blepharospasm Hemifacial spasm.[]

  • Myopathy and Diabetes mellitus

    Symptoms include: Double vision Eye pain Paralysis on one side of the face ( Bell's palsy ) Severe pain in a certain area, such as the lower back or leg(s) Chest or belly[] […] of upper limbs 60 33 frequent (33%) Frequent (79-30%) HP:0012391 11 lower limb hyperreflexia 60 33 frequent (33%) Frequent (79-30%) HP:0002395 12 shoulder girdle muscle weakness[] -30%) HP:0009073 8 difficulty climbing stairs 60 33 frequent (33%) Frequent (79-30%) HP:0003551 9 difficulty running 60 33 frequent (33%) Frequent (79-30%) HP:0009046 10 hyporeflexia[]

  • Déjerine-Sottas Disease

    It may be misdiagnosed as Charcot-Marie Tooth disease or Bell’s palsy. HNPP is a progressive hereditary disorder, but the symptoms can be so mild that they go unnoticed.[] A 9-year-old boy presented progressive slight motor deficit in the lower limbs, particularly in the feet, and generalized hyporeflexia.[] CASE REPORT: A 9-year-old boy presented progressive slight motor deficit in the lower limbs, particularly in the feet, and generalized hyporeflexia.[]

  • Spastic Paraplegia

    Other causes of paralysis include Nerve diseases such as amyotrophic lateral sclerosis Autoimmune diseases such as Guillain-Barre syndrome Bell's palsy, which affects muscles[] He presented with progressive spastic paraplegia, hypereflexia in the upper limbs with hyporeflexia in the lower limbs. There was dysdiadochokinesis.[]

  • Spinal Cord Infarction

    ’s palsy Labyrinthitis Vestibular neuronitis Demyelination or Peripheral Neuropathy Peripheral nerve palsy Demyelinating disease Meniere’s disease This is list is similar[] Within days, flaccid limbs become spastic and hyporeflexia (underactive nerve responses) turns into hyperreflexia (overactive nerve responses) and extensor plantar nerve responses[] […] vasculitis Cerebral venous sinus thrombosis Metabolic Hypoglycemia Wernicke’s encephalopathy (ophthalmoplegia, ataxia, confusion) Post-seizure induced Todd’s paralysis Infectious Bell’s[]

  • Tonic Pupil

    Vestibular schwannoma Basilar skull fracture Bell palsy Guillain-Barré syndrome Infarcts and tumors of the pons Lyme disease Melkersson-Rosenthal syndrome Ramsay Hunt syndrome[] When hyporeflexia or areflexia of the lower limbs is also found, it is called Adie syndrome, which is reported to be a chronic phenomenon.[] Moves muscles of facial expression Proximal branches: Innervate tear glands and salivary glands and provide sensory input for taste on the anterior two thirds of the tongue Palsies[]

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