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135 Possible Causes for Bilateral Ankle Clonus, Hyperreflexia

  • Dementia

    Hoffman sign and ankle clonus.[ncbi.nlm.nih.gov] Clinical examination revealed several elements of a frontal lobe dysfunction including apathy with motor impersistence, presence of primitive reflexes, generalized hyperreflexia[ncbi.nlm.nih.gov] […] examination revealed several elements of a frontal lobe dysfunction including apathy with motor impersistence, presence of primitive reflexes, generalized hyperreflexia with bilateral[ncbi.nlm.nih.gov]

  • Spinal Cord Compression

    Bilateral Babinski's sign and ankle clonus were positive. He had no bladder or bowel dysfunction.[ncbi.nlm.nih.gov] Physical examination revealed hyperreflexia and a T11 sensory level. MRI revealed a pseudomeningocele compressing the thoracic spinal cord.[ncbi.nlm.nih.gov] Lhermitte's sign (intermittent shooting electrical sensation) and hyperreflexia may be present.[en.wikipedia.org]

  • Myelopathy

    She was diffusely hyper-reflexic with sustained right ankle clonus, positive crossed adductor, suprapatellar, and pectoralis reflexes, bilateral plantar extensor responses[touchneurology.com] Clinical hyperreflexia was tested at the MCP joint, using a six-axis load cell.[ncbi.nlm.nih.gov] bilateral Babinski signs.[jamanetwork.com]

  • Spinal Epidural Abscess

    The knee and ankle jerk were exaggerated and the plantars were up, bilaterally. Patellar clonus was present, with hypoesthesia below D 9 level.[atmph.org] 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]

  • Myelitis

    The patient with detrusor hyperreflexia had an unrecordable CMCT-TA.[jnnp.bmj.com] Examination reveals moderate paraparesis with hyperreflexia, a left extensor plantar response, impaired vibratory and proprioceptive sensation, and a sensory level at T6.[nejm.org] […] in one and detrusor hyperreflexia with sphincter dyssynergia in three.[jnnp.bmj.com]

  • Tetanus

    Tetanus is a life-threatening neurological syndrome characterised by tonic muscle spasms and hyperreflexia, caused by the exotoxin of Clostridium tetani , a gram-positive[bestpractice.bmj.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]

  • Cervical Myelopathy

    Gait dysfunction associated with spasticity and hyperreflexia is a primary symptom in patients with compression of cervical spinal cord.[ncbi.nlm.nih.gov] Diabetes may affect the typical physical findings associated with cervical spondylotic myelopathy, as coexisting diabetic neuropathy may dampen expected hyperreflexia and[ncbi.nlm.nih.gov] […] broad-based, unstable gait, impairment of gait, and Hoffmann sign were associated with greater MCC ( P .05); and numb hands, Hoffmann sign, Babinski sign, lower limb spasticity, hyperreflexia[ncbi.nlm.nih.gov]

  • Spinal Epidural Hematoma

    At the neurological examination, he was found to have tetra-hyposthenia with tetra-hyperreflexia.[em-consulte.com] […] exhibited low-grade fever (oral 37.5 C) and severe cervical paraspinal muscle spasm accompanied by 4/5 quadriparesis (based on muscle strength grading 0–5), left upper limb hyperreflexia[surgicalneurologyint.com] Tetra-hyperreflexia unchanged, but the patient’s mobility and sensory ability improved significantly.[em-consulte.com]

  • Spinal Cord Injury

    Spasticity is characterized as hyperreflexia and hypertonicity as a result of damage to the supraspinal tracts in the aftermath of SCI.[ncbi.nlm.nih.gov] Tibialis Anterior (TA) cutaneous reflex (CR) activity evoked following cutaneous stimulation of the plantar (Pl) surface (Pl-TA CR) has demonstrated hyperreflexia and damage[ncbi.nlm.nih.gov] Complications The following medical disorders are common complications seen in spinal cord injury patients: Blood pressure fluctuation due to autonomic hyperreflexia Decubitus[symptoma.com]

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