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18 Possible Causes for Bilateral Ankle Clonus, Hypertonicity of the Lower Limbs, Sensation Normal

  • Spastic Paraplegia

    The deep tendon reflexes were increased in all four limbs, but Babinski sign was not elicited bilaterally. Neither ankle nor knee clonus was observed.[nature.com] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com]

  • Cerebral Palsy

    All had spasticity affecting predominantly the lower limbs, although 2 also had mild hypertonia and ataxia of the upper limbs.[ncbi.nlm.nih.gov] […] earlier than 18 months of age) For the mother Any adverse effects severe enough to stop treatment Postpartum haemorrhage (however reported by the trialists) Mode of birth (normal[doi.org] Spastic features included hypertonicity, hyperreflexia, and extensor plantar responses. Two older sibs had contractures.[ncbi.nlm.nih.gov]

  • Paraparesis

    clonus and bilateral Babinski sign.[n.neurology.org] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] Assessment of motor functions revealed mild lower limb spasticity, global and symmetrical muscle strength of 4/5 in lower extremities, hyperreflexia, ankle clonus, and bilateral[elsevier.es]

  • Arachnoiditis

    […] patellar and Achilles tendon reflexes, bilateral ankle clonus, slight motor weakness of the bilateral iliopsoas, and spastic gait.[doi.org] Methods Examination revealed generalized weakness and hypertonicity of both lower limbs with loss of all sensory modalities below D7.[doi.org] : Mental status; Hearing; Sensation; Bladder, Bowel & Sexual functions Laboratory Somatosensory evoked potentials: Prolonged cortical responses & central sensory delay Return[neuromuscular.wustl.edu]

  • X-Linked Spastic Paraplegia Type 2

    Tone was significantly increased in the bilateral lower extremities with sustained clonus at the ankles and bilateral extensor plantar responses.[n.neurology.org] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org] limb hypertone.[slideheaven.com]

  • Autosomal Recessive Spastic Paraplegia Type 39

    He had increased reflexes in all limbs with ankles clonus and bilateral extensor plantar reflexes. There was mild wasting in the upper limbs.[academic.oup.com] limb spasticity, pyramidal weakness, hyperreflexia and hypertonic bladder involvement.[medicbind.com] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org]

  • Autosomal Recessive Spastic Paraplegia Type 55

    The deep tendon reflexes were increased in all four limbs, but Babinski sign was not elicited bilaterally. Neither ankle nor knee clonus was observed.[nature.com] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org]

  • Autosomal Dominant Spastic Paraplegia Type 4

    There was no voluntary movement of either leg, spontaneous clonus was present, planter responses were extensor bilaterally, and sensation was normal.[jnnp.bmj.com] Weakness: Some patients Distal Hands & Feet Fasciculations Sensation: Normal or Reduced (Panmodal; Posterior column) Bladder: Often normal Progression Over few years or Slow[neuromuscular.wustl.edu] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com]

  • Autosomal Recessive Spastic Paraplegia Type 18

    He had ophthalmoplegia on both lateral gaze with mild upgaze restriction, increased tone in both lower limbs, ankle clonus, extensor plantar reflexes bilaterally, ataxic gait[neurologyindia.com] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org]

  • Autosomal Dominant Spastic Paraplegia Type 41

    The deep tendon reflexes were increased in all four limbs, but Babinski sign was not elicited bilaterally. Neither ankle nor knee clonus was observed.[nature.com] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org]