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50 Possible Causes for Bilateral Ankle Clonus, Muscle Twitch, Spasticity - Hyperreflexia

  • Myelopathy

    She was diffusely hyper-reflexic with sustained right ankle clonus, positive crossed adductor, suprapatellar, and pectoralis reflexes, bilateral plantar extensor responses[touchneurology.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] […] gait," hesitant and jerky) Myelopathic or "upper motor neuron" findings such as spasticity, hyperreflexia, clonus, Babinski, and Hoffman signs, and bowel and bladder dysfunction[emoryhealthcare.org]

  • Amyotrophic Lateral Sclerosis

    The upper motor signs include spasticity, hyperreflexia and weakness. The lower motor signs include amyotrophy, weakness and fasciculations.[symptoma.com] twitching for 3 years.[ncbi.nlm.nih.gov] hyperreflexia ( ) Hoffman's ( ) Babinski's spastic dysarthria lower motor neuron (LMN) signs muscular atrophy weakness clinical fasciculations clumsiness Evaluation Diagnosis[orthobullets.com]

  • Paraplegia

    Ankle clonus disappeared by the 2nd week, and both dermatomal and peri-anal sensations were fully regained bilaterally by the 4th week.[j-neurooncology.imedpub.com] This development led to an evaluation by a neurosurgeon, who noted spasticity and hyperreflexia. Sensory testing demonstrated a possible sensory thoracic level.[medscape.com] , but also to cause muscle hypertrophy and muscle fibre shift from fast twitch type 2X to 2A. 3 In addition to these effects, oxidative enzyme activity has also been shown[bjsm.bmj.com]

  • Primary Progressive Multiple Sclerosis

    Affected individuals may have tremors, muscle stiffness (spasticity), exaggerated reflexes (hyperreflexia), weakness or partial paralysis of the muscles of the limbs, difficulty[icdlist.com]

  • Subacute Transverse Myelitis

    hyperreflexia. • Back pain, paresthesias, radicular pain in the legs • Bilateral, asymmetric, unilateral, acute-sub acute progressive leg weakness with any of the features[slideshare.net] Neurological Examination: spastic paraplegia, Babinski sign bilateral patellar, hyperreflexia and aquiliana, sensorial level T4.[omicsonline.org] […] fever (nonspecific viral illness) • ATM, the onset of spinal cord dysfunction usually progress in 4 hours to 21 days, the patient's signs usually plateau and evolve toward spasticity[slideshare.net]

  • 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] This eventually leads to muscle weakening, twitching, and an inability to move the arms, legs, and body. The condition slowly gets worse.[neuralstem.com] Upper motor neurone signs in the lower limbs (Babinski's sign: up-going plantar reflex, hyperreflexia, clonus, spasticity).[patient.info]

  • Spinal Cord Infarction

    Initially areflexia is present due to spinal shock but, hyperreflexia and spasticity appear later The most common form is anterior spinal artery syndrome.[sci-recovery.org] A 48-year-old man with syncope and diffuse muscle twitches. Neurohospitalist. 2012 Jul; 2(3):107-11. PMID: 23983873; PMCID: PMC3726089.[connects.catalyst.harvard.edu] Thoracic cord infarcts lead to a spastic paraplegia. Initial areflexia changes to hyperreflexia with the presence of Babinski signs.[aibolita.com]

  • Myelitis

    hyperreflexia. • Back pain, paresthesias, radicular pain in the legs • Bilateral, asymmetric, unilateral, acute-sub acute progressive leg weakness with any of the features[slideshare.net] […] fever (nonspecific viral illness) • ATM, the onset of spinal cord dysfunction usually progress in 4 hours to 21 days, the patient's signs usually plateau and evolve toward spasticity[slideshare.net]

  • Spinal Cord Lesion

    Commonly results in bladder overactivity or hyperreflexia, (AKA " reflex ", or " spastic " bladder).[rnceus.com] […] reflexly to cause the normally visible muscle twitch.[encyclopedia.com] Hyperreflexia ( Babinski, clonus) HypertoniaMain Menu Content Menu Legend Exit 15. R L Lesion of the right lateral spinothalamic tract at L1 produces what impairment?[slideshare.net]

  • Lumbar Spinal Cord Tumor

    The neurologic examination usually reveals symmetric weakness with either flaccidity and hyporeflexia (if the diagnosis is made early) or spasticity and hyperreflexia (if[aafp.org] […] contractions, twitches, or spasms (fasciculations) Muscle weakness (decreased muscle strength) in the legs that causes falls, makes walking difficult, and may get worse ([medlineplus.gov] […] cough or sneeze), and may extend to the hips or legs Cold sensation of the legs, cool fingers or hands, or coolness of other areas Loss of bowel control, bladder leakage Muscle[medlineplus.gov]

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