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36 Possible Causes for Bilateral Arm Weakness, Hyperreflexia, Long Tract Signs

  • Cervical Spondylosis

    In an otherwise asymptomatic patient, hyperreflexia, a positive Babinski test, and a positive Hoffman’s sign (hand contraction in response to tapping on distal finger joints[] tract signs and symptoms; 3) a combined syndrome – which includes both root and long tract signs and symptoms and is the commonest form; 4) a vascular syndrome – may not[] A characteristic physical finding of CSM is hyperreflexia. The biceps and supinator reflexes (C5 and C6) may be absent, with a brisk triceps reflex (C7).[]

  • 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[] The upper motor signs include spasticity, hyperreflexia and weakness. The lower motor signs include amyotrophy, weakness and fasciculations.[] Muscle pain may be caused by clonus or hyperreflexia. Many patients complain of muscle cramps.[]

  • Cervical Cord Compression

    […] jaw-protruding Exam: Weak/numb bilateral arms and/or legs (can be legs arms), ataxia, atrophy, position sense Reflexes: DTRs can be increased (early) or decreased (late)[] Several findings indicative of an ongoing pathological process involving the cervical spinal cord are: Hyperreflexia - A brisk triceps reflex accompanied by the absence of[] tract signs, ambulatory Class IIIB Objective weakness, long tract signs, non-ambulatory Japanese Orthopaedic Association Classification A point scoring system (17 total)[]

  • Myelopathy

    arm paresthesiae l'Hermitte's phenomena Weakness And, one or more of the following signs: Corticospinal distribution motor deficits Atrophy of hand intrinsic muscles Hyperreflexia[] […] depending on the level of the lesion and include local pain , stiffness, and impaired sensation, hypotonia , and hyporeflexia at the level of the lesion, and spasticity and hyperreflexia[] Physical examination commonly elicits long tract signs such as spasticity, hyperreflexia, and abnormal reflexes such as Babinski or Hoffman's sign.[]

  • Pyramidal Tract Lesion

    ; common: ipsilateral facial nerve (CN VII); uncommon: contralateral face motor cortex or genu of internal capsule Bilateral arm: brachial diplegia; medial fibers of corticospinal[] Symptoms include an increase in the muscle tone in the lower extremities, hyperreflexia, positive Babinski and a decrease in fine motor coordination.[] […] decussation causes impairment of movement in the opposite body-half, which is especially severe in the arm and leg and is characterized by muscular weakness, spasticity and hyperreflexia[]

  • Arnold-Chiari Malformation Type I

    It can lead to a spastic paralysis or weakness of the arms and/or legs as well as numbness and tingling.[] Upper spinal cord compression will cause long tract signs (hyperreflexia, Hoffman’s sign, clonus and Babinski’s reflex).[] Because the Chiari malformation is on the midline, usually symptoms are bilateral, meaning they occur in both sides of the body.[]

  • Spinal Cord Compression

    […] jaw-protruding Exam: Weak/numb bilateral arms and/or legs (can be legs arms), ataxia, atrophy, position sense Reflexes: DTRs can be increased (early) or decreased (late)[] Lhermitte's sign (intermittent shooting electrical sensation) and hyperreflexia may be present.[] Pain may be caused by vertebral metastasis, root compression or compression of the long tracts of the spinal cord.[]

  • Ossification of the Posterior Longitudinal Ligament of the Spine

    They had hypoesthesia and pain of the lateral arm and weakness of the biceps and deltoid muscles.[] […] known as ossification of the posterior longitudinal ligament of the spine , is related to hypophosphatasia, adult and acute frontal sinusitis , and has symptoms including hyperreflexia[] Seven of them showed clinical signs of long tract involvement of the spinal cord.[]

  • Acute Pandysautonomia

    […] retention, bilateral tonic pupils, fluctuating heart rate, decreased sweating, salivation, and lacrimation. [7] [8] Pure sensory: acute sensory loss, sensory ataxia, and[] Podnar S, VodusekDB, Hyperreflexia in a patient with motor axonal Gsyndrome. Eur J Neurol 2000;7,727-30. 10.[] Bickerstaff brainstem encephalitis (BBE): similar to Miller-Fisher syndrome but also includes altered consciousness (encephalopathy) or long tract signs (hyperreflexia), or[]

  • Guillain-Barré Syndrome

    Weakness is always bilateral, although some asymmetry in onset and severity is common. i.[] Hyperreflexia does not exclude GBS or one of its variants [18].[] tract signs pharyngeal-cervical-brachial arm weakness, dysphagia and facial weakness pandysautonomia diarrhoea, vomiting, dizziness, abdominal pain, ileus, orthostatic hypotension[]

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