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126 Possible Causes for Bilateral Leg Weakness, Hyperreflexia

  • Multifocal Motor Neuropathy

    Atrophy may be present, but hyperreflexia and spasticity are not seen.[] MMN can usually be distinguished from ALS by its more slowly progressive disease course, the absence of upper-motor-neuron signs such as spasticity and hyperreflexia and the[] Upper motor neuron signs (spasticity, hyperreflexia, extensor plantar response).[]

  • Spinal Cord Compression

    Leg pain may occur and be unilateral or bilateral in nature that radiates from the back.[] Physical examination revealed hyperreflexia and a T11 sensory level. MRI revealed a pseudomeningocele compressing the thoracic spinal cord.[] Lhermitte's sign (intermittent shooting electrical sensation) and hyperreflexia may be present.[]

  • Spinal Epidural Abscess

    Massive Disc Herniation, Spinal Epidural Abscess or Bony Metastasis) Vertebral Fractures, Osteomyelitis Cauda Equina Syndrome (CES) Note - Cord Compression is a UMN lesion (Hyperreflexia[] 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[] WikEM: Epidural abscess (spinal) Motor Neuron Signs Upper Motor Neuron: Spasticity Hyperreflexia Pronator drift Babinski Lower Motor Neuron: Flaccidity Hyporeflexia Fasciculation[]

  • Amyotrophic Lateral Sclerosis 3

    The fact that hyperreflexia may be detected in regions of muscle atrophy is considered to be highly indicative of ALS.[] Hyperreflexia and an increase of muscle tone are most characteristic and may be detected in muscles of face, larynx and pharynx (bulbar region), neck, arms, and diaphragm[] Besides these lower motor neuron signs, upper motor neuron signs are characteristic of ALS: ALS patients suffer from hyperreflexia and present with an increased muscle tone[]

  • Anterior Spinal Artery Syndrome

    weakness.[] Detrusor hyperreflexia was noted in 8 patients, a normal bladder in 1 and detrusor areflexia in 1.[] […] anterior spinal artery--- affects the anterior horn cells and pain and temperature pathways - bilateral leg weakness - areflexia /flaccid paralysis - loss of bowel and bladder[]

  • Spinal Metastasis

    A 63-year-old man presented with acute back pain and bilateral leg weakness 5 months after having a surgical treatment for moderately differentiated vocal cord squamous cell[] […] arising either during the night and early morning or due to movement, is by far the most frequently reported symptom, accompanied by pain or weakness in the extremities, hyperreflexia[] Band-like pain is reported in the case of a thoracic radiculopathy, whereas hyperreflexia, a positive Babinski sign, and deficits of the spinothalamic tract functions (pain[]

  • Spinal Trauma

    It presents with spastic paresis , hyperreflexia , and continued sensory loss.[] The following are possible complications of SCI: Blood pressure changes that can be extreme ( autonomic hyperreflexia ) Increased risk for injury to numb areas of the body[] A change in symptoms occurs after a period of 6–8 weeks and includes spastic paralysis , recurrence of proprioceptive reflexes as hyperreflexia , and the presence of pathological[]

  • Amyotrophic Lateral Sclerosis 6

    Besides these lower motor neuron signs, upper motor neuron signs are characteristic of ALS: ALS patients suffer from hyperreflexia and present with an increased muscle tone[]

  • Myelopathy

    A 14-year-old girl presented with a 3-week history of slowly progressive unilateral leg weakness that quickly progressed to bilateral leg paralysis, sphincter dysfunction,[] Clinical hyperreflexia was tested at the MCP joint, using a six-axis load cell.[] Symptoms and Signs Cord compression commonly causes gradual spastic paresis, paresthesias, or both in the hands and feet and may cause hyperreflexia.[]

  • Myelitis

    leg weakness which was progressive over two days following a brief febrile illness of three days.[] Examination reveals moderate paraparesis with hyperreflexia, a left extensor plantar response, impaired vibratory and proprioceptive sensation, and a sensory level at T6.[] Sx: leg weakness, sphincter dysfunction, abnormal DTRs [acutely may be absent, but hyperreflexia the rule].[]

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