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22 Possible Causes for Brisk Tendon Reflexes, Unilateral Arm Weakness

  • Herpes Simplex Encephalitis

    Neurological examination revealed left hemiparesis with hypertonia in all the limbs, brisk tendon reflexes and bilateral extensor plantar response.[neurologyindia.com] Other symptoms were dysphasia (six patients), anosmia (six), dysarthria (five), dysphagia (three), and unilateral arm weakness (two).[jnnp.bmj.com] Her pupils measured 3/3 mm, the light reflex and oculocephalic reflex were intact. The deep tendon reflexes were brisk and a left Babinski sign could be easily elicited.[scielo.br]

  • Amyotrophic Lateral Sclerosis

    Neurological examination disclosed spastic dysarthria, atrophic tongue with fasciculations, brisk jaw and limb tendon reflexes, and bilateral Hoffman sign.[ncbi.nlm.nih.gov] Patient A was a 71-year-old man who presented with unilateral arm weakness and wasting.[ncbi.nlm.nih.gov] reflexes that are brisk or that spread abnormally (hyperreflexia) Presence of abnormal reflexes (eg, Babinski, Chaddock, or Hoffman signs) Loss of dexterity in the presence[emedicine.medscape.com]

  • Multifocal Motor Neuropathy

    However, brisk tendon reflexes were found in 9% of patients, even in the weakened limbs.[emedicine.medscape.com] […] deep tendon reflexes.[jscimedcentral.com] (pathognomonic of MMN) • Deep tendon reflexes – normal (20%) brisk (8%) • Respiratory insufficiency due to phrenic nerve involvement (rare) 11.[slideshare.net]

  • Cervical Spine Disease

    Neurological examination revealed a brisk deep tendon reflex of upper and lower limbs.[nature.com] It is typically unilateral. Numbness and weakness follow the same distribution. Some patients will exhibit signs and symptoms of radiculopathy and myelopathy.[aafp.org] For example, in patients with a disc herniation between the sixth and seventh vertebrae, pain radiates into the shoulder, upper arm, elbow, and index and middle fingers.[aafp.org]

  • Mononeuritis Multiplex

    Examination of deep tendon reflexes is the single most important test in determining whether a problem in central or peripheral.[rcemlearning.co.uk] Brisk reflexes point to a central cause, whereas hyporeflexia or areflexia suggest a peripheral problem.[rcemlearning.co.uk] Brisk reflexes point to a central cause, whereas hyporeflexia or areflexia suggest a peripheral problem Diagnosing acute peripheral neuropathies are particularly important[rcemlearning.co.uk]

  • Pyramidal Tract Disorder

    Brisk deep tendon reflexes. Weakness of hand and foot dorsiflexors. Seizure disorder presenting before 2 years of age in 1/3 of children.[pathophys.org] Muscle weakness in unilateral face and arm, not the legs. - Most likely lesion in face and arm areas of the primary motor cortex.[quizlet.com] When she was admitted at our institution again 4 months later, ankle clonus and a positive Babinski sign were not observed, but deep tendon reflexes of the legs remained brisk[bmcneurol.biomedcentral.com]

  • Anterior Cerebral Artery Occlusion

    All deep tendon jerks were brisk. Gegenhalten and grasp reflex were present bilaterally. Sensations could not be tested.[neurologyindia.com] ACA stroke syndrome presents as 1,2,3 : dysarthria, aphasia unilateral contralateral motor weakness (leg/shoulder arm/hand/face) minimal sensory changes (two-point discrimination[radiopaedia.org]

  • Cervical Nerve Root Compression

    Neurological examination revealed a brisk deep tendon reflex of upper and lower limbs.[nature.com] Radiculopathy [ 4 ] Suspect this where there is unilateral neck, shoulder, or arm pain approximating to a dermatome.[patient.info] arm pain aching pain radiating down arm often global and nondermatomal unilateral dermatomal numbness & tingling numbness/tingling in thumb (C6) numbness/tingling in middle[orthobullets.com]

  • Spinal Demyelination

    At that time she had spastic upper extremities diparesis, more pronounced in the left arm, and spastic paraplegia, with brisk deep tendon reflexes and bilateral positive Babinski[bmcneurol.biomedcentral.com] It is typically unilateral. Numbness and weakness follow the same distribution. Some patients will exhibit signs and symptoms of radiculopathy and myelopathy.[aafp.org] For example, in patients with a disc herniation between the sixth and seventh vertebrae, pain radiates into the shoulder, upper arm, elbow, and index and middle fingers.[aafp.org]

  • Monomelic Amyotrophy

    Deep tendon reflexes were normal except slight hyporeflexia in triceps, the knee jerks were brisk bilaterally. Plantars were flexors.[jpma.org.pk] A 28-year-old white man presented with insidious-onset, slowly progressive, unilateral weakness and atrophy of his left shoulder girdle and deltoid muscles.[ncbi.nlm.nih.gov] […] expression (95 %), atrophy and weakness of hand and arm muscles forming a bottle neck-shaped distal lower arm, and cold paresis of the involved muscles (80 %).[thieme-connect.com]

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