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182 Possible Causes for Clonus, Hyperreflexia, Transverse Myelitis

  • Spinal Epidural Abscess

    MRI may exclude the diagnosis of transverse myelitis.[ahcmedia.com] 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[matzuslaw.com] Massive Disc Herniation, Spinal Epidural Abscess or Bony Metastasis) Vertebral Fractures, Osteomyelitis Cauda Equina Syndrome (CES) Note - Cord Compression is a UMN lesion (Hyperreflexia[emdidactic.blogspot.com]

  • Spinal Cord Injury

    Worldwide incidence of spina bifida is 1–2 cases per 1,000 births, but certain populations have a significantly greater risk Transverse Myelitis Transverse myelitis (TM) is[unitedspinal.org] Upper motor neurone signs in the lower limbs (Babinski's sign: up-going plantar reflex, hyperreflexia, clonus, spasticity).[patient.info] 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]

  • Cervical Myelopathy

    myelitis, multiple sclerosis, or neuromyelitis optica Risk Risk factors that increase your chance of developing cervical myelopathy include: Infections Ischemia — restriction[uvahealth.com] Motor weakness in the extremities Gait difficulties ("spastic gait," hesitant and jerky) Myelopathic or "upper motor neuron" findings such as spasticity, hyperreflexia, clonus[emoryhealthcare.org] Gait dysfunction associated with spasticity and hyperreflexia is a primary symptom in patients with compression of cervical spinal cord.[ncbi.nlm.nih.gov]

  • Myelopathy

    Diseases associated with Transverse Myelitis Transverse myelitis may occur in isolation or in the setting of another illness.[radiologyassistant.nl] […] with radicular symptoms - 16% had pure myelopathic symptoms - 23% had a combination of myelopathic and radiculopathy - upper motor neuron findings such as hyper-reflexia, clonus[wheelessonline.com] Clinical hyperreflexia was tested at the MCP joint, using a six-axis load cell.[ncbi.nlm.nih.gov]

  • Spastic Paraplegia

    Demyelinating: Multiple sclerosis, neuromyelitis optica (Devic’s disease), subacute combined degeneration of the cord, transverse myelitis (HSV, VZV, HIV, paraneoplastic,[ptpaces.wordpress.com] The knee-jerk is excessive and ankle-clonus is easily obtained.[henriettes-herb.com] On neurological examination, he showed hyperreflexia, spasticity, and weakness in the lower extremities and bilateral Babinski reflexes.[ncbi.nlm.nih.gov]

  • Spinal Cord Lesion

    […] other causes of transverse myelitis idiopathic (aquaporin 4 negative) post-infectious vascular spinal cord infarction dural arteriovenous fistula (dAVF)[radiopaedia.org] (spinal cord concussion): - usually invovles 24-72 hour period of paralysis, hypotonia, & areflexia, and at its conclusion there may be hyperreflexia, hypertonicity, and clonus[wheelessonline.com] Autonomic hyperreflexia is a serious peripartum complication associated with spinal cord lesions.[ncbi.nlm.nih.gov]

  • Spinal Cord Infarction

    We describe here a case of spontaneous spinal cord infarct initially treated as transverse myelitis.[scholars.northwestern.edu] His motor and sensory exams and reflexes are normal although he does exhibit mild finger clonus. The patient was referred for an MRI of the cervical spine.[radsource.us] Hyperreflexia may follow initial symptoms, and a positive Babinski reflex may be elicited.[symptoma.com]

  • Subacute Transverse Myelitis

    transverse myelitis [3] .[egms.de] An areflexic cystometrogram tended to change to a low compliance bladder, followed by detrusor hyperreflexia or a normal cystometrogram.[nature.com] No ankle clonus was observed. Babinski’s sign was the plantar response. The anal sphincter tone was intact.[karger.com]

  • Pyramidal Tract Lesion

    Related pathology spinal cord injury Brown-Séquard syndrome transverse myelitis[radiopaedia.org] In a patient with clonus, a muscle stretch elicits alternating contractions of agonist and antagonist muscle groups.[courses.washington.edu] Symptoms include an increase in the muscle tone in the lower extremities, hyperreflexia, positive Babinski and a decrease in fine motor coordination.[sideeffects.embl.de]

  • Multiple Sclerosis

    myelitis (LETM) with positive aquaporin 4 antibodies, fulfilling the diagnostic criteria for NMOSD.[ncbi.nlm.nih.gov] Irritative or obstructive bladder symptoms, as a result of spinal lesions causing detrusor hyperreflexia and incomplete bladder emptying, can be treated with oral anticholinergic[aetna.com] These diseases, which result from autoimmune attacks against the fatty myelin insulation surrounding nerve fibers, include: Optic neuritis Transverse myelitis Acute disseminated[texaschildrens.org]

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