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103 Possible Causes for Clonus, Hyperreflexia, Transverse Myelitis

  • Spinal Epidural Abscess

    Other causes of limb weakness and sensory abnormality include multiple sclerosis, transverse myelitis, and other intrinsic cord abnormalities such as syrinx. D.[clinicaladvisor.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]

  • Multiple Sclerosis

    myelitis (LETM) with positive aquaporin 4 antibodies, fulfilling the diagnostic criteria for NMOSD.[ncbi.nlm.nih.gov] It is part of the upper motor neurone syndrome manifesting as increased tone, clonus, spasms, spastic dystonia and co-contractions.[dx.doi.org] These diseases, which result from autoimmune attacks against the fatty myelin insulation surrounding nerve fibers, include: Optic neuritis Transverse myelitis Acute disseminated[texaschildrens.org]

  • Subacute Transverse Myelitis

    Cytomegalovirus-related transverse myelitis in an immunocompetent host: a subacute onset of an immune-mediated disease?[casereports.bmj.com] No ankle clonus was observed. Babinski’s sign was the plantar response. The anal sphincter tone was intact.[karger.com] An areflexic cystometrogram tended to change to a low compliance bladder, followed by detrusor hyperreflexia or a normal cystometrogram.[nature.com]

  • 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]

  • Myelopathy

    Cervical spondylotic myelopathy is a common cause of myelopathy and may mimic transverse myelitis.[ncbi.nlm.nih.gov] Physical examination revealed significant increase in deep tendon reflexes in the lower extremities and clonus. Hoffman's sign was positive in the left upper extremity.[ncbi.nlm.nih.gov] Clinical hyperreflexia was tested at the MCP joint, using a six-axis load cell.[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] Abstract Autonomic hyperreflexia is a serious peripartum complication associated with spinal cord lesions.[ncbi.nlm.nih.gov]

  • Acute Amphetamine Intoxication

    […] nausea, vomiting, diarrhoea, GIT ischaemia metabolic hyperkalaemia (suggests PMA) hypoglycaemia other hyperthermia, muscle rigidity, rhabdomyolysis, serotonin syndrome (clonus[ozemedicine.com] Symptoms Manifestations of acute overdosage with amphetamines include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, panic[erowid.org] […] oxygen saturation) Observation: colour, track marks, smell, bruising, skin changes, pressure sores Neurological: Glasgow Coma Scale, pupils, tone, limb movements, reflexes, clonus[racgp.org.au]

  • Cervical Spinal Cord Tumor

    Diseases associated with Transverse Myelitis Transverse myelitis may occur in isolation or in the setting of another illness.[radiologyassistant.nl] Coming down the stairs or stepping off a curb will reveal ankle clonus felt as “vibrations” by patient.[clinicaladvisor.com] myelitis variable enlargement of the spinal cord hyperintense on T2 weighted images and iso- or hypointense on T1 weighted images variable enhancement patterns (none, diffuse[radiopaedia.org]

  • 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] BACKGROUND: Gait dysfunction associated with spasticity and hyperreflexia is a primary symptom in patients with compression of cervical spinal cord.[ncbi.nlm.nih.gov]

  • Primary Progressive Multiple Sclerosis

    Code Applicable To Acute transverse myelitis NOS Acute transverse myelopathy Type 1 Excludes multiple sclerosis ( G35 ) neuromyelitis optica [Devic] ( G36.0 ) Type 2 Excludes[icd10data.com] Affected individuals may have tremors, muscle stiffness (spasticity), exaggerated reflexes (hyperreflexia), weakness or partial paralysis of the muscles of the limbs, difficulty[icdlist.com] myelitis infection spinal cord tumors (e.g. astrocytomas ) Multiple sclerosis variants (e.g. tumefactive MS, Devic disease ) are discussed separately.[radiopaedia.org]

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