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963 Possible Causes for Clonus, Unable to Make a Fist

  • Myelopathy

    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] Examination reveals a positive finger-escape sign, and he is unable to make a fist and release 10 times in 10 seconds.[orthobullets.com] […] 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]

  • Cervical Myelopathy

    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] Examination reveals a positive finger-escape sign, and he is unable to make a fist and release 10 times in 10 seconds.[orthobullets.com] Increased tension in the leg muscles (Hyperreflexia) Accentuated reflexes of the knee and ankle Forced extension of the ankle may cause the foot to beat up and down rapidly (clonus[dr-bertagnoli.com]

  • Stroke

    Focal seizures were distinguished clinically from clonus, spasms, and recurrent strokes. 8 9 Electroencephalograms were not routinely performed.[bmj.com]

    Missing: Unable to Make a Fist
  • Chronic Kidney Insufficiency

    Chronic kidney insufficiency affects a significant number of individuals in the developed countries, particularly the United States. The progressive nature of the disease and a substantial reduction in the quality of life over the period of time are the primary reasons why an early diagnosis is crucial. Anemia,[…][symptoma.com]

    Missing: Unable to Make a Fist
  • Cervical Spondylosis

    Objective neurological deficit (upper motor neurone signs in the legs (eg, up-going plantars, hyperreflexia, clonus, spasticity); lower motor neurone signs in the arms (eg[patient.info] On physical examination, you may find some or many of the following: clonus or spasticity of the lower extremities sensory changes (light touch, pinprick sensation, or temperature[americannursetoday.com]

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  • Primary Progressive Multiple Sclerosis

    We present three patients with a clinical course and cerebrospinal fluid findings consistent with a diagnosis of primary progressive multiple sclerosis (PPMS). Extensive and repeated magnetic resonance imaging (MRI) examinations showed only diffuse abnormality in brain and spinal cord, but no focal lesions. We propose[…][ncbi.nlm.nih.gov]

    Missing: Unable to Make a Fist
  • Cervical Spinal Cord Tumor

    Coming down the stairs or stepping off a curb will reveal ankle clonus felt as “vibrations” by patient.[clinicaladvisor.com] Other signs evident upon physical examination may include spine tenderness, stiffening of gait, trophic changes of extremity, sensory loss, hyperreflexia, clonus, and scoliosis[emedicine.medscape.com] In patients with severe spasticity, ankle clonus is prominent. High cervical cord lesions may produce quadriparesis with diaphragmatic weakness.[clinicaladvisor.com]

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  • Subacute Transverse Myelitis

    There was no clonus. Deep tendon reflexes were traced in the upper extremities, 2 at the knees, 2 at the ankles. Toe signs were silent. There was no spine tenderness.[egms.de] No ankle clonus was observed. Babinski’s sign was the plantar response. The anal sphincter tone was intact.[karger.com]

    Missing: Unable to Make a Fist
  • Spastic Paraplegia

    This case showed spasticity and hyperreflexia with pathological reflexes and ankle clonus as well as muscle weakness in all extremities.[ncbi.nlm.nih.gov] The knee-jerk is excessive and ankle-clonus is easily obtained.[henriettes-herb.com] […] reduction of nerve transmission giving rise to various clinical manifestations such as paresthesias, loss of vibratory sensation, and proprioception.Severe weakness, spasticity, clonus[explainmedicine.com]

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  • Multiple Sclerosis

    It is part of the upper motor neurone syndrome manifesting as increased tone, clonus, spasms, spastic dystonia and co-contractions.[dx.doi.org]

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