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374 Possible Causes for Confusion, Hypotension, Spasticity - Hyperreflexia

  • Hyponatremia

    They are primarily central nervous system (CNS) manifestations, such as irritability, restlessness, lethargy, muscular twitching, spasticity and hyperreflexia, all of which[aafp.org] After several weeks of suffering from gastroenteritis with vomiting, she presented with disturbance of consciousness, hypotension, dehydration, and severe hyponatremia (108[ncbi.nlm.nih.gov] Moderate - personality change, muscle cramps and weakness, confusion, ataxia. Severe - drowsiness.[patient.info]

  • Hypernatremia

    Muscle twitching, tremor, spasticity, hyperreflexia, and lethargy may also be seen. Coma, seizures, and muscle weakness are later signs.[aneskey.com] Confusion, neuromuscular excitability, hyperreflexia, seizures, or coma may result.[web.archive.org] A shunt tap revealed intracranial hypotension with good proximal flow.[ncbi.nlm.nih.gov]

  • Shy Drager Syndrome

    , hyperreflexia, and Babinski sign), cognitive impairment, visual hallucinations, and REM sleep behavior disorder (RBD).[doi.org] We suggest that vasopressin may be the drug of choice in patients with Shy-Drager syndrome with refractory hypotension.[ncbi.nlm.nih.gov] This research resulted in a far greater understanding of the interplay between structural defects and functional outcomes but inevitably added to a confusing array of terms[doi.org]

  • Normal Pressure Hydrocephalus

    Upper motor neuron signs, such as spasticity and hyperreflexia, are unusual.[intechopen.com] Moreover, intracranial hypotension syndrome (IHS) can be a challenging diagnosis, as CSF leak may be difficult to confirm as imaging findings can be normal.[ncbi.nlm.nih.gov] This often involves confusion, short-term memory loss/forgetfulness, trouble paying attention, changes in mood, and a lack of interest in daily activities.[my.clevelandclinic.org]

  • Primary Progressive Multiple Sclerosis

    Affected individuals may have tremors, muscle stiffness (spasticity), exaggerated reflexes (hyperreflexia), weakness or partial paralysis of the muscles of the limbs, difficulty[icdlist.com] […] reactions, which can include pruritus, rash, urticaria, erythema, bronchospasm, throat irritation, oropharyngeal pain, dyspnea, pharyngeal or laryngeal edema, flushing, hypotension[ocrevus.com] The confusion may arise because the disease modifying drugs for relapsing remitting MS are not available to people with primary progressive MS.[mstrust.org.uk]

  • Scorpion Sting

    There was a right facial nerve palsy (upper motor neuron type); right spastic hemiplegia with hyperreflexia and extensor plantar response. Fundoscopy was unremarkable.[atmph.org] Myocarditis with Hypotension after a Scorpion Sting Maneesha Erraboina 1 , Bucchi Reddy 2 , Mamatha Reddy 3 , Suresh Bandari 1 Department of 1 Pharmacy Practice, Rohini Superspeciality[casereports.in] A seven-year-old girl, stung by a scorpion, was hospitalized in a confused state with signs of myocarditis and pulmonary edema.[ncbi.nlm.nih.gov]

  • Anterior Spinal Artery Syndrome

    At first the lower limb paralysis was flaccid and areflexic but after several weeks spasticity, hyperreflexia, and Babinski signs appeared.[lksom.temple.edu] It is characterized by a corresponding loss of motor function, loss of pain and temperature sensation, and hypotension.[en.wikipedia.org] I'm confused![forums.studentdoctor.net]

  • Spinal Cord Infarction

    Initially areflexia is present due to spinal shock but, hyperreflexia and spasticity appear later The most common form is anterior spinal artery syndrome.[sci-recovery.org] In children, infarction can be confused with the more common disorder transverse myelitis as the magnetic resonance imaging findings and clinical presentation are often similar[scholars.northwestern.edu] To reduce the risk of hypotensive sequelae such as spinal cord infarction, blood pressure should be closely monitored in elderly patients presenting with retrosternal chest[ncbi.nlm.nih.gov]

  • AIDS-associated Meningoencephalitis

    On examination, one finds relatively symmetric leg weakness, sensory loss, particularly in vibration and position sense, spasticity and hyperreflexia of both legs, and Babinski[hivinsite.ucsf.edu] Shock: signs of shock include tachycardia and/or hypotension, respiratory distress, altered mental state and poor urine output.[patient.info] Rapid neurologic decline (hemiplegia, visual field defects, ataxia, aphasia) HIV Encephalopathy Progressive memory loss, depression, movement disorders CMV encephalitis Confusion[learningradiology.com]

  • Striatonigral Degeneration

    However, this symptomatic component does not own a subtype. [4] Signs of corticospinal tract dysfunction (hyperreflexia, impaired muscle performance, spasticity, and a positive[physio-pedia.com] As this variety of names often caused confusion not only among patients, but also physicians, MSA is nowadays referred to as MSA-P type if parkinsonian features predominate[emsa-sg.org] Sleeping in a head-up position at night reduces morning orthostatic hypotension.[alzheimer-europe.org]

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