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205 Possible Causes for Decreased Ankle Reflex

  • Chronic Alcoholism

    Abstract A 42-year-old man with a history of Billroth II-gastrectomy, chronic alcoholism, and malnutrition developed acute tetraparesis, two days before admission. He presented with bilateral, proximal upper and lower limb weakness, limb girdle wasting, bilaterally reduced Achilles tendon reflexes, and bilateral[…][]

  • Diabetic Autonomic Neuropathy

    Diabetic autonomic neuropathy is one of the commonest complications of diabetes. Although it can involve the autonomic nervous system diffusely, symptoms are confined to a single organ system and are responsible for increased incidence of morbidity, reduced quality of life and mortality. Diabetic neuropathy affects[…][]

  • Diabetic Polyneuropathy

    […] but are less sensitive. 2, 7,9,12 Decreased ankle reflexes are also common, as well as the electrodiagnostic equivalent, H reflexes.[] Your doctor may also test your ankle reflexes. There’s no cure for diabetic neuropathy, but you can slow its progression.[] Clinically, contrasting loss of sharp touch and temperature with subjective increased pain is common. 1,2, 7,9,12 Decreased vibration and position sense occur frequently,[]

  • Guillain-Barré Syndrome

    […] correlates with decreased/absent ankle reflex MRI cauda equina gandolinium enhancement in acute cases DIfferential Diagnosis Myasthenia gravis, ALS, infectious myelitis ([] The exam may also show that reflexes such as the ankle or knee jerk are decreased or missing.[] […] potentials reduced amplitude with relatively preserved conduction velocity implicates axonal neuropathy delayed/absent F waves implicates nerve root involvement delayed/absent H reflex[]

  • Chronic Inflammatory Demyelinating Polyneuropathy

    Abstract Chronic inflammatory demyelinating polyneuropathy (CIDP) is an increasingly common but under-recognized neurological disorder. It is immune mediated, and usually has a relapsing and remitting course. However, the initial presentation may be rapid. It can be associated with significant morbidity and mortality,[…][]

  • Cauda Equina Syndrome

    .  Physical Exam:  Right plantar flexor weakness, absent right ankle reflex, and decreased anal sphincter tone.  Findings consistent w/ CES  Referral:  Medically evacuated[] Also, there may be decreased anal tone; sexual dysfunction; saddle anesthesia; bilateral leg pain and weakness; and bilateral absence of ankle reflexes.[]

  • Hereditary Areflexic Dystasia

    […] gait, diminished sensation, reflexes, and muscle strength are frequently noted.[] Also seen with Charcot-Marie-Tooth Disease is a condition known as " drop foot ", where the foot cannot be raised at the ankle, (see picture to the right) Ankle sprains, abnormal[] Nerve conduction studies (tests to assess nerve function) demonstrate decreased nerve conduction velocity (the nerves don't send nerve impulses as well as they should).[]

  • Alcoholic Neuropathy

    Abstract An electrophysiological study of alcoholic and normal subjects is presented. The aim was to evaluate the respective importance of the various parameters. The subjects were divided into 4 groups: (I) normal subjects; (II) chronic alcoholics without clinical evidence of neuropathy; (III) chronic alcoholics with[…][]

  • Accidental Hypothermia

    Abstract A case of severe accidental hypothermia (core temperature 20 degrees C) in an elderly woman successfully treated by warmed lavage of peritoneal cavity is reported. The various available rewarming techniques and some observations about the differential diagnosis between the severe hypothermic patient[…][]

  • Electrolytes Abnormal

    The case A 50-year old woman naive to the health care system presents to the ED with nausea, malaise, and decreased exercise tolerance for several weeks. Physical exam reveals mild bilateral lower extremity edema. Her labs are notable for an elevated creatinine of 7.0. She is admitted for work-up of her renal[…][]

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