Decreased Cremasteric Reflex: Causes & Reasons

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Possible Causes for Decreased Cremasteric Reflex

Motor Neuron Disease

Abstract This report summarizes what we believe to be the first verifiable case of a significant and progressive motor neuron disease (MND) consistent with amyotrophic lateral sclerosis that resolved during treatment with i.v. ceftriaxone plus oral atovaquone and mefloquine. The rationale for use of these[…] [ncbi.nlm.nih.gov]

Cauda Equina Syndrome

Acute cauda equina syndrome is an uncommon but significant neurologic presentation due to a variety of underlying diseases. Anatomical compression of nerve roots, usually by a lumbar disk hernia is a common cause in the general population, while inflammatory, neoplastic, and ischemic causes have also been recognized.[…] [ncbi.nlm.nih.gov]

Lumbar Spinal Cord Tumor

BACKGROUND: Postoperative cerebrospinal fluid (CSF) leakage is a major clinical problem, and prevention of CSF leakage at the surgical site is an important issue. The goal of the study was to evaluate the efficacy of intraoperative lumbar subarachnoid drainage (LSAD) for prevention of CSF leakage after spinal cord[…] [ncbi.nlm.nih.gov]

Lumbosacral Plexus Disorder

ICD-10-CM Codes › G00-G99 Diseases of the nervous system › G50-G59 Nerve, nerve root and plexus disorders › G54- Nerve root and plexus disorders › Lumbosacral plexus disorders 2016 2017 2018 2019 Billable/Specific Code G54.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for[…] [icd10data.com]

Lumbar Plexus Neoplasm

After receiving his MD degree from the University of Arizona College of Medicine in 1973, Dr. Jankovic completed medicine internship at Baylor College of Medicine, Houston, and residency in Neurology at the Neurological Institute, Columbia University, New York City, where he was selected as the Chief Resident and also[…] [books.google.com]

Spinal Paralytic Poliomyelitis

[…] poliomyelitis [ po″le-o-mi″ĕ-li´tis ] an acute infectious disease occurring sporadically or in epidemics and caused by a virus, usually a poliovirus but occasionally a coxsackievirus or echovirus. Called also polio. Initial clinical characteristics include fever, sore throat, headache, and vomiting, often with stiffness of the[…] [medical-dictionary.thefreedictionary.com]

Testicular Torsion

There is often an absent or decreased cremasteric reflex. [en.wikipedia.org]

During the physical exam, the physician will look for: Swelling of the testes Tenderness of the testes Decreased/absent cremasteric reflex The diagnostic tests for Testicular [dovemed.com]

Decrease or absence of cremasteric reflex is the most sensitive sign (approaching near 100%). [clinicaladvisor.com]

Torsion of Appendix Epididymis

Decrease or absence of cremasteric reflex is the most sensitive sign (approaching near 100%). [clinicaladvisor.com]

[…] orchiopexy Testicular infarction, decreased fertility Torsion of testicular appendage 7-14 years Upper pole of testicle, onset over hours to day None Cremasteric reflex present [cdemcurriculum.com]

reflex abent Diffusely swollen tender testicle Not helpful Affected testicule large and hypoechoic compared to asymptomatic side Decreased flow Surgical detorsion and bilateral [cdemcurriculum.com]

Epididymitis

reflex intact Prehn's sign decrease in pain with scrotal elevation Imaging Ultrasound indications to rule out testicular torsion findings enlarged and thick epididymis increased [step2.medbullets.com]

reflex, increased pain with elevation of scrotum Decreased or absent blood flow on color Doppler Torsion of appendix testis Sudden onset of scrotal pain Blue-dot sign (bluish [aafp.org]

[…] testicular pain and often unilateral lower abdominal pain urinary frequency or urgency urinary dysuria Physical exam fever testicular erythema, tenderness, and induration cremasteric [step2.medbullets.com]

Orchitis and Epididymitis

reflex intact Prehn's sign decrease in pain with scrotal elevation Imaging Ultrasound indications to rule out testicular torsion findings enlarged and thick epididymis increased [medbullets.com]

reflex; pain with testicular elevation Normal-appearing testis with decreased blood flow on color Doppler Patients with epididymitis usually present with gradual onset of [aafp.org]

Acute Epididymitis

reflex intact Prehn's sign decrease in pain with scrotal elevation Imaging Ultrasound indications to rule out testicular torsion findings enlarged and thick epididymis increased [medbullets.com]

reflex; pain with testicular elevation Normal-appearing testis with decreased blood flow on color Doppler Patients with epididymitis usually present with gradual onset of [aafp.org]

Congenital Absence of the Testis

An exaggerated cremasteric reflex can simulate cryptorchidism. [radiopaedia.org]

The effect of surgical correction, decreasing the risk of malignancy is controversial but it does allow for easier examination 7, and - hopefully - earlier detection. [radiopaedia.org]

Bulbar Poliomyelitis

Changes in reflexes, either increased or decreased, may precede weakness by 12–24 hr. [easypediatrics.com]

The superficial reflexes, the cremasteric and abdominal reflexes, and the reflexes of the spinal and gluteal muscles are usually the 1st to diminish. [easypediatrics.com]

In the early stages the reflexes are normally active and remain so unless paralysis supervenes. [easypediatrics.com]

Bilateral Leg Weakness

There is usually a decrease in superficial reflexes such as the abdominal, cremasteric reflex or the normal plantar response. [dartmouth.edu]

Typically, weakness is accompanied by an increase in deep tendon reflexes such as the biceps, triceps, patellar or ankle jerks. [dartmouth.edu]

Ectopic Testis

An exaggerated cremasteric reflex can simulate cryptorchidism. [radiopaedia.org]

The effect of surgical correction, decreasing the risk of malignancy is controversial but it does allow for easier examination 7, and - hopefully - earlier detection. [radiopaedia.org]

Proximal Myopathy with Extrapyramidal Signs

There is usually a decrease in superficial reflexes such as the abdominal, cremasteric reflex or the normal plantar response. [dartmouth.edu]

Typically, weakness is accompanied by an increase in deep tendon reflexes such as the biceps, triceps, patellar or ankle jerks. [dartmouth.edu]

Testicular Abscess

reflex; pain with testicular elevation Normal-appearing testis with decreased blood flow on color Doppler Patients with epididymitis usually present with gradual onset of [aafp.org]

reflex; pain with testicular elevation Normal-appearing testis with decreased blood flow on color Doppler Table 1 Selected Differential Diagnosis of Acute Scrotum Condition [aafp.org]

[…] masses or swollen testicles with hypoechoic and hypervascular areas Testicular torsion Acute onset of pain, usually severe High-riding transversely oriented testis; abnormal cremasteric [aafp.org]

Torsion of the Hydatid of Morgagni

[…] sx Physical exam Laboratory testing Ultrasound Treatment Outcome if untreated Testicular Torsion Bimodal peak: infancy & puberty Entire testicle, onset over hours Nausea Cremasteric [cdemcurriculum.com]

Orchitis

reflex; pain with testicular elevation Normal-appearing testis with decreased blood flow on color Doppler Patients with epididymitis usually present with gradual onset of [aafp.org]

reflex; pain with testicular elevation Normal-appearing testis with decreased blood flow on color Doppler Table 1 Selected Differential Diagnosis of Acute Scrotum Condition [aafp.org]

Pudendal Hernia

The genitofemoral nerve has sensory innervation to the penis and testes and is responsible for the cremasteric reflex. [hermanwallace.com]

Symptoms of genitofemoral neuralgia in men can be penis or testes pain, numbness, hypersensitivity, and decreased sexual satisfaction or function. [hermanwallace.com]

Pyramidal Tract Disorder

Further signs are the decreased vigor (and increased threshold ) of superficial reflexes such as the corneal reflex, superficial abdominal reflex (tensing of abdominal muscles [ncbi.nlm.nih.gov]

[…] in response to stroking the overlying skin), and the cremasteric reflex in males (elevation of the scrotum in response to stroking the inner aspect of the thigh). [ncbi.nlm.nih.gov]

Cryptorchidism

An exaggerated cremasteric reflex can simulate cryptorchidism. [radiopaedia.org]

The effect of surgical correction, decreasing the risk of malignancy is controversial but it does allow for easier examination 7, and - hopefully - earlier detection. [radiopaedia.org]

Mumps Orchitis

reflex; pain with testicular elevation Normal-appearing testis with decreased blood flow on color Doppler Patients with epididymitis usually present with gradual onset of [aafp.org]

reflex; pain with testicular elevation Normal-appearing testis with decreased blood flow on color Doppler Table 1 Selected Differential Diagnosis of Acute Scrotum Condition [aafp.org]

Congenital Absence of Both Lower Leg and Foot

There is usually a decrease in superficial reflexes such as the abdominal, cremasteric reflex or the normal plantar response. [dartmouth.edu]

Typically, weakness is accompanied by an increase in deep tendon reflexes such as the biceps, triceps, patellar or ankle jerks. [dartmouth.edu]

Myelitis

He was not able to move any limbs, muscle tone was decreased and deep tendon reflexes were absent in his upper and lower extremities. [emro.who.int]

Abdominal, cremasteric and anal reflexes could not be obtained. Babinski sign was absent. Cranial nerves were intact. [emro.who.int]

Myopathy, Endocrine

There is usually a decrease in superficial reflexes such as the abdominal, cremasteric reflex or the normal plantar response. [dartmouth.edu]

Typically, weakness is accompanied by an increase in deep tendon reflexes such as the biceps, triceps, patellar or ankle jerks. [dartmouth.edu]

Spinal Cord Compression

The lower abdominal and cremasteric reflexes were normal. The left lower limb also showed exaggerated reflexes as well as positive Babinski and Rossolimo’ sign. [nature.com]

Neurological examination showed that his lower limb strength had decreased (Grade 4/5) on the left and he had left ankle clonus. [nature.com]

Gouty Tophus

The lower abdominal and cremasteric reflexes were normal. The left lower limb also showed exaggerated reflexes as well as positive Babinski and Rossolimo’ sign. [nature.com]

Neurological examination showed that his lower limb strength had decreased (Grade 4/5) on the left and he had left ankle clonus. [nature.com]

Cardio-Spondylo-Carpo-Facial Syndrome

REFLEX IS ALWAYS ABSENT (elevation of testes after touching inner thigh) Prehn's sign is pain releif with eleation of testicle and this is associated with epididymitis pain [quizlet.com]

LV preload, lack of breath sounds and dullness to percussion Acute onset of testicular pain in teenage male Consider it testicular torsion until proven otherwise CREMASTERIC [quizlet.com]

[…] to rheumatic heart disease Post-thoracentesis development of rapid pleural effusion, difficulty breathing and hemodynamic instability Hemothorax from thoracentesis causes decreased [quizlet.com]