Flaccid Paralysis: Causes & Reasons

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Possible Causes for Flaccid Paralysis

Hyperkalemia

In severe cases, weakness and flaccid paralysis may occur. [icd9data.com]

paralysis may occur. [fpnotebook.com]

In 94 patients, flaccid paralysis was described and in 25, severe muscular weakness; in 65 patients, these findings were associated with other symptoms. [ncbi.nlm.nih.gov]

Tick Paralysis

CONSUMERS: Click here for the Consumer Version Tick paralysis is a rare, ascending, flaccid paralysis that occurs when toxin-secreting Ixodidae ticks bite and remain attached [merckmanuals.com]

Tick paralysis is a rare, ascending, flaccid paralysis that occurs when toxin-secreting Ixodidae ticks bite and remain attached for several days. [merckmanuals.com]

Tick paralysis should be considered in North American patients with acute ascending flaccid paralysis or bulbar paralysis; ticks should be sought over the entire body surface [merckmanuals.com]

Guillain-Barré Syndrome

Guillain-Barré syndrome (GBS) is the most common cause of acute flaccid paralysis in children. [ncbi.nlm.nih.gov]

CASE REPORT: An 82-year-old woman presented with acute ascending flaccid paralysis and acute respiratory failure. [ncbi.nlm.nih.gov]

Introduction: Guillain-Barré syndrome (GBS) is an autoimmune polyneuropathy causing acute flaccid paralysis and it is known to improve with plasmapheresis. [ncbi.nlm.nih.gov]

Enterovirus Infection

The incidence of acute flaccid paralysis has been on a declining trend with the global efforts on eradication of polio virus. [ncbi.nlm.nih.gov]

However if they infect the central nervous system, they can cause serious illnesses like meningitis or acute flaccid paralysis (AFP). [gov.uk]

paralysis/myelitis. [eurosurveillance.org]

Familial Periodic Paralysis

It is characterized by episodes of muscle paralysis in which the affected muscles become flaccid and the deep tendon reflexes disappear. [fpnotebook.com]

paralysis of the voluntary muscles. periodic paralysis 1. any of various diseases characterized by episodic flaccid paralysis or muscular weakness. progressive bulbar paralysis [medical-dictionary.thefreedictionary.com]

Definition (MSH) A heterogenous group of inherited disorders characterized by recurring attacks of rapidly progressive flaccid paralysis or myotonia. [fpnotebook.com]

Hypokalemic Periodic Paralysis

Hypokalemia, with associated flaccid paralysis, and signs of hyperthyroidism, are the hallmark. [ncbi.nlm.nih.gov]

In conclusion, clinicians should have a high index of suspicion, especially among Asians presenting with flaccid paralysis and hypokalemia. [ncbi.nlm.nih.gov]

Acute recurrent episodes of flaccid paralysis, symmetrically affecting the proximal muscles of the lower limbs, either following strenuous physical activity or carbohydrate [ncbi.nlm.nih.gov]

Hyperkalemic Periodic Paralysis

These procedures produced attacks of flaccid paralysis that occurred concomitantly with rapid rises in serum potassium concentrations and decreases in blood glucose and inorganic [ncbi.nlm.nih.gov]

HyperPP is a rare genetic disorder that causes episodes of flaccid paralysis. [ncbi.nlm.nih.gov]

Effects of strenuous exercise, followed by rest, and of potassium administration on blood chemistry values were studied in two patients with hyperkalemic periodic paralysis [jamanetwork.com]

Hypokalemia

Severe hypokalemia (plasma potassium <2.5 mmol/L) is usually associated with acute flaccid paralysis that can range from mild muscle weakness to severe paralysis. [acutecaretesting.org]

Severe hypokalemia results in extreme weakness of the body and, on occasion, in paralysis. The paralysis that occurs is "flaccid paralysis," or limpness. [medical-dictionary.thefreedictionary.com]

Abstract Hypokalaemic periodic paralysis is a rare skeletal muscle channelopathy causing flaccid paralysis, which predominantly presents in adolescents and young adults. [journals.sagepub.com]

Botulism

Abstract Botulism is the acute, flaccid paralysis caused by a neurotoxin produced by Clostridium botulinum. [ncbi.nlm.nih.gov]

A 7-week-old boy with flaccid paralysis was diagnosed with infant botulism caused by Clostridium botulinum toxin type A. [ncbi.nlm.nih.gov]

We report a child with complete flaccid paralysis followed by progression to coma-like consciousness. The patient required mechanical ventilation. [ncbi.nlm.nih.gov]

Infantile Botulism

paralysis. [pediatricneurologybriefs.com]

It is characterized by symmetric cranial nerve palsy, commonly followed by symmetric, descending, flaccid paralysis of involuntary muscles, which may result in respiratory [pedsinreview.aappublications.org]

MRI findings in children with acute flaccid paralysis and cranial nerve dysfunction occurring during the 2014 enterovirus D68 outbreak. [frontiersin.org]

Poliomyelitis

The objective of this paper was to review the need for acute flaccid paralysis surveillance by presenting two cases. [ncbi.nlm.nih.gov]

The World Health Organization (WHO) strategic plan for global poliomyelitis (polio) eradication indicates the nationwide surveillance of Acute Flaccid Paralysis (AFP) as the [ncbi.nlm.nih.gov]

We report a case of acute segmental flaccid paralysis with respiratory involvement in an adult in the UK, with enterovirus D68 detected in a sputum sample. [ncbi.nlm.nih.gov]

Spinal Paralytic Poliomyelitis

Asymmetric flaccid paralysis may develop and progress over 2 to 3 days. Encephalitic signs occasionally predominate. [merckmanuals.com]

Polio has been renamed....Why have Acute Flaccid Paralysis and Polio been put together? [whale.to]

[…] and respiratory paralysis Etiology Viral, in particular poliovirus, but also coxsackie A7, enterovirus 71, and others Clinical If extreme, asymmetric flaccid paralysis Lab [medical-dictionary.thefreedictionary.com]

Foix-Alajouanine Syndrome

Affected patients initially are spastic but eventually develop flaccid paralysis of the limbs and may become wheelchair bound. [accesspediatrics.mhmedical.com]

Synonym(s): subacute necrotizing myelitis Foix-Alajouanine syndrome - thrombophlebitis of spinal veins resulting in a subacute ascending painful flaccid paralysis from necrotic [medical-dictionary.thefreedictionary.com]

paralysis, often ascending, loss of sphincter control, and progressive sensory loss. [medicine.academic.ru]

Bulbar Poliomyelitis

For this reason, physicians must include poliomyelitis in the differential diagnosis of acute flaccid paralysis in patients who are from these areas. [symptoma.com]

Acute flaccid paralysis (AFP) One in 200 infections leads to irreversible paralysis, usually in the legs. [polioeradication.org]

Bulbar poliomyelitis is a specific type of an extremely rare viral paralytic disease in which the typical findings of acute flaccid paralysis are accompanied by bulbar symptoms [symptoma.com]

Neuromuscular Junction Disorder

Seite 204 - AK (1993) Acute motor axonal neuropathy: A frequent cause of acute flaccid paralysis in China. Ann Neurol 33:333-342. ‎ [books.google.de]

Autonomic dysfunction (blurred vision, diplopia, bradycardia, and hypotension) followed by descending flaccid paralysis occur Wound botulism Results from contamination of [academic.oup.com]

Differential diagnosis of flaccid paralysis Anterior horn disease Disorders of the NMJ  Polyemyelitis  Amyotrophic lateral sclerosis  Myasthenia gravis  Lambert-Eaton [slideshare.net]

Lumbosacral Plexus Disorder

paralysis associated with sensory deficits to all types of stimulation in the territory of the damaged nerve roots: a lower motor neuron paralysis. [medlink.com]

[…] released March 21, 2002; last updated December 17, 2018; expires December 17, 2021 Overview Neurologic signs of lumbosacral plexus injuries consist of motor deficit with flaccid [medlink.com]

Acute poliomyelitis, however, begins as aseptic meningitis, followed by flaccid, asymmetrical paralysis developing within a week. [neupsykey.com]

Spinal Cord Transection

It presents as a flaccid areflexic paralysis below the level of the injury with autonomic features (e.g., hypotension and bradycardia ). [amboss.com]

During this period, there is complete absence of reflex and autonomic activity below the level of the injury with flaccid paralysis. [casemed.case.edu]

[…] areflexic paralysis bradycardia & hypotension (due to loss of sympathetic tone) absent bulbocavernosus reflex reflex characterized by anal sphincter contraction in response [orthobullets.com]

Erb-Duchenne Palsy

Lower plexus and total plexus injuries (often signified by flaccid paralysis of an entire arm, or diaphragmatic injury, or Horner’s syndrome) have worse prognoses. [pedclerk.bsd.uchicago.edu]

The result is a flaccid (floppy) paralysis of the hand that is often associated with Horner syndrome. What are the causes? [contact.org.uk]

Hematomyelia

paralysis, loss of sphincter tone, and ascending sensory loss. [9] Spinal subarachnoid hemorrhage (SAH) may cause symptoms due to blood in the subarachnoid space, or blood [emedicine.medscape.com]

On evaluation (at another hospital), she was found to have flaccid paralysis of all 4 limbs with complete loss of sensation below C4. [neurologyindia.com]

The patient was vitally stable but in flaccid paralysis till the discharge date and he was under antibiotic coverage along with steroids. [sjmms.net]

Rabies

Diagnostic dilemma in flaccid paralysis following anti-rabies vaccine. [web.archive.org]

After she developed flaccid paralysis and encephalitis, rabies was diagnosed based on 1) detection of rabies virus-specific antibodies in serum and cerebrospinal fluid (CSF [ncbi.nlm.nih.gov]

We describe a patient who developed flaccid paralysis following exposure to ARV. [web.archive.org]

Blue-Ringed Octopus Poisoning

In severe cases, this is followed by flaccid paralysis and respiratory failure, leading to unconsciousness and death due to cerebral anoxia. [thecephalopodpage.org]

TTX is particularly effective blocking the propagation of nervous impulses in mammalian myelinated peripheral nerves which produces flaccid voluntary muscle paralysis. [thecephalopodpage.org]

Adult Spinal Muscular Atrophy

The examination may show all the characteristic findings of a lower motor neuron disease, namely absent/decreased reflexes, hypotonia, flaccid paralysis and muscle fasciculations [symptoma.com]

Reye Syndrome

paralysis. [lifeinthefastlane.com]

Unrousable, flaccid paralysis, seizures, absent tendon reflexes, unresponsive pupils, respiratory arrest. 6. [patient.info]

Neurological symptoms Onset heralded by repetitive vomitingLethargy, irritability, restlessness, delirium, seizures, loss of brainstem reflexes, decorticate or decrebrate coma and flaccid [lifeinthefastlane.com]

Brachial Plexus Neuropathy

[…] three cases of osteoarticular infection manifested by flaccid limb paralysis without the typical systemic signs of infection. [revistas.rcaap.pt]

Brachial neuritis usually is characterized by the acute onset of excruciating unilateral shoulder pain, followed by flaccid paralysis of shoulder and parascapular muscles [emedicine.medscape.com]

On the other hand, pseudo-paralysis or apparent weakness of a limb associated with septic arthritis or osteomyelitis is a well-documented phenomenon Case Report: We describe [revistas.rcaap.pt]

Acute Flaccid Myelitis

Acute flaccid myelitis Other names Acute flaccid paralysis with anterior myelitis, polio-like syndrome [1] Magnetic resonance imaging of the spinal cord in a case of AFM showing [en.wikipedia.org]

^ a b c "An Update on Outbreak of Paralysis in US: Acute Flaccid Myelitis". The transverse myelitis association. 2014-10-16. [en.wikipedia.org]

"Acute Flaccid Paralysis and Enteroviral Infections". Current Infectious Disease Reports. 20 (9): 34. doi : 10.1007/s11908-018-0641-x. [en.wikipedia.org]

Deliberate Exposure to Botulinum Toxin

Conclusions: An aerosolized or foodborne botulinum toxin weapon would cause acute symmetric, descending flaccid paralysis with prominent bulbar palsies such as diplopia, dysarthria [experts.umn.edu]

Situations suggesting release of botulinum toxin as a biological weapon: (1) Outbreak of acute flaccid paralysis with prominent bulbar palsies (diplopia, dysarthria, dysphonia [meducator3.net]

Botulism causes flaccid paralysis, which begins in the muscles of the head and neck and progresses to the muscles of the trunk and extremities. [centerforhealthsecurity.org]

Fugu Poisoning

extraocular muscle paralysis, and general body flaccid paralysis” – and unable to speak, but your head is weirdly clear. [ranker.com]

Pangamut/ Wikimedia / CC BY SA 3.0 What happens next is terrifying: you’re lying in a pool of diarrhea and vomit, paralyzed in three different ways - “progressive bulbar paralysis [ranker.com]

Myasthenic Crisis

In this case, excessive ACh stimulation of striated muscle at nicotinic junctions produces flaccid muscle paralysis that is clinically indistinguishable from weakness due [medscape.com]

weaknesses in swallowing and chewing, dysarthria and symmetrical flaccid paralysis of limbs. [nnjournal.net]

Botulism: botulinum toxin damages the presynaptic membrane of neuromuscular junctions, leading to extraocular muscle paralysis, dilation of pupil but retarded light reflex [nnjournal.net]

Meningomyelocele

Children with high lumbar lesions (L1, L2) have flaccid paralysis of knees and ankles and may walk with extensive braces and crutches. [hawaii.edu]

• Flaccid or spastic paralysis of the lower limbs • Urinary and or faecal incontinence • Hydrocephalus • Poor trunk control • Musculoskeletal complications • Scoliosis • [physio-pedia.com]

CLINICAL PRESENTATION – The following can be observed in the case of MMC.[2]Flaccid or spastic paralysis of the lower limbs, Urinary and or faecal incontinence, Hydrocephalus [campcursos.com.br]

Paralytic Shellfish Poisoning

Severe cases are associated with ingestion of large doses of toxin and clinical features such as ataxia, dysphagia, mental status changes, flaccid paralysis, and respiratory [wwwnc.cdc.gov]