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19 Possible Causes for Flaccid Paralysis of the Lower Extremity, Hypotension, Spasticity - Hyperreflexia

  • Anterior Spinal Artery Syndrome

    At first the lower limb paralysis was flaccid and areflexic but after several weeks spasticity, hyperreflexia, and Babinski signs appeared.[] Postoperative neurologic examination disclosed flaccid paralysis of the lower extremities and sphincter incontinence.[] It is characterized by a corresponding loss of motor function, loss of pain and temperature sensation, and hypotension.[]

  • 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.[] Within minutes of the injection, the patient developed bilateral lower extremity weakness, which progressed to flaccid paralysis. Fig 1.[] 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[]

  • Spinal Cord Injury

    Spasticity is characterized as hyperreflexia and hypertonicity as a result of damage to the supraspinal tracts in the aftermath of SCI.[] The patient also had orthostatic hypotension and post-prandial hypotension associated with an increased insulin level.[] Orthostatic hypotension and bilateral shoulder pain symptoms were also resolved while bowel/bladder incontinence and upper and lower extremity motor strength loss remained[]

  • Myelopathy

    Physical examination commonly elicits long tract signs such as spasticity, hyperreflexia, and abnormal reflexes such as Babinski or Hoffman's sign.[] KEYWORDS: IHS intracranial hypotension syndrome; VP ventriculoperitoneal; hydrocephalus; myelopathy; overshunting; ventriculoperitoneal shunt[] […] gait," hesitant and jerky) Myelopathic or "upper motor neuron" findings such as spasticity, hyperreflexia, clonus, Babinski, and Hoffman signs, and bowel and bladder dysfunction[]

  • Pyramidal Tract Disorder

    Bilateral Corticospinal disfx spasticity, hyperreflexia, Babinski Anterior Horn Cell Syndrome FDR, LMN Disorder Weakness, flaccid paralysis, atrophy, and fasciculations, reduced[] Autonomic dysfunction, such as sphincter disturbance or orthostatic hypotension, is not present.[] […] and hyperreflexia, and a loss of discrete finger and hand movements.[]

  • Spinal Epidural Abscess

    WikEM: Epidural abscess (spinal) Motor Neuron Signs Upper Motor Neuron: Spasticity Hyperreflexia Pronator drift Babinski Lower Motor Neuron: Flaccidity Hyporeflexia Fasciculation[] The hypotension persisted despite 7 l of normal saline and his lactate was elevated (3.7 mmol l 1 ).[] On day 2 of his hospital stay he became hypotensive, febrile, with abdominal distention. He also developed bloody diarrhea, nausea, vomiting and epigastric pain.[]

  • Foix-Alajouanine Syndrome

    […] and spasticity with increased muscle tone in both lower limbs.[] extremities that progresses to flaccid paralysis, often ascending, loss of sphincter control, and progressive sensory loss.[] […] angiodysgenetic") blood vessels associated with cord necrosis sets this condition apart from remote traumatic injury to cord, syringomyelia, or spinal cord infarction due to hypotension[]

  • Paraplegia

    This development led to an evaluation by a neurosurgeon, who noted spasticity and hyperreflexia. Sensory testing demonstrated a possible sensory thoracic level.[] Shortly thereafter, the patient reported weakness and loss of sensation in the lower extremities.[] SCI has been reported after noncardiac surgery in otherwise healthy subjects in whom only one risks factor i.e. severe hypotension has been documented.[]

  • Narrow Cervical Spinal Canal

    , motor weakness, hyperreflexia and muscular atrophy.[] Alternatively, narrowing of the spinal foramina may compress the nerve roots, causing a lower motor type flaccid paralysis.[] Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med 1994; 331:1105-1109. 4.[]

  • Infantile Choroidocerebral Calcification Syndrome

    Basal ganglia calcification Toe walking Spastic gait Paraplegia Unsteady gait Peripheral axonal neuropathy Spastic paraplegia Babinski sign Hypoplasia of the corpus callosum[] Lower thoracic lesions result in flaccid paralysis of the lower extremities and bowel and bladder dysfunction.[] […] disorders of nervous system, not elsewhere classified G97.0 Cerebrospinal fluid leak from spinal puncture G97.1 Other reaction to spinal and lumbar puncture G97.2 Intracranial hypotension[]

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