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42 Possible Causes for Hyperreflexia, Increased Ankle Reflex, Long Tract Signs

  • Cervical Spondylosis

    tract signs and symptoms; 3) a combined syndrome – which includes both root and long tract signs and symptoms and is the commonest form; 4) a vascular syndrome – may not[termedia.pl] Eleven patients (58%) had lower limb hyperreflexia or Babinski sign.[ncbi.nlm.nih.gov] In an otherwise asymptomatic patient, hyperreflexia, a positive Babinski test, and a positive Hoffman’s sign (hand contraction in response to tapping on distal finger joints[americannursetoday.com]

  • Myelopathy

    , Deep tendon reflexes in the knee and ankle will be accentuated (hyperreflexia), Forced extension of the ankle may cause the foot to beat up and down rapidly (clonus), Scratching[necksolutions.com] Clinical hyperreflexia was tested at the MCP joint, using a six-axis load cell.[ncbi.nlm.nih.gov] Physical examination commonly elicits long tract signs such as spasticity, hyperreflexia, and abnormal reflexes such as Babinski or Hoffman's sign.[neurosurgery.ucla.edu]

  • Cervical Myelopathy

    Thus these medical signs will become pathological: Increased tension in the leg muscles (Hyperreflexia) Accentuated reflexes of the knee and ankle Forced extension of the[dr-bertagnoli.com] This case highlights the need to look for long tract signs of physical exam to explore possible causes of cervical myelopathy to account for weakness in the legs, which cannot[aclr.com.es] Gait dysfunction associated with spasticity and hyperreflexia is a primary symptom in patients with compression of cervical spinal cord.[ncbi.nlm.nih.gov]

  • Cervical Cord Compression

    , Deep tendon reflexes in the knee and ankle will be accentuated (hyperreflexia), Forced extension of the ankle may cause the foot to beat up and down rapidly (clonus), Scratching[necksolutions.com] Two patients did not show satisfactory improvement after the decompression of the entrapment lesions, and six patients had hyperreflexia of lower limbs.[ncbi.nlm.nih.gov] Both the Chiari I and cervical compression groups had long tract signs evident on clinical neurological examination.[ncbi.nlm.nih.gov]

  • Myelitis

    The symptoms and signs depend on the level of the spinal cord affected and the extent of involvement of the long tracts.[prognosisapp.com] The patient with detrusor hyperreflexia had an unrecordable CMCT-TA.[jnnp.bmj.com] Examination reveals moderate paraparesis with hyperreflexia, a left extensor plantar response, impaired vibratory and proprioceptive sensation, and a sensory level at T6.[nejm.org]

  • Spastic Paraplegia

    […] of deep tendon reflexes in the legs, loss of ankle flexibility, and decrease of sensation in the legs.[encyclopedia.com] People with this condition can also experience exaggerated reflexes (hyperreflexia), ankle spasms, high-arched feet (pes cavus), and reduced bladder control.[icdlist.com] None LL reflexes Increased Increased Increased Increased Increased Muscle wasting None Distal LL None n.a. None Extensor plantar reflex Yes Yes Yes n.a.[brain.oxfordjournals.org]

  • Thoracic Spinal Cord Tumor

    Other signs evident upon physical examination may include spine tenderness, stiffening of gait, trophic changes of extremity, sensory loss, hyperreflexia, clonus, and scoliosis[emedicine.medscape.com] A patient, presenting with incapacitating diarrhea of 1-month duration, developed orthostatic hypotension and progressive long tract central nervous system signs.[ncbi.nlm.nih.gov] In the classical case the tumor therefore presents with an early segmental differential sensory deficit, later followed by long tract signs, with subsequent weakness & wasting[thamburaj.com]

  • 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]

  • Subacute Transverse Myelitis

    Muscle tone was slightly increased in the lower limbs. There was no clonus. Deep tendon reflexes were traced in the upper extremities, 2 at the knees, 2 at the ankles.[egms.de] An areflexic cystometrogram tended to change to a low compliance bladder, followed by detrusor hyperreflexia or a normal cystometrogram.[nature.com] The symptoms and signs depend upon the level of the spinal cord involved and the extent of the involvement of the various long tracts .[psychology.wikia.com]

  • Cervical Spinal Cord Injury

    Patients with chronic spinal cord lesions above T-6 are particularly at risk for this response: 85 % will display autonomic hyperreflexia at some time during the course of[trauma.org] Autonomic hyperreflexia occurs because nerve messages that were once able to go up the spinal cord to the brain are blocked.[uiortho.com] Sympathetic hyperreflexia can develop suddenly and without warning.[ceaccp.oxfordjournals.org]

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