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22 Possible Causes for Hyperreflexia, Limitation of Neck Movement, Long Tract Signs

  • Cervical Spondylosis

    Rest In the acute phase, you may need to wear a cervical collar to limit neck movement and relieve the nerve irritation.[] Eleven patients (58%) had lower limb hyperreflexia or Babinski sign.[] The clinical symptoms of cervical spondylotic amyotrophy (CSA) are motor loss or atrophy with an absent or insignificant sensory deficit or a long tract sign; however, the[]

  • Cervical Myelopathy

    Limit neck movement. Take these measures to prevent falls: Remove throw rugs and other obstacles from the floor. Install a night-light near stairs and your bed.[] Gait dysfunction associated with spasticity and hyperreflexia is a primary symptom in patients with compression of cervical spinal cord.[] tract signs, ambulatory Class IIIB Objective weakness, long tract signs, non-ambulatory Japanese Orthopaedic Association Classification A point scoring system (17 total)[]

  • Myelopathy

    Limit neck movement. Take these measures to prevent falls: Remove throw rugs and other obstacles from the floor. Install a night light near the stairs and your bed.[] Physical examination commonly elicits long tract signs such as spasticity, hyperreflexia, and abnormal reflexes such as Babinski or Hoffman's sign.[] Clinical hyperreflexia was tested at the MCP joint, using a six-axis load cell.[]

  • Arnold-Chiari Malformation Type I

    Her airway assessment showed a Mallampatti grade II and limited neck movements associated with pain and vertigo; a difficult intubation was anticipated.[] Upper spinal cord compression will cause long tract signs (hyperreflexia, Hoffman’s sign, clonus and Babinski’s reflex).[] Routine preoperative investigations were within normal limits. Preoperative electrocardiography (ECG) showed sinus tachycardia. Chest X-ray was unremarkable.[]

  • Cervical Spinal Cord Injury

    If there is an injury in the cervical area, it will result in tetraplegia/quadriplegia , meaning there is limited or absent feeling or movement below the shoulders/neck.[] While the cause of oculosympathetic spasm remains speculative, it may represent a localized form of autonomic hyperreflexia.[] neck movement in these circumstances.[]

  • Cervical Spine Fracture

    Immobilization will limit your movement for months as your injury heals.[] 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[] The chin limits forward flexion but the forward movement may be sufficient to cause longitudinal distraction and neurological damage.[]

  • Cervical Radiculitis

    If your diagnosis is mild, your treatment options include rest and collar immobilization, which simply helps you to limit the amount of movement in your neck to allow time[] Intermittent shooting shock-like pains into UE and/or LE, especially when flexing neck (Lermitte's phenomenon) Sensory deficits Bowel/bladder symptoms Cervical Myelopathy - signs *Hyperreflexia[] Fortunately, she does not have overt myelopathy (long tract signs), but was found to have a positive Hoffmann's signs.[]

  • Vertebrobasilar Insufficiency

    Limited mobility and/or flexibility of the back and neck and/or significant pain with movements such as these can eliminate the Dix-Hallpike and VBI screening from consideration[] In general, a combination of cranial nerve palsies and long tract signs localizes the lesion to the brain stem and should, therefore, trigger a posterior circulation vascular[]

  • Ossification of the Posterior Longitudinal Ligament of the Spine

    Upon physical examination, his neck movement was slightly restricted, but his dysesthesia was not made worse by neck movement.[] : 12 A connective tissue disease characterized by ectopic ossification of the posterior longitudinal spinal ligament resulting in spinal cord compression, myelopathy and hyperreflexia[] Seven of them showed clinical signs of long tract involvement of the spinal cord.[]

  • Narrow Cervical Spinal Canal

    You will need to limit your activities, especially heavy and repeated movements of the arms and neck.[] CSC diameter at C5 level on plain radiographs, cervical cord compression and ISI on sagittal T2-weighted MRI, and physical signs related to CM (eg, the Hoffmann reflex, hyperreflexia[] When the stenosis and myelopathy is severe, most patients will develop long tract signs (UMN) consisting of a wide-based gait, balance difficulties, and weakness.[]

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