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157 Possible Causes for Hyperreflexia, 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

    Gait dysfunction associated with spasticity and hyperreflexia is a primary symptom in patients with compression of cervical spinal cord.[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] […] depending on the level of the lesion and include local pain , stiffness, and impaired sensation, hypotonia , and hyporeflexia at the level of the lesion, and spasticity and hyperreflexia[amboss.com]

  • Cervical Myelopathy

    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] […] sensory deficits - may be the least advanced form of the disease; - Brachialgia and cord syndrome: radicular pain in the upper extremity along with motor and/or sensory long-tract[wheelessonline.com]

  • Cervical Cord Compression

    Neurological testing revealed hyperreflexia. Special testing revealed lower extremity clonus with a positive Babinski sign with gait disturbances.[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] 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]

  • Myelitis

    The patient with detrusor hyperreflexia had an unrecordable CMCT-TA.[jnnp.bmj.com] The symptoms and signs depend on the level of the spinal cord affected and the extent of involvement of the long tracts.[prognosisapp.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]

  • Spinal Epidural Abscess

    Massive Disc Herniation, Spinal Epidural Abscess or Bony Metastasis) Vertebral Fractures, Osteomyelitis Cauda Equina Syndrome (CES) Note - Cord Compression is a UMN lesion (Hyperreflexia[emdidactic.blogspot.com] A patient’s reflexes may vary from being absent to hyperreflexia with clonus (rhythmic muscle spasms or contractions) and extensor plantar responses (a/k/a Babinski responses[matzuslaw.com] […] with paraplegia and sphincter dysfunction Incomplete spinal cord syndromes Unilateral motor or sensory deficits [ 10 ] Gait ataxia [10] Reflexes may vary from absent to hyperreflexia[emedicine.medscape.com]

  • Amyotrophic Lateral Sclerosis

    […] remains normal Physical exam neck ptosis (neck drop) due to neck extensor weakness manual muscle testing elicits muscle cramping upper motor neuron (UMN) signs spasticity hyperreflexia[orthobullets.com] The upper motor signs include spasticity, hyperreflexia and weakness. The lower motor signs include amyotrophy, weakness and fasciculations.[symptoma.com] Muscle pain may be caused by clonus or hyperreflexia. Many patients complain of muscle cramps.[aafp.org]

  • Cervical Spine Fracture

    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] Hyperreflexia, clonus, Babinski signs, and Hoffmann signs indicate spinal cord compression, although areflexia is common initially in an emergency injury.[orthopaedicsone.com] This is characterized by spastic motor paralysis with hyperactive tendon reflexes, occasionally severe autonomic hyperreflexia, and some return of involuntary bladder function[trauma.org]

  • Spastic Paraplegia

    People with this condition can also experience exaggerated reflexes (hyperreflexia), ankle spasms, high-arched feet (pes cavus), and reduced bladder control.[icdlist.com] […] individuals of consanguineous Bedouin kindred presented with autosomal recessive progressive spastic paraplegia evident as of age 0-24 months, with spasticity of lower limbs, hyperreflexia[ncbi.nlm.nih.gov] Hyperreflexia, extensor plantar response and increased muscle tone are the recognized UMN signs where as the weakness, muscle wasting, hyporeflexia, muscle cramps, and fasciculations[explainmedicine.com]

  • 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]

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