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28 Possible Causes for Hyperreflexia, Long Tract Signs, Overflow Incontinence

  • 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] This 15-year-old patient presented with right shoulder pain in the absence of the fever, back pain, or long-tract signs; therefore, the diagnosis of the spinal pathology was[ncbi.nlm.nih.gov] 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]

  • Myelopathy

    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] […] 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]

  • 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]

  • 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

    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] Cord damage may also result in constipation or faecal urgency or incontinence, and sexual (e.g. erectile) dysfunction.[emedmd.com]

  • Multiple Sclerosis

    Irritative or obstructive bladder symptoms, as a result of spinal lesions causing detrusor hyperreflexia and incomplete bladder emptying, can be treated with oral anticholinergic[aetna.com]

  • Cervical Cord Compression

    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] There may be overflow incontinence when the bladder cannot physically hold any more urine.[neuroanatomy.wisc.edu]

  • 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] incontinence.[neurospinewi.com]

  • Guillain-Barré Syndrome

    Hyperreflexia does not exclude GBS or one of its variants [18].[vdocuments.us] tract signs pharyngeal-cervical-brachial arm weakness, dysphagia and facial weakness pandysautonomia diarrhoea, vomiting, dizziness, abdominal pain, ileus, orthostatic hypotension[lifeinthefastlane.com] Although the mechanism for this hyperreflexia is unclear, dysfunction of the inhibitory system via spinal interneurons may increase motor neuron excitability.[emedicine.medscape.com]

  • Spinal Cord Compression

    Pain may be caused by vertebral metastasis, root compression or compression of the long tracts of the spinal cord.[stelizabethhospice.org.uk] Loss of bladder control results in urinary retention, frequent small voids, overflow or incontinence.[myvmc.com] Lhermitte's sign (intermittent shooting electrical sensation) and hyperreflexia may be present.[en.wikipedia.org]

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