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99 Possible Causes for Hyperreflexia, Long Tract Signs, Paraparesis

  • Spinal Epidural Abscess

    Whatever the infectious agent, paraparesis for longer than 4 days led to a poor outcome.[] Massive Disc Herniation, Spinal Epidural Abscess or Bony Metastasis) Vertebral Fractures, Osteomyelitis Cauda Equina Syndrome (CES) Note - Cord Compression is a UMN lesion (Hyperreflexia[] Spinal cord syndromes, typically involving paraparesis with prospective progression to paraplegia (Epidural abscesses at the level of the cauda equina cause symptoms consistent[]

  • Myelopathy

    All patients presented with paraparesis or paraplegia resulting from lesions at the thoracic or cervicothoracic levels.[] […] 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[] Physical examination commonly elicits long tract signs such as spasticity, hyperreflexia, and abnormal reflexes such as Babinski or Hoffman's sign.[]

  • Myelitis

    Paraparesis often progresses to paraplegia (paralysis of the legs and lower part of the trunk). Urinary bladder and bowel dysfunction is common.[] The patient with detrusor hyperreflexia had an unrecordable CMCT-TA.[] The symptoms and signs depend on the level of the spinal cord affected and the extent of involvement of the long tracts.[]

  • Subacute Transverse Myelitis

    […] myelitis may be associated with spastic paraparesis.[] An areflexic cystometrogram tended to change to a low compliance bladder, followed by detrusor hyperreflexia or a normal cystometrogram.[] The symptoms and signs depend upon the level of the spinal cord involved and the extent of the involvement of the various long tracts .[]

  • 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[] The upper motor signs include spasticity, hyperreflexia and weakness. The lower motor signs include amyotrophy, weakness and fasciculations.[] Muscle pain may be caused by clonus or hyperreflexia. Many patients complain of muscle cramps.[]

  • Cervical Cord Compression

    The images are of a patient who developed a paraparesis after stenting of an aortic aneurysm.[] Several findings indicative of an ongoing pathological process involving the cervical spinal cord are: Hyperreflexia - A brisk triceps reflex accompanied by the absence of[] tract signs, ambulatory Class IIIB Objective weakness, long tract signs, non-ambulatory Japanese Orthopaedic Association Classification A point scoring system (17 total)[]

  • Thoracic Spinal Cord Tumor

    There may be paraparesis and, if the tumour is large enough, paralysis.[] Other signs evident upon physical examination may include spine tenderness, stiffening of gait, trophic changes of extremity, sensory loss, hyperreflexia, clonus, and scoliosis[] 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[]

  • Spastic Paraplegia

    Term Name: hereditary spastic paraplegia Search Ontology: Synonyms: familial spastic paraplegia, French settlement disease, hereditary spastic paraparesis (all 4) familial[] People with this condition can also experience exaggerated reflexes (hyperreflexia), ankle spasms, high-arched feet (pes cavus), and reduced bladder control.[] HSP is also known as familial paraparesis or Strumpell-Lorrain syndrome and refers to a group of inherited disorders that affect the leg muscles, causing them to progressively[]

  • Multiple Sclerosis

    Early symptoms may include numbness and/or paresthesia, mono- or paraparesis, double vision, optic neuritis, ataxia, and bladder control problems.[] Irritative or obstructive bladder symptoms, as a result of spinal lesions causing detrusor hyperreflexia and incomplete bladder emptying, can be treated with oral anticholinergic[] ., hemiparesis or paraparesis). Brainstem involvement may present as diplopia, altered sensation or weakness of the face, or ataxia.[]

  • Cervical Spinal Cord Tumor

    The images are of a patient who developed a paraparesis after stenting of an aortic aneurysm.[] The neurologic examination usually reveals symmetric weakness with either flaccidity and hyporeflexia (if the diagnosis is made early) or spasticity and hyperreflexia (if[] Two out of three patients who could walk before treatment will continue to do so after treatment, while 1 out of 3 will become ambulatory if they had mild to moderate paraparesis[]

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