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112 Possible Causes for Hyperreflexia, Long Tract Signs, Paraparesis

  • Spinal Epidural Abscess

    The authors present a case of a premature twin neonate who developed an epidural abscess with complete paraparesis after coagulase-negative Staphylococcus epidermidis bacteremia[ncbi.nlm.nih.gov] 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]

  • Spastic Paraplegia

    We recommend suspecting this syndrome when spastic paraparesis, intellectual disability and adducted thumbs are associated.[ncbi.nlm.nih.gov] On neurological examination, he showed hyperreflexia, spasticity, and weakness in the lower extremities and bilateral Babinski reflexes.[ncbi.nlm.nih.gov] People with this condition can also experience exaggerated reflexes (hyperreflexia), ankle spasms, high-arched feet (pes cavus), and reduced bladder control.[icdlist.com]

  • Cervical Cord Compression

    The images are of a patient who developed a paraparesis after stenting of an aortic aneurysm.[radiologyassistant.nl] 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]

  • Myelopathy

    This virus is the cause of HTLV-1-associated myelopathy or tropical spastic paraparesis (HAM/TSP), a myelopathy characterised by chronic progressive paraparesis, spasticity[ncbi.nlm.nih.gov] 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]

  • Subacute Transverse Myelitis

    […] myelitis may be associated with spastic paraparesis.[spandidos-publications.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] An areflexic cystometrogram tended to change to a low compliance bladder, followed by detrusor hyperreflexia or a normal cystometrogram.[nature.com]

  • Thoracic Spinal Cord Tumor

    There may be paraparesis and, if the tumour is large enough, paralysis.[patient.info] 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]

  • Multiple Sclerosis

    The authors suggest that PLP1 testing might be considered in the evaluation of women with spastic paraparesis, cognitive decline and WM changes.[ncbi.nlm.nih.gov] 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] Early symptoms may include numbness and/or paresthesia, mono- or paraparesis, double vision, optic neuritis, ataxia, and bladder control problems.[library.med.utah.edu]

  • Myelitis

    A 40 year-old man with HIV infection was admitted with asymmetric hypoesthesia in legs and paraparesis.[ncbi.nlm.nih.gov] 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]

  • 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 Spinal Cord Tumor

    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[clinicaladvisor.com] The neurologic examination usually reveals symmetric weakness with either flaccidity and hyporeflexia (if the diagnosis is made early) or spasticity and hyperreflexia (if[aafp.org] The images are of a patient who developed a paraparesis after stenting of an aortic aneurysm.[radiologyassistant.nl]

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