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15 Possible Causes for Hyperreflexia, Long Tract Signs, Priapism

  • Myelitis

    HISTORY • Other findings may include 1. priapism 2. vision loss (neuromyelitis optica), 3. as well as spinal shock 4. subsequent autonomic dysreflexia 21.[slideshare.net] 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]

  • Myelopathy

    Physical examination commonly elicits long tract signs such as spasticity, hyperreflexia, and abnormal reflexes such as Babinski or Hoffman's sign.[neurosurgery.ucla.edu] Clinical hyperreflexia was tested at the MCP joint, using a six-axis load cell.[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

    The latter can lead to neurogenic shock, paralytic ileus, aspiration, urinary retention, priapism and loss of thermoregulation.[patient.info] 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]

  • Subacute Transverse Myelitis

    HISTORY • Other findings may include 1. priapism 2. vision loss (neuromyelitis optica), 3. as well as spinal shock 4. subsequent autonomic dysreflexia 21.[slideshare.net] 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]

  • Cervical Spinal Cord Injury

    Consider supra pubic catheterization if priapism is present.[academic.oup.com] 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] Flaccid paralysis, including of the bowel and bladder, is observed, and sometimes sustained priapism develops.[emedicine.medscape.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

    The latter can lead to neurogenic shock, paralytic ileus, aspiration, urinary retention, priapism and loss of thermoregulation.[patient.info] Lhermitte's sign (intermittent shooting electrical sensation) and hyperreflexia may be present.[en.wikipedia.org] Pain may be caused by vertebral metastasis, root compression or compression of the long tracts of the spinal cord.[stelizabethhospice.org.uk]

  • Tricyclic Antidepressant Overdose

    […] rate of muscle contractions in the heart), mania or hypomania , glaucoma, urinary retention, low or high white blood cell count, fever, sudden high fever with jaundice, priapism[drugs.nmihi.com] Overdose presents with a sinus tachycardia, mydriasis, coma, hyperreflexia, convulsions, ECG changes, and hypotension.[academic.oup.com] Multi-dose AC, alkalinization of urine, K repletion, haemodialysis, hydration Serotonin Syndrome Meperidine; MAOI, SSRI, TCA Altered mental status, increased muscle tone, hyperreflexia[academic.oup.com]

  • Miller-Fisher Syndrome

    Sensory loss (most commonly proprioception) 55% Paresthesia 50% Cranial nerve palsies (most commonly VII) 50% Dysautonomia (diaphoresis, hypertension, hypotension, arrhythmia, priapism[cancertherapyadvisor.com] Hyperreflexia in axonal Guillain–Barré syndrome subsequent to Campylobacter jejuni enteritis . J. Neurol. Sci. 199 , 89–92 (2002). 49. Fokke, C. et al .[nature.com] Miller–Fisher syndrome also shares many features with Bickerstaff’s brainstem encephalitis, in which a reduced level of consciousness or long tract signs accompany ophthalmoplegia[healio.com]

  • Brown-Sequard Syndrome

    […] dan hipotermia tanpa takikardia kompensasi), gangguan nafas (pada lesi servikal atas), hilangnya tonus rektum dan buli-buli, retensio urin dan usus menyebabkan ileus, dan priapism[drianhuang.com] The examination of the right lower extremity showed hyperreflexia and 4/5 strength for all muscle groups.[westjem.com] A specific characteristic of this lesion to these three long tracts is that the patient presents with two ipsilateral signs and one contralateral sign.[wuhs.org]

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