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56 Possible Causes for Hyperreflexia, Pupillary Abnormality, Thoracic Aortic Dissection

  • Cocaine Abuse

    The physical symptoms include an increase in the heart rate, hyperreflexia, mydriasis and initial nausea.[lecturio.com] The case in point pertains to a 26-year-old, Caucasian male, substance abuser who suffered a thoracic aortic dissection following the use of crack cocaine.[ncbi.nlm.nih.gov] Cardiovascular complications of cocaine abuse include myocardial ischemia and infarction, dysrhythmias, cardiomyopathies and aortic dissection.[ncbi.nlm.nih.gov]

  • Syphilis

    Tremors of the mouth, tongue, outstretched hands, and whole body may occur; other signs include pupillary abnormalities, dysarthria, hyperreflexia, and, in some patients,[msdmanuals.com] On examination there was a sluggish right pupillary response but no other abnormal findings. Serum and CSF syphilis serology were both strongly positive.[ncbi.nlm.nih.gov] Tremors of the mouth, tongue, outstretched hands, and whole body may occur; other signs include pupillary abnormalities, dysarthria, hyperreflexia, and, in some patients,[msdmanuals.com]

  • Stroke

    An examination showed decreased strength on the right side, with hyperreflexia and an up-going plantar response.[ncbi.nlm.nih.gov] The authors showed that in patients with MCI, pupillary abnormalities and severe brainstem compression may be present despite normal ICP values.[doi.org] Autosomal dominant inheritance of a predisposition to thoracic aortic aneurysms and dissections and intracranial saccular aneurysms.[emedicine.medscape.com]

  • Epidural Hematoma

    […] exhibited low-grade fever (oral 37.5 C) and severe cervical paraspinal muscle spasm accompanied by 4/5 quadriparesis (based on muscle strength grading 0–5), left upper limb hyperreflexia[surgicalneurologyint.com] Factors that may influence outcome are as follows: Patient age Time lapsed between injury and treatment Immediate coma or lucid interval Presence of pupillary abnormalities[ncbi.nlm.nih.gov] An initial diagnosis of aortic dissection with an ischaemic paraplegia was made.[jnnp.bmj.com]

  • Horner's Syndrome

    […] and numbness One sided neck and ear pain Hoarseness Hearing loss Bladder and bowel difficulty Overreaction of the involuntary (autonomic) nervous system to stimulation ( hyperreflexia[nlm.nih.gov] Pupillary abnormalities ; Atlas of Ophthalmology Crippa SV, Borruat FX, Kawasaki A ; Pupillary dilation lag is intermittently present in patients with a stable oculosympathetic[patient.info] In parturients, it warrants further investigation as other serious causes must be excluded, such as pancoast tumours, thoracic aortic aneurysms, carotid dissection, neuroblastoma[ncbi.nlm.nih.gov]

  • Vertebrobasilar Insufficiency

    Also common are pupillary and oculomotor abnormalities.[patient.info] Power 39 Endovascular Management of Thoracic Aortic Aneurysms and Dissections, 504 Donald T. Baril and Michel S.[euro-libris.ro] Common findings: Abnormal level of consciousness. Hemiparesis or quadriparesis (usually asymmetrical).[patient.info]

  • Micturition Syncope

    Botulinum-A toxin for treating detrusor hyperreflexia in spinal cord injured patients: a new alternative to anticholinergic drugs? Preliminary results .[nature.com] […] reflex 2016 2017 2018 2019 Billable/Specific Code Type 2 Excludes abnormal pupillary reflex ( H57.0 ) hyperactive gag reflex ( J39.2 ) vasovagal reaction or syncope ( R55[icd10data.com] Management of acute aortic dissections. Ann Thorac Surg. 1970 ; 10 :237-247.[circ.ahajournals.org]

  • Isolated Ectopia Lentis

    […] minutes and may follow each other at very short intervals; mild form not incapacitating; severe form incapacitating; pains in back of neck; nodding of head during attack; hyperreflexia[uchebana5.ru] Our study presented detailed clinical manifestations, including some novel ophthalmic findings, such as pupillary abnormality, different types of glaucoma, and progressive[ncbi.nlm.nih.gov] Thoracic aortic aneurysms and dissections are clinically characterized by dilatation or dissection of the aortic root and ascending or descending thoracic aorta in the absence[invitae.com]

  • Guillain-Barré Syndrome

    In the cases with Bickerstaff brainstem encephalitis, there was associated altered consciousness and in some, hyperreflexia, in support of a central pathology whereas in Fisher[ncbi.nlm.nih.gov] […] sweating, pupillary abnormalities Common and under-recognized in children![pedemmorsels.com] aortic aneurysm and dissection familial thoracic aortic aneurysm , see Familial thoracic aortic aneurysm and dissection Familial thoracic aortic aneurysm and dissection Familial[herenciageneticayenfermedad.blogspot.com]

  • Meningovascular Syphilis

    […] compression 1,2,4 may be associated with myelitis (acute syphilitic meningomyelitis) resulting in upper motor neuron lesion signs on examination such as spastic paresis and hyperreflexia[radiopaedia.org] […] after infection Ischemia along MCA territory Meningeal inflammation 10 years after infection Impairment of higher cortical functions Dementia Frontotemporal encephalitis pupillary[quizlet.com] The most feared complication of cardiovascular syphilis is aortic dissection or ruptured thoracic aneurysm. (5) Tertiary Syphilis – Neurologic Manifestations In the tertiary[emdocs.net]

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