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35 Possible Causes for Hypertonicity of the Lower Limbs, Hypotension

  • Neonatal Sepsis

    Hypertonia was the most frequent dysfunction (17 evaluated as hypertonic and seven as hypotonic), mainly affecting the upper and/or lower limbs, or one hemisphere.[scielo.br] (vomiting, abdominal distension, blood in stool, increase in quantity of residual mass in stomach); Neurological symptoms; Cardiorespiratory dysfunction (100 180, 30 60, hypotension[intechopen.com] Splenomegaly Neurologic Activity decreased or lethargy Irritability Tremor , jitteriness or Seizure Hyporeflexia or hypotonia High pitched cry Swelling of Fontanel Cardiovascular Hypotension[fpnotebook.com]

  • X-linked Parkinsonism-Spasticity Syndrome

    The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] Orthostatic hypotension  2.[slideshare.net] A 2-mg test dose is given first to check for orthostatic hypotension.[merckmanuals.com]

  • Paraparesis

    The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] An alternative mechanism is hypoperfusion of the spinal cord because of the documented hypotension.[stroke.ahajournals.org] Adrenocorticotropic hormone (ACTH) deficiency manifests as weakness, abdominal pain, weight loss, hypoglycemia, nausea, vomiting, anorexia, and postural hypotension.[medicaljoyworks.com]

  • Autosomal Recessive Lower Motor Neuron Disease with Childhood Onset

    limbs, hypertonic urinary bladder, and impaired vibration sense.[clinicalgate.com] […] distally in a symmetrical pattern -Initial symptoms include tingling, numbness or pain, especially in feet -"Stocking glove" sensory distribution impairments, orthostatic hypotension[quizlet.com] Selected Upper Motor Neuron Disorders Hereditary Spastic Paraplegia Like PLS, HSP is a disorder of UMNs and presents most commonly with progressive spasticity, weakness of the lower[clinicalgate.com]

  • Hereditary Hyperekplexia

    The hypertonia, which is predominantly in the trunk and lower limbs, often diminishes during the first year of life, but the pathological startle response, which can provoke[doi.org] […] albinism PS203100 Oocyte maturation defect PS615774 Opitz GBBB syndrome PS300000 Optic atrophy PS165500 Orofacial cleft PS119530 Orofaciodigital syndrome PS311200 Orthostatic hypotension[omim.org] […] sudden infant death syndrome Sudden Unexpected Nocturnal Death Syndrome Summitt Syndrome SUNCT Syndrome superior mesenteric artery syndrome Superior Vena Cava Syndrome supine hypotensive[rgd.mcw.edu]

  • Hemiparesis

    Mass grasp / - Pronation/supination / - Rebound test of holmes / - Tapping (hand) / - Drawing a circle (hand and foot) / - Fixation/position holding (upper and lower limb[slideshare.net] […] higher doses, clinicians should monitor for common and early side effects, such as nausea, dizziness, and headaches, and monitor for serious adverse effects like orthostatic hypotension[cureus.com] […] therapist finger / - Finger to finger / - Unable to test affected hand due to hypertoneAlternate nose to finger / - Finger opposition / - Unable to test affected hand due to hypertone[slideshare.net]

  • Cardiac Myxoma

    Motor system examination of left upper and lower limb were found to be hypertonic and power was 0/5 in both left upper and lower limb, whereas the opposite limbs were normal[casereports.in] Thus during anaesthetic induction, hypotension is common.[ispub.com] The physical examination revealed sinus tachycardia, sweating, altered mental state, and hypotension.[revespcardiol.org]

  • Cerebral Palsy

    All had spasticity affecting predominantly the lower limbs, although 2 also had mild hypertonia and ataxia of the upper limbs.[ncbi.nlm.nih.gov] […] such as intraventricular haemorrhage, periventricular leukomalacia and hydrocephalus), strokes or seizures, cardiovascular disorders (such as patent ductus arteriosus and hypotension[doi.org] There were 1221 infants, of whom 742 developed hypotension.[doi.org]

  • Spastic Paraplegia

    The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] He experienced pollakiuria but neither constipation nor orthostatic hypotension.[nature.com] limbs.[jnnp.bmj.com]

  • Osteogenesis Imperfecta Type 3

    Apart from mild hyperreflexia, the upper limbs were normal. However, the lower limbs were markedly hypertonic with brisk reflexes and sustained ankle clonus.[jnnp.bmj.com] Transient arterial hypotension induced by polymethylmethacrylate injection during percutaneous vertebroplasty.[healio.com] 31 reported significant complications associated with this procedure, including pulmonary embolism resulting from cement in the pulmonary arteries and transient arterial hypotension[healio.com]

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