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43 Possible Causes for Hypertonicity of the Lower Limbs, Pyramidal Tract Signs, Sensation Normal

  • Autosomal Recessive Lower Motor Neuron Disease with Childhood Onset

    Autosomal dominant juvenile amyotrophic lateral sclerosis and distal hereditary motor neuronopathy with pyramidal tract signs: synonyms for the same disorder?[ncbi.nlm.nih.gov] DSMA4 is characterized by childhood onset, generalized muscle weakness and atrophy with denervation and normal sensation. Bulbar symptoms and pyramidal signs are absent.[uniprot.org] limbs, hypertonic urinary bladder, and impaired vibration sense.[clinicalgate.com]

  • Hemiparesis

    Also, myoclonus or tremor is seen in up to 38% patients, hyperreflexia and other pyramidal tract signs in 85% patients and psychosis, visual hallucinations and paranoid delusions[ijcasereportsandimages.com] sensation, but that they moved in parallel when the joint position sense was impaired.[jstage.jst.go.jp] 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]

  • Paraparesis

    Sensory examination showed loss of vibration in lower limbs with normal sensation to pinprick, fine touch and propioception.[n.neurology.org] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] On the other hand, her upper limbs had normal tone, intact sensation, and a power rating of 5/5. Reflexes were normal in upper and lower limbs.[dovepress.com]

  • Spastic Paraplegia

    […] than the pyramidal tract signs.[nature.com] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com]

  • Cerebral Palsy

    […] earlier than 18 months of age) For the mother Any adverse effects severe enough to stop treatment Postpartum haemorrhage (however reported by the trialists) Mode of birth (normal[doi.org] All had spasticity affecting predominantly the lower limbs, although 2 also had mild hypertonia and ataxia of the upper limbs.[ncbi.nlm.nih.gov] Chorioamnionitis Intrapartum fever treated with antibiotics Women’s satisfaction with the therapy Side effects of therapy including: nausea, vomiting, burning or flushing sensations[doi.org]

  • Hereditary Spastic Paraplegia

    We present three patients with complicated HSP from two unrelated families, who had early onset progressive cerebellar signs and developed pyramidal tract signs during follow-up[ncbi.nlm.nih.gov] […] and weakness - limited mainly to the lower extremities.[whonamedit.com] Sensation was normal. Ophthalmological examination was normal.[scielo.br]

  • X-linked Parkinsonism-Spasticity Syndrome

    The main feature of the disease is progressive spasticity in the lower limbs due to pyramidal tract dysfunction.[en.wikipedia.org] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com]

  • Autosomal Dominant Spastic Paraplegia Type 17

    SPG17 is characterized by prominent amyotrophy of the hand muscles, the presence of mild to severe pyramidal tract signs, and spastic paraplegia.[abcam.com] There was no voluntary movement of either leg, spontaneous clonus was present, planter responses were extensor bilaterally, and sensation was normal.[jnnp.bmj.com] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com]

  • Congenital Anomaly of the Spine

    Pyramidal tract signs appeared later, and posterior column signs and sphincter disturbances were less frequently encountered. 39 Similarly, in achondroplasia, retardation[clinicalgate.com] He had full range of motion of his cervical spine with no pain, normal upper and lower extremity strength and sensation, and normal reflexes throughout.[aafp.org] Severe motor impairment was present in nine patients, five of whom were paraparetic and four paraplegic; one newborn (case 7) presented with moderately hypertonic lower limbs[ajnr.org]

  • Autosomal Recessive Spastic Paraplegia Type 55

    […] than the pyramidal tract signs.[nature.com] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com]