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45 Possible Causes for Hypertonicity of the Lower Limbs, Sensation Normal

  • Autosomal Recessive Lower Motor Neuron Disease with Childhood Onset

    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] Clinically, AMAN is part of the GBS spectrum but distinguished by normal sensation and nerve conduction studies characterised by low distal motor evoked amplitudes, normal[jnnp.bmj.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] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org] Sensation and strength are usually normal. Reflexes are normal but may be difficult to elicit because of marked tremor or rigidity.[merckmanuals.com]

  • 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]

  • Arachnoiditis

    : Mental status; Hearing; Sensation; Bladder, Bowel & Sexual functions Laboratory Somatosensory evoked potentials: Prolonged cortical responses & central sensory delay Return[neuromuscular.wustl.edu] Methods Examination revealed generalized weakness and hypertonicity of both lower limbs with loss of all sensory modalities below D7.[doi.org] Occasional patients with 2nd exacerbation Contractures Other transient features: May persist in severe cases Eye: Blurred vision; Nystagmus Speech difficulties: Spasticity Normal[neuromuscular.wustl.edu]

  • Hemiparesis

    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] Motor function on the right side was normal. Sensation was intact on both sides.[doi.org]

  • 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]

  • Spastic Paraplegia

    The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org] Peripheral nerves are normal in patients with pure HSP. 38. Vibratory sensation is often mildly diminished in the distal lower extremities. 39.[slideshare.net]

  • Lower Motor Neuron Syndrome with Late-Adult Onset

    limbs, hypertonic urinary bladder, and impaired vibration sense.[clinicalgate.com] sensation -normal nerve conduction velocities -denervation on EMG -dec. # of motor units -muscle biopsy shows atrophic fibers & fiber grouping -seen in MRI -present: lower[brainscape.com] […] and cognition – normalSensation and cognition – normal -Lower motor neuron diseaseLower motor neuron disease - Wasting- Wasting - Fasciculation- Fasciculation - - Flaccid[slideshare.net]

  • Congenital Anomaly of the Spine

    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] His vital signs were normal.[aafp.org]

  • Autosomal Recessive Spastic Paraplegia Type 56

    Weakness: Some patients Distal Hands & Feet Fasciculations Sensation: Normal or Reduced (Panmodal; Posterior column) Bladder: Often normal Progression Over few years or Slow[neuromuscular.wustl.edu] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] There was a mild impairment of vibration sense, but proprioception and superficial sensation were normal.[journals.plos.org]

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