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2,386 Possible Causes for Hypertonicity of the Lower Limbs, Sensation Normal, Some Response to L-Dopa Therapy

  • X-linked Parkinsonism-Spasticity Syndrome

    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] Sensation and strength are usually normal. Reflexes are normal but may be difficult to elicit because of marked tremor or rigidity.[merckmanuals.com]

  • 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]

    Missing: Some Response to L-Dopa Therapy
  • Paraparesis

    The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] Sensory examination showed loss of vibration in lower limbs with normal sensation to pinprick, fine touch and propioception.[n.neurology.org] 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]

    Missing: Some Response to L-Dopa Therapy
  • Arachnoiditis

    Methods Examination revealed generalized weakness and hypertonicity of both lower limbs with loss of all sensory modalities below D7.[doi.org] : Mental status; Hearing; Sensation; Bladder, Bowel & Sexual functions Laboratory Somatosensory evoked potentials: Prolonged cortical responses & central sensory delay Return[neuromuscular.wustl.edu] She reported severe burning pain in the lumbar region accompanied by burning pain and loss of sensation in the lower limbs.[doi.org]

    Missing: Some Response to L-Dopa Therapy
  • 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]

    Missing: Some Response to L-Dopa Therapy
  • Common Cold

    […] of chills (which means feeling cold when the core temperature is either normal or even raised), and sniffles (excessive nasal discharge above the normal physiologic level[ncbi.nlm.nih.gov] […] common in the winter months. 2, 5 Definitions of the common cold are rather vague, but colds have the following features: feeling generally mildly unwell (“indisposed”), a sensation[ncbi.nlm.nih.gov]

    Missing: Hypertonicity of the Lower Limbs Some Response to L-Dopa Therapy
  • 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] […] 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] Spastic features included hypertonicity, hyperreflexia, and extensor plantar responses. Two older sibs had contractures.[ncbi.nlm.nih.gov]

    Missing: Some Response to L-Dopa Therapy
  • Spastic Paraplegia

    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] Peripheral nerves are normal in patients with pure HSP. 38. Vibratory sensation is often mildly diminished in the distal lower extremities. 39.[slideshare.net]

    Missing: Some Response to L-Dopa Therapy
  • Lower Motor Neuron Syndrome with Late-Adult Onset

    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] limbs, hypertonic urinary bladder, and impaired vibration sense.[clinicalgate.com] […] and cognition – normalSensation and cognition – normal -Lower motor neuron diseaseLower motor neuron disease - Wasting- Wasting - Fasciculation- Fasciculation - - Flaccid[slideshare.net]

    Missing: Some Response to L-Dopa Therapy
  • 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]

    Missing: Some Response to L-Dopa Therapy