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10 Possible Causes for Hypertonicity of the Lower Limbs, Sensation Normal, Tinnitus

  • 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] Patients may also experience proprioception alterations (including loss of balance, tinnitus and reduced hearing and vision), motor weakness, muscle cramps, fasciculation,[orpha.net]

  • 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] In Ménière disease an accumulation of fluid in the inner ear produces increasing deafness, tinnitus, and vertigo.[britannica.com]

  • 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] […] into available space, and engulf critical neurovascular structures without causing mass effect. [2] Cerebellopontine angle epidermoids frequently present with hearing loss, tinnitus[neurologyindia.com]

  • 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] […] commonly found. 33, 37 Autopsy findings consistently show that the brainstem is indented by the abnormal odontoid. 37, 38 Other, less common complaints include diplegia, tinnitus[clinicalgate.com]

  • 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] In Ménière disease an accumulation of fluid in the inner ear produces increasing deafness, tinnitus, and vertigo.[britannica.com]

  • Autosomal Dominant Spastic Paraplegia Type 31

    Peripheral nerves are normal in patients with pure HSP. 38. Vibratory sensation is often mildly diminished in the distal lower extremities. 39.[slideshare.net] The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] […] deterioration Scotoma Distal muscle weakness Limb muscle weakness Distal sensory impairment Polyneuropathy Lumbar hyperlordosis Progressive visual loss Sensorimotor neuropathy Tinnitus[mendelian.co]

  • Autosomal Recessive Spastic Paraplegia Type 64

    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] These tumors arise from glomus bod- ies (neural crest derivatives) and often present with pul- satile tinnitus.[archive.org]

  • Cataract - Ataxia - Short Stature - Mental Retardation (CASM)

    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] […] of the lower limbs NEUROLOGIC: [Central nervous system]; Delayed psychomotor development; Mental retardation, mild to severe; Spasticity, more apparent in the lower limbs[findzebra.com] Though vertigo, tinnitus and hearing disorder were not observed, he was referred to the outpatient clinic of the ENT department for neuro-otological tests.[docslide.com.br]

  • Autosomal Recessive Spastic Paraplegia Type 50

    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] […] bladder) and extensor plantar responses with weakness of a pyramidal distribution in the lower limbs.[ruralneuropractice.com] In Ménière disease an accumulation of fluid in the inner ear produces increasing deafness, tinnitus, and vertigo.[britannica.com]

  • Primary Basilar Impression

    They include: Periods of confusion or conscious awareness that doesn't seem normal Difficulty swallowing or saying words due to loss of muscle control after damage to the[cedars-sinai.edu] 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] […] commonly found. 33, 37 Autopsy findings consistently show that the brainstem is indented by the abnormal odontoid. 37, 38 Other, less common complaints include diplegia, tinnitus[clinicalgate.com]

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