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17 Possible Causes for Hypertonicity of the Lower Limbs, Tinnitus

  • Arachnoiditis

    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] She reported severe burning pain in the lumbar region accompanied by burning pain and loss of sensation in the lower limbs.[doi.org]

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

  • 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] […] into available space, and engulf critical neurovascular structures without causing mass effect. [2] Cerebellopontine angle epidermoids frequently present with hearing loss, tinnitus[neurologyindia.com] […] of which occurs more often when luminal narrowing is present. 16 With carotid artery dissections, one may expect local symptoms of Horner syndrome, neck pain, headache, tinnitus[ncbi.nlm.nih.gov]

  • Congenital Malformation of the Spine

    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] Approximately one half of patients with atlantooccipital fusion develop instability. 4 Affected patients may have headache, neck pain, limb numbness and pain, weakness, tinnitus[aafp.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]

  • 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] This continued to a mild extent and then worsened 10 days later, with a brief episode of right hemi-numbness, right ear tinnitus, poor balance, and incoordination of the right[jamanetwork.com] Tinnitus, a buzzing or ringing sound, may also be present; other symptoms are also possible.[aans.org]

  • Osteogenesis Imperfecta Type 13

    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] […] planus is also a common feature. 1 , 3 Otologic manifestations of OI occur in approximately 50% of patients and include hearing loss, the most common problem, as well as tinnitus[jamanetwork.com]

  • Autosomal Dominant Spastic Paraplegia Type 31

    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] limbs.[jnnp.bmj.com]

  • Lower Motor Neuron Syndrome with Late-Adult Onset

    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] 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]

  • Autosomal Recessive Spastic Paraplegia Type 64

    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] limbs.[jnnp.bmj.com]

  • Dyschromatosis symmetrica hereditaria

    A dystonic (hypertonic) posture was observed in both upper and lower limbs (right more than left) along with brisk deep tendon reflexes.[ijdvl.com] […] second stage, ophthalmic and auditory changes predominate, including photophobia, ocular pain, visual loss, anterior or posterior uveitis, and sometimes retinal detachment, tinnitus[what-when-how.com]

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