Create issue ticket

10 Possible Causes for Increased Ankle Reflex, Prominent Sulci

  • Cerebral Cortical Atrophy

    Imaging wise feature of cerebral cortical atrophy Generalized prominence of hemisphere cortical sulci on CT or MRI in mild cases.[neuroradiologycases.com] Characteristic features include prominent cerebral sulci (i.e. cortical atrophy) and v entriculomegaly (i.e. central atrophy) without bulging of the third ventricular recesses[radiopaedia.org] Characteristic features include prominent cerebral sulci (i.e. cortical atrophy) and ventriculomegaly (i.e. central atrophy) without bulging of the third ventricular recesses[homeoguru.com]

  • Meningoencephalitis

    There was marked increase in tone with cogwheel rigidity in upper extremities and hyperactive deep tendon reflexes; bilateral ankle clonus was noted but with equivocal Babinski[jamanetwork.com] MRI of the brain showed some effacement of cortical sulci, rendering the vessels prominent, with increased T2-weighted signal diffusely scattered throughout both hemispheres[academic.oup.com]

  • Amyotrophic Lateral Sclerosis

    At clinical examination, ankle reflex was absent but the other deep tendon reflexes were brisk. She had amyotrophy and fasciculations in the 4 limbs.[dx.doi.org] […] periventricular topographic distribution, whereas McKee et al 8 noted that the initial pathological changes were perivascular and at the base of the sulci and in the later[doi.org] In early 2001, he had a slight motor weakness graded 4 in the lower limbs, which is slightly increasing. His wife had died of ALS in 1985 at age 61 years.[dx.doi.org]

  • Glioblastoma Multiforme

    […] lower extremity reflexes compared with upper extremity reflexes o Decreased coordination, gait changes, ataxia o Positive Babinski reflex o Clonus (ankle or wrist) o Vertigo[physio-pedia.com] (a) On an axial nonenhanced CT scan, the sulci in the right hemisphere are normally prominent; on the left, the parietal sulci are effaced within a wedge-shaped region of[doi.org] […] memory or speech) o Personality change, irritability o Unusual drowsiness, increased sleeping o Sensory changes o Muscle weakness or hemiparesis o Bladder dysfunction o Increased[physio-pedia.com]

  • Obstructive Hydrocephalus

    reflexes were also increased bilaterally.[asianjns.org] Pre-contrast axial CT Sulci and gyri are very prominent due to cortical atrophy, unlike in obstructive hydrocephalus where there is effacement of sulci and gyri.[stritch.luc.edu] […] examination revealed weakness (grade 3/5) in the bilateral intrinsic muscles and hyperreflexia in the bilateral upper extremities with a positive Hoffmann sign; the knee and ankle[asianjns.org]

  • Autosomal Recessive Isolated Optic Atrophy

    […] jerks after 25 years of age Early non-progressive signs Increased deep tendon reflexes Bilateral abnormal plantar response Marked saccadic alteration of ocular pursuit At[acnr.co.uk] Also note on coronal T2W (B) image the prominence of cerebellar fissures (arrowhead) and cortical sulci suggestive of atrophy Click here to view The diagnosis is often delayed[ijri.org] […] are frequently increased, but by adulthood, may diminish or become absent due to progressive neuropathy.[acnr.co.uk]

  • Citrullinemia Type 2

    Increased intracranial pressure can result in increased muscle tone, spasticity, abnormal reflex movements of the foot (ankle clonus), and seizures.[rarediseases.org] B, Contrast-enhanced axial CT scan shows prominent cingulate gyri atrophy and ulegyric changes in the frontal lobes.[ajnr.org] A, Contrast-enhanced axial CT scan shows bilateral and symmetric hypoattenuating areas located in the depth of the sulci in both frontal lobes ( arrows ), with sparing of[ajnr.org]

  • AIDS Dementia Complex

    […] jerks to indicate the relative contribution of myelopathy (increased ankle jerks) or neuropathy (decreased ankle jerks) in the presence of increased patellar stretch reflexes[hivinsite.ucsf.edu] Atrophy was defined as inappropriately prominent ventricles and cortical sulci for the patients' age. Atrophy was also graded as mild, moderate, or severe.[ajnr.org] Because myelopathy is frequently combined with neuropathy, the cause of sensory loss in individual patients may not always be clear, and one often relies on the ankle tendon[hivinsite.ucsf.edu]

  • Citrullinemia

    Increased intracranial pressure can result in increased muscle tone, spasticity, abnormal reflex movements of the foot (ankle clonus), and seizures.[rarediseases.org] B, Contrast-enhanced axial CT scan shows prominent cingulate gyri atrophy and ulegyric changes in the frontal lobes.[ajnr.org] A, Contrast-enhanced axial CT scan shows bilateral and symmetric hypoattenuating areas located in the depth of the sulci in both frontal lobes ( arrows ), with sparing of[ajnr.org]

  • Meningovascular Syphilis

    The neurological examination showed drowsiness, severe dysarthria, dysphagia, uniform quadriparesis over all four limbs with muscle power scored three, increased tendon reflexes[file.scirp.org] Holland et al reported the CT scan findings in 3 patients with meningovascular syphilis. [2] Less prominence of the cortical sulci in our first case suggested cortical atrophy[ijdvl.com] […] of all limbs (in knee, ankle, elbow and wrist), bilateral partial horizontal gaze palsy, presence of positive bilateral Babinski’ s sign.[file.scirp.org]

Further symptoms