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30 Possible Causes for Positive Romberg Sign, Vibratory Sensation Decreased

  • Pernicious Anemia

    Physical examination is significant for decreased position and vibratory sensation in the lower extremities and decreased knee jerks bilaterally.[step2.medbullets.com] , lack of coordination and muscle coordination (ataxia), impaired fine finger movement, positive Babinski’s and Romberg’s signs, light-headedness, altered vision (diplopia[innvista.com] […] neurologic effects may include neuritis, weakness in the extremities, peripheral numbness and paresthesias (an abnormal sensation like tingling or burning), disturbed sense of position[innvista.com]

  • Tabes Dorsalis

    Romberg's sign. 05:36 And as you know, a positive Romberg is a measure of how the posterior columns are working. 05:45 So you have the patient stand with feet together, hands[lecturio.com] The Romberg sign was positive and the gait was ataxic and high stepping.[ijstd.org] Romberg's test was positive. Gait was ataxic and of the stamping type. There were no cerebellar signs.[ncbi.nlm.nih.gov]

  • Subacute Combined Degeneration of Spinal Cord

    Posterior column dysfunction decreases vibratory sensation and proprioception (joint sense).[en.wikipedia.org] ; and a positive Romberg test.[em-consulte.com] Older age, sensory deficits, anemia, positive Romberg and Babinski signs are negatively correlated with complete resolution.[em-consulte.com]

  • Machado-Joseph Disease

    Babinski sign; inaccurate nose touch, inaccurate heel-knee-tibia test, sensory disturbance of limb extremities; positive Romberg's sign; tuning fork hypopallesthesia of both[nrronline.org] […] muscle force of grade IV, gear wheel-like increase of limb muscle tension, radial periosteal hyperreflexia, patellar tendon hyperreflexia, with physical reflex, bilateral positive[nrronline.org]

  • Autosomal Recessive Progressive External Ophthalmoplegia

    In addition, 29% to 57% of patients experience stocking-glove loss of pain or vibratory sensation and decreased muscle stretch reflexes suggestive of an underlying peripheral[forum.chronicfatiguesyndrome.me.uk]

  • Sensory Ataxic Neuropathy - Dysarthria - Ophthalmoparesis Syndrome

    Truncal ataxia Impaired vibratory sensation Broad-based gait Brisk reflexes Ankle clonus Head tremor Abnormal pyramidal sign Jerky ocular pursuit movements Coma Hepatomegaly[mendelian.co] Romberg sign * Depression * Dysphagia * Nystagmus * Reduced position sense * Mild cognitive impairment * Reduced vibration sense * Balance problems * Frequent falls * Muscle[checkorphan.org] Romberg's sign .[en.wikipedia.org]

  • X-Linked Scapuloperoneal Myopathy

    sensation Decreased motor nerve conduction velocity Ragged-red muscle fibers Peroneal muscle weakness Progressive proximal muscle weakness Nemaline bodies Neck muscle weakness[mendelian.co] […] sense with positive Romberg sign as common early manifestations.[neuroweb.us] Many patients with large-fiber damage in the feet complain about balance trouble (and have Romberg sign).[dartmouth.edu]

  • Peripheral Sensory Neuropathy

    Clinically, there was progressive decrease or loss of tendon reflexes, decreased vibratory sense, and mild decrease in light touch and pin sensation.[ncbi.nlm.nih.gov] Many patients with large-fiber damage in the feet complain about balance trouble (and have Romberg sign).[dartmouth.edu] When large-diameter nerve fibers are affected, vibration and joint position sense are impaired.[dartmouth.edu]

  • Chronic Inflammatory Demyelinating Polyneuropathy

    Loss or decrease of pain (ie, pinprick) and temperature sensations is less common. Stocking-glove distribution of sensory deficits is typical.[emedicine.medscape.com] Coordination: Patients may have sensory ataxia with positive Romberg sign due to damage to the large nerve fibers that convey proprioception.[emedicine.medscape.com] Sensory system Large-diameter, heavily myelinated fibers are affected most severely, leading to proprioceptive and vibratory deficits.[emedicine.medscape.com]

  • Cervical Myelopathy

    […] back following flexion of the neck (Lhermitte’s sign) may indicate spinal cord compression Weakness or sensory changes may be found, but are often nonspecific Decreased vibratory[tristate-ortho.com] She had mute Babinski signs, negative Romberg and Lhermitte signs (an electrical shock-like sensation with neck flexion), and normal vibratory and position senses.[consultant360.com] sensation may indicate posterior-columns dysfunction Atrophy of the hand or shoulder musculature may be seen Hyperreflexia in both the upper and lower extremities is often[tristate-ortho.com]

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