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29 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.[] , lack of coordination and muscle coordination (ataxia), impaired fine finger movement, positive Babinski’s and Romberg’s signs, light-headedness, altered vision (diplopia[] vibratory sensation destruction of posterior cord spastic paresis destruction of lateral corticospinal tract dementia glossitis Evaluation Serology serum methylmalonic acid[]

  • Tabes Dorsalis

    ., sudden, brief, and severe stab-like pain Physical exam Argyll-Robertson pupil absent lower extremity reflexes impaired vibratory and propioception sense positive Romberg[] sign Please rate topic.[]

  • Subacute Combined Degeneration of Spinal Cord

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

  • 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[] […] muscle force of grade IV, gear wheel-like increase of limb muscle tension, radial periosteal hyperreflexia, patellar tendon hyperreflexia, with physical reflex, bilateral positive[]

  • 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[] Romberg sign 10% Dyschromatopsia 10% Seizures 10% Scapular winging 10% Generalized hypotonia 10% Failure to thrive 10% Delayed speech and language development 10% Mitochondrial[] […] bodies 10% Emotional lability 10% Decreased fetal movement 10% Mildly elevated creatine phosphokinase 10% Muscle fiber necrosis 10% Impaired distal vibration sensation 10% Positive[]

  • 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.[] Many patients with large-fiber damage in the feet complain about balance trouble (and have Romberg sign).[] When large-diameter nerve fibers are affected, vibration and joint position sense are impaired.[]

  • 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[] She had mute Babinski signs, negative Romberg and Lhermitte signs (an electrical shock-like sensation with neck flexion), and normal vibratory and position senses.[] 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[]

  • Malabsorption of Vitamin B12

    In early stages, decreased position and vibratory sensation in the extremities is accompanied by mild to moderate weakness and hyporeflexia.[] Babinski's sign Hepatomegaly Positive Romberg's sign Increased skin pigmentation Decreased vibration sense Loss of dexterity Impaired memory Personality changes Diagnostic[] A Romberg sign is commonly found. The gait may be wide based. On presentation, 50% of patients have absent ankle reflexes with relative hyperreflexia at the knees.[]

  • 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.[] Coordination: Patients may have sensory ataxia with positive Romberg sign due to damage to the large nerve fibers that convey proprioception.[] Sensory system Large-diameter, heavily myelinated fibers are affected most severely, leading to proprioceptive and vibratory deficits.[]

  • Spastic Paraplegia - Optic Atrophy - Neuropathy Syndrome

    This is often accompanied by brisk reflexes, extensor plantar responses, decreased vibratory sensation in the toes, and pes cavus.[] […] sense with positive Romberg sign as common early manifestations.[] Decreased vibratory sensation may be present in the toes, but severe dorsal column impairment is not typical of uncomplicated HSP.[]

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