
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Hyperactive reflexes
Introduction
Overview
Overview
Hyperreflexia suggests an upper motor neuron dysfunction. Hyperreflexia usually has a positive Babinkski’s sign and spasticity. Usually develops over a period of days to weeks (as opposed to immediate presentation).
Causes
Causes
Causes
Causes
Common Causes
- Alcohol withdrawal
- Amyotrophic Lateral Sclerosis (ALS)
- Anxiety
- Apoplexy
- Athetosis
- Autonomic dystonia
- Brainstem lesions
- Cerebral lesions
- Cervical or thoracic myelopathy
- Compressive myelopathy
- Drugs, toxins: Artemether and lumefantrin
- Electrolyte disorders
- Epidural abscess
- Familial spastic paraparesis
- General paralysis
- Hepatic coma
- Homocystinuria
- Human T-lymphotropic virus type I (HTLV-I) associated myelopathy
- Hydrocephalus
- Hyperbaric liquor pressure
- Hyperthyroidism
- Hypocalcemia
- Infantile diplegia
- Intracranial bleeding
- Lithium overdose
- Maple syrup urine disease
- Meningitis
- Monoamine oxide inhibitor overdose
- Multiple Sclerosis
- Parkinsonism
- Perphenazine
- Phenylketonuria
- Poliomyelitis
- Primary lateral sclerosis
- Progressive alcoholic dementia
- Rabies
- Serotonin syndrome
- Spastic spinal paralysis
- Spinal cord infarction
- Spinocerebellar ataxia
- Syringobulbia
- Tetanus
- Thyrotoxicosis
Causes by Organ System
Causes in Alphabetical Order
- Acute pesticide poisoning
- Alcohol withdrawal
- Amitriptyline toxicity
- Ammonium bifluoride
- Amoxapine toxicity
- Amyotrophic lateral sclerosis
- Angelman syndrome
- Anxiety
- Apoplexy
- Arizona bark scorpion poisoning
- Artemether
- Arthrogryposis
- Ataxia
- Ataxia spastic congenital miosis
- Athetosis
- Autonomic dysreflexia
- Autonomic dystonia
- Autosomal recessive spastic paraplegia
- Bahemuka brown syndrome
- Baraitser brett piesowicz syndrome
- Bickerstaff’s brainstem encephalitis
- Black widow spider envenomation
- Brain tumour
- Brainstem lesions
- Cerebellar ataxia
- Cerebral autosomal recessive arteriopathy
- Cerebral lesions
- Cerebral palsy
- Cerebro oculo skeleto renal syndrome
- Cervical or thoracic myelopathy
- Charcot-marie-tooth disease
- Choreoathetosis
- Choroido cerebral calcification syndrome
- Chromosome 1, 1p36 deletion syndrome –
- Chromosome 9q duplication
- Clomipramine toxicity
- Coenzyme q 10 (coq10),
- Compressive myelopathy
- Congenital ichthyosis
- De barsy syndrome
- Dermatoleukodystrophy
- Desipramine toxicity
- Dexedrine overdose
- Dihydropyrimidine dehydrogenase deficiency
- Diomedi-bernardi-placidi syndrome
- Doxepin toxicity
- Dysequilibrium syndrome
- Dysmorphism
- Dystonia with cerebellar atrophy
- Electrolyte disorders
- Electrolyte imbalance
- Encephalopathy progressive
- Epidural abscess
- Epileptic encephalopathy
- Familial spastic paraparesis
- Fanconi syndrome
- Fara-chlupackova syndrome
- Fitzsimmons-mclachlan-gilbert syndrome
- Fitzsimmons-walson-mellor syndrome –
- Fluoride
- Friedreich’s ataxia
- Fryns macrocephaly
- Gamma-aminobutyrate transaminase deficiency
- Gangliosidosis generalized gm1
- Gaucher’s disease
- General paralysis
- Glut-1 deficiency syndrome
- Gm1 gangliosidosis
- Guillain-barré syndrome
- Haas-robinson syndrome
- Hartnup’s disease
- Head trauma
- Hepatic coma
- Holoprosencephaly deletion
- Homocystinuria
- Human t-lymphotropic virus type i (htlv-i) associated myelopathy
- Hydrocephalus
- Hyperbaric liquor pressure
- Hyperexplexia
- Hypernatraemia
- Hyperthyroidism
- Hypocalcemia
- Hypomyelination and congenital cataract
- Imipramine toxicity
- Infantile diplegia
- Intracranial bleeding
- Lesch-nyhan syndrome
- Leukoencephalopathy
- Lithium overdose
- Lumefantrin
- Lysergic acid diethylamide
- Macrogyria
- Malaria
- Meningitis
- Mental retardation
- Mescal poisoning
- Metaldehyde
- Methylmalonic aciduria
- Microcephaly
- Migraine
- Mitochondrial protein-associated neurodegeneration
- Mohr-tranebjaerg syndrome
- Molybdenum
- Monoamine oxide inhibitor overdose
- Monosomy 1p36
- Multiple sclerosis
- Neuraminidase deficiency
- Neuronal intranuclear inclusion disease
- Neuropathy sensory spastic paraplegia
- Nortriptyline toxicity
- Oculorenocerebellar syndrome
- Olivopontocerebellar atrophy
- Ovarioleukodystrophy
- Paine syndrome
- Pallidopyramidal syndrome
- Parkinson’s disease
- Perphenazine
- Phenothiazine antenatal infection
- Phenylketonuria
- Pilo dento ungular dysplasia
- Poliomyelitis
- Polymicrogyria
- Polyneuropathy
- Portal hypertension
- Preeclampsia
- Primary lateral sclerosis
- Progressive alcoholic dementia
- Protriptyline toxicity
- Rabies
- Renal syndrome
- Reye’s syndrome
- Richards-rundle syndrome
- Ritalin overdose
- Roy-maroteaux-kremp syndrome
- Rubinstein-taybi syndrome
- Seemanova-lesny syndrome
- Segawa syndrome
- Serotonin syndrome
- Serotoninergic syndrome
- Severe brain trauma
- Sialidosis
- Smith-fineman-myers syndrome
- Soto’s syndrome
- Spastic paraparesis
- Spastic spinal paralysis
- Spinal cord injury
- Spinal shock
- Spinocerebellar ataxia
- Stroke
- Sturge-weber syndrome
- Subarachnoid hemorrhage
- Syringobulbia
- Tetanus
- Thyrotoxicosis
- Tome-brune-fardeau syndrome
- Trimipramine toxicity
- Wells jankovic syndrome
- Western equine encephalitis
- Wolman syndrome
- Woods black norbury syndrome
- Young mckeever squier syndrome
- Ziehen-oppenheim syndrome
Laboratory Findings
Laboratory Findings
- Calcium
- Lithium
- Drug screen
- Magnesium
- DNA testing
- Serologies for:
- HTLV-I
- HIV
- Rapid plasma reagin (RPR)
Electrolyte and Biomarker Studies
MRI and CT
Other Diagnostic Studies
- Cerebrospinal fluid analysis (for suspected multiple sclerosis)
Treatment
Treatment
- Replace electrolytes
Acute Pharmacotherapies
- Antispasicity agents
- Steroids
- Interferon
- Glatiramer acetate
- Mitoxantrone
- Cyproheptadine
- Antiretroviral therapy
Surgery and Device Based Therapy
- Surgical intervention to relieve compression (in compressive myelopathies)
- Syringomyelia may require surgical therapy
- Some congenital conditions may require surgical intervention
References
References
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
