As with all medical conditions, there may be many causal factors. Further relevant information on causes of Parry Romberg Syndrome may be found in:
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Source: In a Page: Signs and Symptoms, 2004
Early features may include vision changes, diplopia, and paresthesia. Other findings include a positive Romberg’s sign, nystagmus, constipation, muscle weakness and spasticity, and hyperreflexia. The patient may also have dysphagia, dysarthria, incontinence, urinary frequency and urgency, impotence, and emotional instability.
Besides a positive Romberg’s sign, advanced disease may produce impotence, fatigue, and paresthesia, hyperesthesia, or anesthesia in the hands and feet. Related findings include incoordination, ataxia, burning pain in the affected area, progressive muscle weakness and atrophy, and loss of vibration sense. DTRs may be hypoactive.
A positive Romberg’s sign and loss of proprioception in the lower limbs reflect peripheral nerve and spinal cord damage. Gait changes (usually ataxia), muscle weakness, impaired coordination, paresthesia, and sensory loss may be present. DTRs may be hypoactive or hyperactive. Other findings include a sore tongue, a positive Babinski’s reflex, fatigue, blurred vision, diplopia, and light-headedness.
With this disorder, a positive Romberg’s sign accompanies decreased visual acuity, fatigue, paresthesia, loss of vibration sense, incoordination, ataxic gait, and muscle weakness and atrophy. DTRs may be hypoactive.
A positive Romberg’s sign may accompany pain, fasciculations, muscle weakness and atrophy, loss of sphincter tone, and loss of proprioception, vibration, and other senses. DTRs may be hypoactive at the level of the lesion and hyperactive above it.
A positive Romberg’s sign may occur, but burning extremity pain is this disorder’s classic symptom. Other findings include a wide-based ataxic gait, loss of proprioception in the lower limbs (common), and loss of pain and temperature sensation. As the disease progresses, DTRs in the legs become hypoactive or absent, muscle tone decreases, and muscles atrophy. The patient may also develop Charcot’s joints and Argyll Robertson pupils.
Besides a positive Romberg’s sign, these disorders commonly cause vertigo. Nystagmus, nausea, and vomiting may also occur.
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Early features of multiple sclerosis may include vision changes, diplopia, and paresthesia. Other findings include a positive Romberg’s sign, nystagmus, constipation, muscle weakness and spasticity, and hyperreflexia. The patient may also have dysphagia, dysarthria, incontinence, urinary frequency and urgency, impotence, and emotional instability.
Besides a positive Romberg’s sign, advanced peripheral nerve disease may produce impotence, fatigue, and paresthesia, hyperesthesia, or anesthesia in the hands and feet. Related findings include incoordination, ataxia, burning pain in the affected area, progressive muscle weakness and atrophy, and loss of vibration sense. DTRs may be hypoactive.
Pernicious anemia impairs myelin formation, which causes neurologic damage. A positive Romberg’s sign and loss of proprioception in the lower limbs reflect peripheral nerve and spinal cord damage. Gait changes (usually ataxia), muscle weakness, impaired coordination, paresthesia, and sensory loss may be present. DTRs may be hypoactive or hyperactive. Other findings include a sore tongue, a positive Babinski’s reflex, fatigue, blurred vision, diplopia, and light-headedness.
With spinal cerebellar degeneration, a positive Romberg’s sign accompanies decreased visual acuity, fatigue, paresthesia, loss of vibration sense, incoordination, ataxic gait, and muscle weakness and atrophy. DTRs may be hypoactive.
With spinal cord disease, a positive Romberg’s sign may accompany pain, fasciculations, muscle weakness and atrophy, loss of sphincter tone, and loss of proprioception, vibration, and other senses. DTRs may be hypoactive at the level of the lesion and hyperactive above it.
Besides a positive Romberg’s sign, vestibular disorders commonly cause vertigo. Nystagmus, nausea, tinnitus, hearing loss, and vomiting may also occur.
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
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