Is ankle clonus in a almost 4 yr old abnormal? can only be elicited when asleep. about 15 beats left foot, 0-4 right foot, and wrists. not always able to elicit. also has tremor like movements of whole body on and off during sleep and when waking up?

The clonus should be further evaluated. Multiple areas may indicate a Neurologic condition. Blood sugar and metallic testing can provide additional information. A few beats controlled by touch is usually not abnormal. A few shudders during sleep is common, but a video of the movement would help to determine the next step in his management. Were there any injuries, problems at Birth.