A member asked:

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?

A doctor has provided 1 answer
Dr. Amrita Dosanjh answered

Specializes in Pediatric Allergy and Asthma

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.

Answered 10/26/2022

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