Doctor insights on:
Went to dr for clumsiness I had hyperreflexia legs/arms +jaw jerk +hoffman's sign +babinski & clonus. Neuro ordered MRI of brain What is she looking 4?
Broad ddx: There may be a bilateral cortical/subcortical brain disruption and MRI could help identify a potential cause based on the pattern of abnormalities. For ex: adult-onset leukodystrophy would show extensive demyelination of the white matter sparing the periventricular white matter vs MS vs Cerebral Autosomal-Dominant Arteriopathy, and work-up is different for each disease. ...Read more
Went to dr for clumsiness.I had hyperreflexsia legs/arms jaw jerk present positive hoffman's sign babinski present & clonus. Neuro. ordered MRI. ??
Dr ordered MRI: What is your question? Is your question why the doctor ordered an MRI? Please state the reason the doctor gave for ordering an MRI, and also, an MRI of what? Brain? Heart? Left foot? If you did not ask the doctor the reason, please state why not. ...Read moreSee 1 more doctor answer
I had +babinski +hoffmans +clonus hyperreflexia cant walk heel/toe and fall to the R. MRI of brain was normal so does that mean all is fine, what next?
Further work up : You are describing an exam consistent with some form of spasticity. In addition to an mri of the brain that you had, you need an mri of the cervical spine to look for spinal cord compression and a full neurological evaluation to rule out ALS, both of which can cause the signs and symptoms you are describing. ...Read more
Medications, PT: Clonus is over-active reflexes. This can occur after strokes as well as in some other neurological conditions. Occasionally a person will have clonus without any neurological condition. Options include avoiding positions that trigger the clonus; persistent physical therapy after a stroke to help muscle retraining; muscle relaxant medications such as baclofen; and possibly Botox injections. ...Read more
Cerebral palsy: Ivh occurs in prematures, then resolves. Pvl is the result of changes in the brain due to prematurity. Cerebral palsy is a clinical diagnosis which includes spasticity and the ability to elicit clonus. This is often the result of events associated with prematurity. Clonus is a clinical finding that can be seen in normal children, but is more common in children with cerebral palsy. ...Read moreSee 2 more doctor answers
Treppa: treppe is a staircase effect by stimulating the muscle at a variable frequency like in a twitch but in treppe it is increasing in a step wise fashion so each time more muscles are recruited in treppe.not seen in clonus and in tetanus treppe generally caused by serotonin toxicity clonus contraction and relaxation of muscle tetanus is a chronic spasm of a muscle due to bacilus tetanus ...Read more
Spasms & relaxation: Ankle clonus is a series of abnormal reflex movements of the foot, induced by bending the foot upward at the ankle, causing alternate contraction and relaxation of the calf muscle. This can be present in stroke patients, spinal cord injury, and multiple sclerosis. If this is indeed present, talk to your doctor about getting a neurology referral. ...Read more
Movement disorder: Ankle clonus is a movement disorder characterised by involuntary waves of muscle contractions in the ankle that occur in responce to streching the muscle in and around the ankle. It is usually sign of neurological disorder as body normally prevents such contractions from occuring. ...Read more
Developed nonsustained ankle clonus unilateral. 2 years ago had a neuro exam and this was not present. Is developing it a bad sign?
Clonus meaning ?: Sometimes it means something. Non sustained clonus sometimes does not hold up from exam to exam- some people are not good at detecting this. Clonus of any kind should indicate something happening in the spinal cord or the brain. If you have it on one side, it should be the brain. Sometimes the cause is not found however. If it was found in a new exam, a work up will be planned. ...Read moreSee 1 more doctor answer
I heard that immature myelin in toddlers can cause mild ankle clonus, is it true? When does the myelin will get mature?
Maturation: The nervous system matures from top down and inside to outside. Ankle clonus is normal in infants until they begin to walk, which the maturation allows. Persistence after 15-18 mo would be a problem.They first gain a wide grasp with fingers like pincers, but fine motor control of the individual fingers will not come in until well into school age. ...Read more
Maybe,maybe not: If i find this in any patient over 2 years of age I am concerned. A more thorough evaluation would be needed for such a patient to rule out other issues. ...Read more