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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
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
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
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
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
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