Hyperreflexia without myelopathic symptoms
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- Опубликовано: 27 сен 2024
- Not every patient with Hyperreflexia has myelopathy. Some people may have an overreactive nervous system and this presentation is normal for them. When you see hyperreflexia you should also check the Hoffman's reflex, Babinski reflex, Lhermitte's sign and clonus of the ankle.
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This patient with symmetrical brisk reflexes, no babinski and no Hoffmann is not Hyper reflexive. He is perfectly normal and his reflexology is paraphisiological
if its his right shoulder (left shoulder for the viewers on RUclips) you can actually see him adjust his right arm out of discomfort, in the very beginning of the video, he does it more throughout the video. it almost resebmles a spasm/dyskinesia due to neurological impact.
I started out experiencing that same tendency to shift my arm to establish comfort. which is honestly barely noticeable even if youre the one doing it. but eventually that discomfort that feels like its almost under the scapula worsens and he might end up doing more dramatic movements to "settle" the discomfort. something is definitely wrong/injured, professionals just aren't trained to pick up on the more subtle presentations of neurological issues, or are trained that its not treatable/necessary to treat until it starts worsening.
A neurologist in training here, don't wanna be disrespectful or anything, but this patient has absolutely no signs of hyperreflexia. These are normal reflexes.
Are you a neurologist now
Haha maybe@@DanielleXox-jw1xo
Family Physician here, respectfully I disagree. this isn't hyperreflexia .. It's normal reflex. My reflexes ate more exaggerated than this haha
What are the other things called u said you wouldn't worry about with him. Id like to look those up
Can we recover from hypereflexia due to sci
it is bad to always hitting my knees like you do to your patient? cuz i have habits to hit my knee cuz its moving when i hit it. its fun though
Can we recover from hyperreflexia after sci
My right foot shows some reaction but my left leg down the knee doesn't move a bit. I just feel a little movement in the quadriceps area but that's it. After over 20 hits still no reaction. İs that a bad thing?
You need to stop making this seem like it's not a big deal.
Whats your point? Bit brisk reflexes, not even that much and no neurological symptoms. This is _not_ a big deal why would he make it seem like a big deal??
Symmetrical brisk reflexes is not hyperreflexia. It’s normal and very common.
Would love to see you for my issue. I have hyperreflexia in my left arm, weak hand grip, some tingling and numbness sensation (although not actually numb) also left side facial numbness sensation symptoms. My MRI showed c5 c6 c7 disc osteophyte complex with mild bilateral neuroforaminal narrowing and mild ventral thecal sac effacement and multilevel spondylosis in thoracic and lumbar area. My symptoms are worse when I am sitting or lying down trying to sleep or when I am trying to type because my hand coordination is off. I often wake up in the middle of the night with numb, tingling, flaccid left arm and hand with the left side of my face feeling numb too. I used to think i was having a stroke but this has been going on for months. My neurologist has said possible arthritis but not much else. Very frustrating. I worry about ALS but I don't think ALS causes the numbness and tingling sensations.
Hi Craig, there is a lot going on here. Hard to direct you without seeing you. Have you had PT yet? Have you tried traction? If your symptoms resolve while in traction then the source is most likely in your neck. Best of luck!
Im hyperflexic and falling a lot mri came out good but trying to rule out als.what are your thoughts?
Hi Daniel, there are many reasons why you can have this. You probably need a full neurologic workup.
Hello Daniel
I feel like im in the same boat as you. I recently got a diagnosis called Hereditary Spinal Paralysis. The hyperreflexia makes walking/running difficult.