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Hyperreflexia, clonus and positive Hoffman’s sign
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This gentleman has questionable cervical cord compression. He has hyperreflexia in the UE’s and LE’s and has a positive Hoffman’s sign, positive Babinski sign and lower extremity clonus which are signs of myelopathy and upper motor neuron lesion.
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HyperreflexiaClonusHoffman’sSign
Hyperreflexia, Clonus, Positive Hoffman’s Sign- Central Cervical Spine Stenosis
This is a 60y/o man with upper and lower extremity paresthesias. He is progressively losing balance and developing weakness in the left UE. He has a positive Hoffman’s sign, hyperreflexia, and clonus secondary to a severe central cervical spine stenosis.
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Clonus
Me playing along to the ending of the song Clonus by Planet X
Clonus Demonstration with Ortho Eva Pal
Here is a brief video of a patient with clonus at the ankle. I will talk to you about why it is there and what it means. This is usually associated with an Upper Motor Neuron lesion.
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ClonusmyelopathyOrthoEvalPal
Clonus
If reflexes are hyperactive, test for ankle clonus.
ask the patient to relax.
support the knee in a partly flexed position.
quickly dorsiflex the foot and observe for rhythmic clonic movements.
Clonus is a sign of upper motor lesion and is usually associated with spasticity.
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