Pendular Knee Jerk in a Spastic Limb- Seeking Poetic Justice for Conventional Neuroscience!
In a conventional clinical round, my resident presented a case of a Cerebrovascular Event (CVE) with right-sided hemiparesis and requested me to demonstrate ankle clonus. I demonstrated it for him and the other junior residents attending the rounds [Video-1]. I then asked the senior resident to demo...
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JCDR Research and Publications Private Limited
2025-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/20781/74907_CE[Ra1]_F(SHU)_QC(AN_SHU)_PF1(AG_SS)_PFA(IS)_PB(IS)_PN(IS).pdf |
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| author | Sourya Acharya Samarth Shukla |
| author_facet | Sourya Acharya Samarth Shukla |
| author_sort | Sourya Acharya |
| collection | DOAJ |
| description | In a conventional clinical round, my resident presented a case of a Cerebrovascular Event (CVE) with right-sided hemiparesis and requested me to demonstrate ankle clonus. I demonstrated it for him and the other junior residents attending the rounds [Video-1]. I then asked the senior resident to demonstrate all the deep tendon reflexes, which he did correctly, and we all observed the exaggerated deep tendon reflexes in the right-sided upper and lower limbs. A conventional clinical neurologic question-and-answer session regarding tone and reflexes continued for some time, starting with the definition and classification of tone, causes of hypertonia, and the differences between spasticity, rigidity and paratonia. We also discussed the grades of reflexes, clonus and hyperreflexia. |
| format | Article |
| id | doaj-art-e3037d72317b4b669b0745f9adcc13a5 |
| institution | OA Journals |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-e3037d72317b4b669b0745f9adcc13a52025-08-20T02:12:46ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-03-01193010210.7860/JCDR/2025/74907.20781Pendular Knee Jerk in a Spastic Limb- Seeking Poetic Justice for Conventional Neuroscience!Sourya Acharya0Samarth Shukla1Professor and Head, Department of Internal Medicine, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Professor, Department of Pathology, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.In a conventional clinical round, my resident presented a case of a Cerebrovascular Event (CVE) with right-sided hemiparesis and requested me to demonstrate ankle clonus. I demonstrated it for him and the other junior residents attending the rounds [Video-1]. I then asked the senior resident to demonstrate all the deep tendon reflexes, which he did correctly, and we all observed the exaggerated deep tendon reflexes in the right-sided upper and lower limbs. A conventional clinical neurologic question-and-answer session regarding tone and reflexes continued for some time, starting with the definition and classification of tone, causes of hypertonia, and the differences between spasticity, rigidity and paratonia. We also discussed the grades of reflexes, clonus and hyperreflexia.https://jcdr.net/articles/PDF/20781/74907_CE[Ra1]_F(SHU)_QC(AN_SHU)_PF1(AG_SS)_PFA(IS)_PB(IS)_PN(IS).pdfclonushypotoniapatellar tendon |
| spellingShingle | Sourya Acharya Samarth Shukla Pendular Knee Jerk in a Spastic Limb- Seeking Poetic Justice for Conventional Neuroscience! Journal of Clinical and Diagnostic Research clonus hypotonia patellar tendon |
| title | Pendular Knee Jerk in a Spastic Limb- Seeking Poetic Justice for Conventional Neuroscience! |
| title_full | Pendular Knee Jerk in a Spastic Limb- Seeking Poetic Justice for Conventional Neuroscience! |
| title_fullStr | Pendular Knee Jerk in a Spastic Limb- Seeking Poetic Justice for Conventional Neuroscience! |
| title_full_unstemmed | Pendular Knee Jerk in a Spastic Limb- Seeking Poetic Justice for Conventional Neuroscience! |
| title_short | Pendular Knee Jerk in a Spastic Limb- Seeking Poetic Justice for Conventional Neuroscience! |
| title_sort | pendular knee jerk in a spastic limb seeking poetic justice for conventional neuroscience |
| topic | clonus hypotonia patellar tendon |
| url | https://jcdr.net/articles/PDF/20781/74907_CE[Ra1]_F(SHU)_QC(AN_SHU)_PF1(AG_SS)_PFA(IS)_PB(IS)_PN(IS).pdf |
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