Myoclonia with Absent Deep Reflexes

Tonic Pupils with Absent Tendon Reflexes in Mother and Daughter.

Case I. Married woman, age 61 years. The left pupil was first noticed to be small and fixed following an attack of acute and severe tonsillitis at the age of 29 years. Neither the grandparents, the parents, the husband nor seven siblings have shown inequality of the pupils. At the age of 36 years, the patient was examined by Dr. R. J. Coulter, of Newport, Monmoutlishire, who kindly informs me t...

Absent vestibulo-ocular reflexes and acute supratentorial lesions.

Loss of vestibulo-ocular reflexes occurred in two patients with acute supratentorial lesions who received therapeutic doses of anticonvulsant drugs. There was no clinical or angiographic evidence of focal brain-stem damage. Absence of vestibulo-ocular reflexes is attributed to a combination of acute cerebral damage and anticonvulsant drugs. The loss of these reflexes in patients with acute cere...

Deep Reflexes in Neural Leprosy

Absent superficial abdominal reflexes in children with scoliosis. An early indicator of syringomyelia.

We describe 12 children with idiopathic scoliosis who had a persistent absent superficial abdominal reflex (SAR) on routine neurological examination. MRI showed syringomyelia to be present in ten. The average age at detection of the scoliosis was 4.3 years and at diagnosis of syringomyelia 6.6 years. In all ten children the SAR was consistently absent on the same side as the convexity of the cu...

The deep tendon and the abdominal reflexes.

The deep tendon reflexes (and the abdominal reflexes) are important physical signs which have a special place in neurological diagnosis, particularly in early disease when they alone may be abnormal. They act as "hard" signs in situations where clinical assessment is complicated by patient anxiety, and become more useful as clinical experience develops.