{"id":1654,"date":"2020-05-19T16:42:06","date_gmt":"2020-05-19T23:42:06","guid":{"rendered":"https:\/\/up.physicaldiagnosispdx.com\/up\/?page_id=1654"},"modified":"2021-04-29T22:23:20","modified_gmt":"2021-04-30T05:23:20","slug":"hyperreflexia","status":"publish","type":"page","link":"https:\/\/up.physicaldiagnosispdx.com\/up\/neurology-m\/hyperreflexia\/","title":{"rendered":"Hyperreflexia"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row css=&#8221;.vc_custom_1592020765384{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text]\n<ul>\n<li><span style=\"font-size: 14pt;\">Hyperreflexia is a classic sign of UMN disease but can be seen in other conditions such as &nbsp;<a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/endocrinology\/endocrinology-multimedia\/brisk-reflexes\/\" target=\"_blank\" rel=\"noopener noreferrer\">thyrotoxicosis.<\/a><\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Hyperreflexia in one limb or in lower but not upper extremities can help localize lesions.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_1658\" aria-describedby=\"caption-attachment-1658\" style=\"width: 150px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/neurology\/neurology-t\/#Reflexes\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1658 size-thumbnail\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png 150w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-300x300.png 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308.png 512w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><figcaption id=\"caption-attachment-1658\" class=\"wp-caption-text\">&nbsp;<\/figcaption><\/figure>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1 id=\"patient1\">Patient 1:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is an older man who presented with progressive paresthesias of the hands and difficulty walking. He was diagnosed with severe cervical myelopathy from degenerative joint disease. <\/span><\/p>\n<p><span style=\"font-size: 14pt;\">This patient also has a<a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/neurology\/neurology-m\/hoffmans-sign\/#patient1\" target=\"_blank\" rel=\"noopener noreferrer\"> positive Hoffmann&#8217;s sign<\/a> and a <a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/neurology\/neurology-m\/spastic-gait\/#patient1\" target=\"_blank\" rel=\"noopener noreferrer\">spastic gait.<\/a><\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592020719342{background-color: #dcd9dd !important;}&#8221;][vc_column][vc_column_text]\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/472286198?loop=1\" width=\"320\" height=\"550\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\">&amp;lt;span data-mce-type=&#8221;bookmark&#8221; style=&#8221;display: inline-block; width: 0px; overflow: hidden; line-height: 0;&#8221; class=&#8221;mce_SELRES_start&#8221;&amp;gt;\ufeff&amp;lt;\/span&amp;gt;<\/iframe><\/p>\n[\/vc_column_text][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 2:<\/h1>\n<p><span style=\"font-size: 14pt;\">A healthy student with no complaints with diffuse hyperreflexia. Medial Hamstring reflex assesses the L5 myotome, while the patellar is L4 and the Achilles is S1<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592155788700{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_column_text]\n<p style=\"text-align: center;\"><span style=\"font-size: 14pt;\"><strong>Patellar Reflex<\/strong><\/span><\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/507686736?loop=1\" width=\"320\" height=\"350\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><\/iframe><\/p>\n<p>&nbsp;[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]\n<p style=\"text-align: center;\"><strong><span style=\"font-size: 14pt;\">Medial Hamstring Reflex<\/span><\/strong><\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/507687817?loop=1\" width=\"320\" height=\"600\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><\/iframe><\/p>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1 id=\"patient3\">Patient 3:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a middle-aged man with cervical myelopathy from severe cervical stenosis.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017173859{background-color: #dcd9dd !important;}&#8221;][vc_column][vc_column_text]\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/542500594?loop=1\" width=\"320\" height=\"550\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" data-mce-type=\"bookmark\" class=\"mce_SELRES_start\">\ufeff<\/span><\/iframe><\/p>\n[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1592020765384{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text] Hyperreflexia is a classic sign of UMN disease but can be seen in other conditions such as &nbsp;thyrotoxicosis. Hyperreflexia in one limb or in lower but not upper extremities can help localize lesions. [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text] Patient 1: This is an older man who presented with progressive paresthesias<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":1791,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"page-templates\/page_PDXPDX-full-width.php","meta":{"nf_dc_page":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-1654","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1654","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/comments?post=1654"}],"version-history":[{"count":10,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1654\/revisions"}],"predecessor-version":[{"id":10559,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1654\/revisions\/10559"}],"up":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1791"}],"wp:attachment":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/media?parent=1654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}