Despite the other neurological symptoms, tendon reflexes are still intact at this stage of the disease.
12.
Upon neurological examination, the patient showed muscle atrophy, fasciculation in all limbs and decreased deep tendon reflexes.
13.
On examination the patients may have weakness, and loss of deep tendon reflexes ( rarely increased or normal ).
14.
Other features include reduced or absent tears, depressed deep tendon reflexes, absent corneal reflex, postural hypotension and relative indifference to pain.
15.
Paratonia can be distinguished from spasticity by observing a lack of exaggerated deep tendon reflexes and a lack of a clasp-knife response.
16.
Symptoms can include gradual weakness and the loss of sensation in the arms and legs, muscle pain and the loss of tendon reflexes.
17.
Sensory ataxia also lacks the associated features of cerebellar ataxia such as pendular tendon reflexes, scanning dysarthria, nystagmus and broken pursuit eye movements.
18.
Deep tendon reflexes ( also known as a Stretch reflex ) may be diminished or absent in areas innervated by a particular nerve root.
19.
Relatively simple neuronal ensembles operate in the spinal cord where they control basic automatisms such as monosynaptic tendon reflex and reciprocal innervation of muscles.
20.
On the other hand, the plantar reflex is not a deep tendon reflex, and its pathway is both more complicated and not fully understood.
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