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CLONUS

Updated 05-May-2020.

Mondo shtuff from around the internet, all about CLONUS!

Patellar clonus, Amin&Shwani 2010: This young man has spastic paraparesis. Note the sustained patellar clonus.

Ankle Clonus.mp4: Focussed Neurological examination in a 62 yr old female who just suffered an Intracerebral Haemorrhage.

My botty best at summarizing from Wikipedia: clonus is a series of involuntary, rhythmic, muscular contractions and relaxations . it is accompanied by spasticity (another form of hyperexcitability) the term is from the clonus has also appeared after ingesting potent serotonergic drugs . ingestion strongly predicts imminent serotonin toxicity . self re-excitation requires motor neuron excitability and signaling delay is present due to an increased nerve conduction time . long delays are primarily due to long reflex pathways common in distal joints and muscles . stretch reflex pathway may be stimulated first, and cause a decreased syn clonus is not seen in all patients with spasticity . it is common in muscles with long conduction delays . this theory is still being investigated . only a sustained clonus (5 beats or more) is considered abnormal . Clonus can also be tested in the knees by rapidly pushing the patella (knee cap), towards the toes

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