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Woltman's sign (also called Woltman's sign of hypothyroidism or, in older references, myxedema reflex [1]) is a delayed relaxation phase of an elicited deep tendon reflex, usually tested in the Achilles tendon of the patient. Woltman's sign is named for Henry Woltman, an American neurologist. [2]
Shock of birth is the transient depression of muscle tone and deep tendon reflexes that occurs in newborns after birth. In 70% of newborns, it lasts less than 24 hours, and in 84.3% less than 48 hours. Its presence is not affected by whether birth happened through vaginal delivery or cesarean delivery. [1] The term was introduced in 1960. [2]
The term "deep tendon reflex", if it refers to the muscle stretch reflex, is a misnomer. "Tendons have little to do with the response, other than being responsible for mechanically transmitting the sudden stretch from the reflex hammer to the muscle spindle.
Deep tendon reflexes: Reflexes: masseter, biceps and triceps tendon, knee tendon, ankle jerk and plantar (i.e., Babinski sign). Globally, brisk reflexes suggest an abnormality of the UMN or pyramidal tract, while decreased reflexes suggest abnormality in the anterior horn, LMN, nerve or motor end plate. A reflex hammer is used for this testing.
Glabellar reflex; Golgi tendon reflex; Hanger reflex - reflex of unclear purpose that causes the head to rotate to the right when the top sides of the head are under pressure, named because it can be easily activated with a coat hanger; Hering–Breuer reflex — is a reflex triggered to prevent over-inflation of the lung
The triceps reflex, a deep tendon reflex, is a reflex that elicits involuntary contraction of the triceps brachii muscle. It is sensed and transmitted by the radial nerve. [1] The reflex is tested as part of the neurological examination to assess the sensory and motor pathways within the C7 and C8 spinal nerves. [2]
The deep tendon reflexes are also diminished or absent; for example, the "knee jerk" or patellar reflex may be lacking (Westphal's sign). A complication of tabes dorsalis can be transient neuralgic paroxysmal pain affecting the eyes and the ophthalmic areas, previously called "Pel's crises" after Dutch physician P.K. Pel .
Hoffmann's reflex is a deep tendon reflex (spindle fibre) with a monosynaptic reflex pathway in Rexed lamina IX of the spinal cord, normally fully inhibited by descending input. On the other hand, the plantar reflex is more complicated and not a deep tendon reflex, and its pathway is both more complicated and not fully understood. [8]