MRCP UK EXAMINATIONS

NEUROLOGY

CEREBELLAR SYNDROME

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Pendular knee jerk is due to the lesion of
A
Archicerebellum
B
Paleocerebellum
C
Neocerebellum
D
None of the above
Explanation: 

Detailed explanation-1: -an abnormal patellar reflex observed in patients with a lesion of the cerebellum, in which the leg continues to move several times after the initial reflex.

Detailed explanation-2: -Clinical significance On the other hand, multiple oscillation of the leg (pendular reflex) following the tap may be a sign of cerebellar diseases. Exaggerated (brisk) deep tendon reflexes such as this can be found in upper motor neuron lesions, hyperthyroidism, anxiety or nervousness.

Detailed explanation-3: -Hypotonia. “Pendular” knee jerk, leg keeps swinging after knee jerk more than 4 times (4 or less is normal).

There is 1 question to complete.