Clinical Implication of Long-Standing Delayed Plantar Reflex after Spinal Cord Injury: Case report . |
Ko, Hyun Yoon , Park, Ho Joon , Lee, Jong Eon |
Department of Rehabilitation Medicine, Pusan National University College of Medicine. |
척수손상 후 장기간 지속되는 지연성 족저반사의 임상적 의의 ―증례 보고― |
고현윤, 박호준, 이종언 |
부산대학교 의과대학 재활의학교실 |
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Abstract |
When recovery of specific reflexes after acute spinal cord injury are delayed or absent, we should consider an acute local complication or other factors that influence reflex function. We observed three spinal cord injury cases with a long-standing delayed plantar reflex and no evolution of Babinski sign despite enough recovery time had passed for the flexor spasm and all deep tendon reflexes of the lower extremities. In these cases we confirmed common peroneal nerve neuropathy at the fibular head by the nerve conduction study and electromyography. Long-standing delayed plantar reflex without evolution of Babinski sign, beyond expected recovery period, would be considered as a sign of local complication such as common peroneal nerve injury. |
Key Words:
Spinal cord injury, Deep tendon reflex, Delayed plantar reflex, Common peroneal nerve, Babinski sign |
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