the body and loss of vibration and proprioception on the other, is characteristic
of a hemi-spi nal lesion ipsilateral to the vibratory/proprioceptive loss (BrownSequard
syndrome).
Deep Te ndon Reflexes
An easy way to remember roughly which nerve roots serve which tendon reflexes
is to start at the ankles and move up:
Count
1 -2
3-4
5-6
7-8
Grading of reflexes is as follows:
o Absent
Reflex
Ankle
Knee
Biceps
Triceps
trace Flicker of muscle contraction
Root
S l -S2
L3-L4
C5-C6
C7-C8
1 + Hypoactive (moy be normal, especiolly in muscular or obese patients)
2+ Normal
3+ Hyperactive, usually shows spread of reflex (may be normol , especially