Hyperreflexia

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Hyperreflexia suggests an upper motor neuron dysfunction. Hyperreflexia usually has a positive Babinkski's Sign and spasticity. Usually develops over a period of days to weeks (as opposed to immediate presentation)

Causes

Causes In Alphabetical Order. [1] [2]

Suggested Laboratory Evaluations

Electrolyte and Biomarker Studies

MRI and CT

  • CT scan for suspected intracranial lesions
  • MRI is a better measure for hyperreflexia

Other Diagnostic Studies

Treatment

Acute Pharmacotherapies

Surgery and Device Based Therapy

  • Surgical intervention to relieve compression (in compressive myelopathies)
  • Syringomyelia may require surgical therapy
  • Some congenital conditions may require surgical intervention

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

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