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Year : 1998  |  Volume : 46  |  Issue : 2  |  Page : 119--122

A Study of H reflex in amyotrophic lateral sclerosis.

UK Misra, J Kalita 
 Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow - 226 014, India

Correspondence Address:
UK Misra
Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow - 226 014
India

In amyotrophic lateral sclerosis (ALS), both anterior horn cell and corticospinal tracts are affected. H reflex studies were performed in 15 patients to study motor neuron excitability and to correlate the changes with the clinical signs. Soleus H reflex was unrecordable in two patients. In the remaining patients, there was lack of vibratory inhibition and reciprocal inhibition which was consistent with pronounced presynaptic and supraspinal influences respectively. High HM ratio was consistent with increased motor neuron excitability. Significant reduction of maximum M response in our patients was consistent with fall out of anterior horn cells. HM ratio, vibratory inhibition and reciprocal inhibition were not related with power, spasticity, clonus or extensor plantar response, which could be due to asymmetric focal neuronopathy.


How to cite this article:
Misra U, Kalita J. A Study of H reflex in amyotrophic lateral sclerosis. Neurol India 1998;46:119-122


How to cite this URL:
Misra U, Kalita J. A Study of H reflex in amyotrophic lateral sclerosis. Neurol India [serial online] 1998 [cited 2021 Jan 15 ];46:119-122
Available from: https://www.neurologyindia.com/article.asp?issn=0028-3886;year=1998;volume=46;issue=2;spage=119;epage=122;aulast=Misra;type=0