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Reflexes Decreasing in Some Areas but Increasing in Others. Anyone else?

Slick24

New member
Joined
Aug 28, 2016
Messages
4
Reason
Friend was DX
Country
US
State
GA
When my best friend was diagnosed and even some prior her reflexes were VERY jumpy. They don't seem to be as jumpy in certain places as much now but are now developing in new areas. She is 3 years since diagnosis. Is this normal for them to decrease over time and appear more in other areas?
 

KarenNWendyn

Forum Supporter
Moderator
Joined
Jul 29, 2017
Messages
1,766
Reason
PALS
Diagnosis
07/2017
Country
US
State
Oregon
Typically reflexes tend to increase over time with ALS, but they definitely can change in unpredictable ways. Also, if a brisk reflex suddenly becomes absent, one has to wonder about a slipped disc. Usually that would also be accompanied by sensory symptoms.
 

KimT

Forum Supporter
Extremely helpful member
Joined
Nov 18, 2014
Messages
3,189
Reason
PALS
Diagnosis
08/2015
Country
US
State
South
My reflexes have always been brisk, even long before ALS. They have increased, especially during the past six months. Interestingly, I have an absent reflex in my lower left ankle. Not sure when it started but it was noted in my initial neuro workup at Mayo in December 2014. For some weird reason, everyone who examines me tries and tries.
 

lgelb

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Moderator
Joined
Nov 5, 2009
Messages
7,234
Reason
Lost a loved one
Diagnosis
09/2009
Country
US
State
WA
The mix of UMN signs (of which brisk reflexes is one) and LMN signs varies by PALS, and shifts throughout the course of the disease. For instance, muscles may go from being spastic to floppy to weak.
 
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