Neurology

Ask a neurologist. Get answers to your neurology questions.

Ask a Doctor,
Get an Answer ASAP!

This answer was rated:

My baby is 5 weeks old and seems to be progressing normally.

I happened to notice the...
My baby is 5 weeks old and seems to be progressing normally. I happened to notice the other day, by chance, that his leg shook when I put pressure on his foot. I read about ankle clonus, and at first, there were only 3-5 beats, but when I checked just now, there were about 10-12 beats. It only happened one time so far. It is seen bilaterally. He does not have any stiffness. I am so worried that he might have CP as I have read that any more than 10 beats is always abnormal.
Show More
Show Less
Ask Your Own Neurology Question
Answered in 18 minutes by:
11/21/2017
Dr Subbanna MD
Dr Subbanna MD, Neurologist (MD)
Category: Neurology
Satisfied Customers: 6,325
Experience: American Board Certified Neurologist, Internal Medicine
Verified

Hi, I am an American Board Certified Neurologist with vast experience in diagnosing & treating all neurological as well as all other health/medical conditions including pediatric neurology, and I am very glad to help you with your health concerns related to your baby.

I see you are concerned about the ankle clonus in your baby as you have described above. As a neurologist I very frequently check clonus testing in my adult as well as pediatric patients, I am very familiar with this test & its interpretation and I can certainly help you in this regard.

I am currently preparing & typing my answer and I will post my answer here as soon as it is ready.

Best Regards!

Dr Subbanna MD

Ask Your Own Neurology Question

I am almost done with my typing; I will follow up with you very soon.

Best Regards!

Ask Your Own Neurology Question

Once again I can fully understand your concern, but please see just an isolated clonus finding cannot be considered as abnormal

First of all ankle clonus is normally seen in young babies. This test commonly comes positive until the first several months after the birth

Now regarding how many beats are considered as normal, please see on an average the beats are up to about 10, but if the clonus beats are bit more than 10 we cannot automatically consider it as abnormal

Not all normal people have their lab values or test findings perfectly within the normal range, the normal range what we generally consider is applicable to about 95 to 98% of the normal population and as you see there are several normal individuals who can have their test values outside the normal range

So having just few beats above the normal range does not indicate this is abnormal

I see your baby is progressing normally, and he is not having any other obvious neurological clinical findings such as stiffness, so all these indicate this must be a normal finding for him

If you have still doubts then please try to get him examined by a neurologist in the clinic, but it really does not appear he is a case of CP, or any other neurological issues

Once again I reassure you, having few beats of ankle clonus above the normal range is certainly not to be considered abnormal for the various reasons discussed above, it appears your son is growing and developing normally, if you are still concerned please try to get him examined by a neurologist in the clinic, but it certainly does not appear he is having any neurological issues including CP etc, so please not to be scared.

Please let me know if you have any additional questions or if you want to discuss this further.

Assuring you the best services!

Best Regards!

Dr Subbanna MD

Ask Your Own Neurology Question
Customer reply replied 7 months ago
Thank you so much for your response. That makes me feel much better. I just want to clarify; ankle clonus, by itself, is not considered abnormal unless other abnormalities are found with it? He does not seem to have any other abnormalities and all of his reflexes are normal and as I mentioned no stiffness. He does however have benign neonatal sleep myoclonus. Could this have anything to do with the ankle clonus? Also, could the ankle clonus be related to an immature nervous system? Thank you so much for your time Dr.

You are very welcome! I am typing now, I will follow up with you very soon.

Best Regards!

Ask Your Own Neurology Question

Yes, isolated ankle clonus cannot be considered as abnormal. There has to be other neurological findings too, otherwise ankle clonus in a young baby as him has no clinical significance

And benign neonatal sleep myoclonus is considered as normal. It itself may not be causing these myoclonus, but this type of clonus is considered normal for his age.

Once again, as pointed above, ankle clonus is considered as normal for young babies as him, and in the absence of any other abnormal neurological findings, such as abnormal reflexes, stiffness, or any other abnormal findings this isolated ankle clonus, even if beats are above 10 it is still not to be given any significance.

Please let me know if you have any additional questions or if you want to discuss this further. And please take a moment and kindly click a positive rating (preferably 5 Star/Excellent) to credit for the time & effort put by me in answering your health question, and this is the only way I will be credited for my service to you. If you have follow-up or additional questions you can ask them after the rating too!

Assuring you the best services!

Best Regards!

Dr Subbanna MD

Dr Subbanna MD
Dr Subbanna MD, Neurologist (MD)
Category: Neurology
Satisfied Customers: 6,325
Experience: American Board Certified Neurologist, Internal Medicine
Verified
Dr Subbanna MD and 87 other Neurology Specialists are ready to help you
Ask your own question now
Customer reply replied 7 months ago
I absolutely rated you with 5 stars. Thank you very much for your time. It is startling to see his foot twitch like that along with the sleep myoclonis twitching, I felt that something must be wrong. One more question. Should I have him evaluated for the sleep myoclonus? He’s never been seen for it but I have seen videos of it and he only does the twitching during NREM sleep and stops immediately upon awakening. Also, have you seen many normal babies with ankle clonus > 10? Thank you again Dr.

You are very welcome! I am very glad to hear you found the above information helpful!

I appreciate the 5 star excellent rating!

The sleep myoclonus that you have described above appears normal, and benign in nature, however if it persists then please try to get this evaluated in a neurology clinic.

To your other question, yes as a neurologist I see many babies who have possible neurological concerns, and I have certainly seen some babies who were perfectly normal but still had clonus beats above 10. So having clonus beats above 10 itself is not considered as abnormal in babies of his age, and in his case it certainly does not appear abnormal for the reasons discussed earlier above (he is progressing normally, no other neuro findings etc).

Wishing you all the very best!

Thanks & Best Regards!

Dr Subbanna MD

Ask Your Own Neurology Question
Customer reply replied 7 months ago
Thank you very much for the peace of mind!

You are very welcome! My pleasure!

Ask Your Own Neurology Question
Customer reply replied 7 months ago
I’m so sorry, one last question. You stated if the sleep myoclonus persists to have it evaluated. Do you mean if it persists beyond a certain age or do you mean if it happens again? He does it roughly 2-3 times a week.

It is fine, no problems, please clarify if you have any doubts.

I am sorry, I did not explain it properly. Please see benign neonatal myoclonus may persist up to about a year or so (during the infancy, or upto about age 1), so if it persists above this period then it may require an evaluation.

Considering that he is not even getting this regularly (means not on daily basis) this clearly indicates this is entirely benign and this is going to resolve in the near future, so please not to be scared.

Ask Your Own Neurology Question
Customer reply replied 7 months ago
Thank you so much Dr. I truly appreciate your responses!

You are very welcome! I am very glad to be of help!

Ask Your Own Neurology Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a neurologistLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr Subbanna MD Your Own Question
Dr Subbanna MD
Dr Subbanna MD
Dr Subbanna MD, Neurologist (MD)
Category: Neurology
Satisfied Customers: 6,325
6,325 Satisfied Customers
Experience: American Board Certified Neurologist, Internal Medicine

Dr Subbanna MD is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

2,191 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

3,773 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
Subbanna I wanted with you from our last conversation. Can
Hi Dr SubbannaI wanted to follow up with you from our last conversation. Can you please let me know what my neurologist is saying here?“We wouldn't be able to distinguish between simple or complex par… read more
Dr Subbanna MD
Dr Subbanna MD
Neurologist (MD)
6,325 satisfied customers
My brother recently had stem cell injections for his hip and
My brother recently had stem cell injections for his hip and one in his spinal cord. He is experiencing a lot of pain in his one food and ankle and the calf muscle on that leg is cold. He also has lit… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
I talked to you a couple weeks ago about some issues I was
Hi Dr Frank, So I talked to you a couple weeks ago about some issues I was having. I am still having some of the same issues and am looking for further clarification and hoping you can help! Currently… read more
neuromd2012
neuromd2012
Neurologist/Staff Clinician
Doctoral Degree
2,815 satisfied customers
Is muscle tightness in (mild) Cerebral Palsy different than
Is muscle tightness in (mild) Cerebral Palsy different than either "cube atrophy"/muscle disuse or regular orthopedic muscle tightness...? and/or Is my tightness be due to my ankle or back...? and/or … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
I had an MRI done of my feet and ankles and would like a
I had an MRI done of my feet and ankles and would like a doctor to explain it to me. RADIOLOGY REPORT Report: EXAM: MRI Right Ankle without IV contrast TECHNIQUE: Multiplanar and multisequence magneti… read more
Dr. Harriet
Dr. Harriet
Physician and CEO
Doctoral Degree
93 satisfied customers
I was curious to know if it is a normal neurological
I was curious to know if it is a normal neurological response if ones legs dont move well during an anxiety or panic attack ?… read more
Dr Subbanna MD
Dr Subbanna MD
Neurologist (MD)
6,325 satisfied customers
Healthydoc...Was hoping I could speak with you about a
Hello healthydoc...Was hoping I could speak with you about a condition I mentioned to you when we spoke a couple of weeks ago :)… read more
healthydoc
healthydoc
Board Certified Physician
1,851 satisfied customers
I have been experiencing some neurological symptoms that a
I have been experiencing some neurological symptoms that a pretty significant. Sustained clonus, hyperreflexia, neuropothy, bilaterally in my legs and feet. A recent MRI, revealed a missing vertebral … read more
neuromd2012
neuromd2012
Neurologist/Staff Clinician
Doctoral Degree
2,815 satisfied customers
I have a four yr old son who is seeing a Physio at present
I have a four yr old son who is seeing a Physio at present for toe walking.She picked up on some clonus in his right foot/ankle and is requesting a referrel to see a Neurologist. Is this a sign that h… read more
neuromd2012
neuromd2012
Neurologist/Staff Clinician
Doctoral Degree
2,815 satisfied customers
My husband's second lot of EMGs (now done in both arms and
Hello, my husband's second lot of EMGs (now done in both arms and legs) are still showing abnormality in ONLY the TIBIAL nerve BILATERALLY. His calf muscle weakness is getting progressively worse day … read more
neuromd2012
neuromd2012
Neurologist/Staff Clinician
Doctoral Degree
2,815 satisfied customers
Positive Hoffman and Spurling signs, had cervical, thoracic,
Positive Hoffman and Spurling signs, had cervical, thoracic, and lumbar MRI's. Was told nothing showed why I'm having symptoms of incontinentcy, weakness and numbness of both extremities, clonus of le… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
2,191 satisfied customers
I am a 43 year old (right handed) male- post operative
I am a 43 year old (right handed) male- post operative patient ( cervical anterior discectomy at C4-5 C5-6 ) I presented with numbness and tingling of my right hand and lower leg with positive hoffman… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,827 satisfied customers
My son is 9years of age for the last four years he has had
my son is 9years of age for the last four years he has had problems with his gait as he gets older this is intensifying and looks a lot like cerebal paulsy when he is runnig or playing sport and now i… read more
CaliforniaMD
CaliforniaMD
Post-Doctoral Degree
1,419 satisfied customers
For the last 13 years I have had ms like symptoms. Shocks in
For the last 13 years I have had ms like symptoms. Shocks in the back, weakness in my back, urinary retention( the first time ms was suspected) and more. After having shock like sensations in my head … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
My 10 week (born 2 weeks early) old son has, what I believe
My 10 week (born 2 weeks early) old son has, what I believe to be, ankle clonus. It happens occassionally when he is stretching while passing gas (both feet, not at the same time). I can also get it t… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
2,191 satisfied customers
I am 45. Had a persistent stiff neck and pain when turning
I am 45. Had a persistent stiff neck and pain when turning my head- 4 weeks ago. The stiff neck lasted for 4 days. It often hurt the neck area even to cough. The fatigue and pain radiated down into my… read more
Dr Subbanna MD
Dr Subbanna MD
Neurologist (MD)
6,325 satisfied customers
Dear Doctors: I apologize in advance for the lenghtiness. My
Dear Doctors: I apologize in advance for the lenghtiness. My question is, "Why am I not given a diagnosis?". Here is my situation: I am a 49 yr old woman who for at least 10 years has had pain and sti… read more
RH
RH
Doctor of Medicine
1,944 satisfied customers
14 mo old preemie, boy. Constant itching, hand and foot
14 mo old preemie, boy. Constant itching, hand and foot twitching, also while sleeping, when hears high pitch noises feet and hands uncontrolably rapidly twitch. Slouches when sitting, and weak should… read more
CaliforniaMD
CaliforniaMD
Post-Doctoral Degree
1,419 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x