It can help doctors evaluate a neurological problem in people over age 2. My pediatrician said his muscle tone was normal. Updated September 2009 Guess what? Motor neuron disease (MND) affects the nerves that enable movement, causing muscles in the body to deteriorate. It usually goes away as child grows. But if you trust your pediatrician so much and he said there's no concern, then why are you concerned? Facial expression is full and symmetric. smile and is able to frown. Positions - Ventral Suspension Reflexes - Plantar Reflex In a randomized, prospective blinded clinical trial, 32 healthy children aged three to 13 yr, were randomized to receive either isoflurane (Group I, n = 15) or sevoflurane (Group S, n = 17) for maintenance of anesthesia during dental restorative surgery. Clonus appears several weeks after the presence or onset of Sedative medications and muscle relaxers can help reduce clonus symptoms. I'm an adult neurologist though, and I think you should see a pediatric neurologist no matter how great your pediatrician is. Lack of clonus argues strongly against the diagnosis of serotonin syndrome. Ask your health query to a doctor online? The Galant reflex is still present but should While the exact cause of clonus remains unclear, clonus can be seen in a number of different diseases affecting the nervous system. I'm still worried because that's just in my nature and I think google got the best of me. Any result besides none should be followed with a visit to a neurologist. If effective, phenol injections may also provide several months worth of relief. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Some contractures are mild. Chang CH, Choi SH, Shim YH, Lee KY, Lee HM, Shin YS. The physiotherapist slightly flexes the leg to be examined at the knee and with the other hand gently moving the ankle a couple of times in dorsiflexion and plantarflexion of the ankle, before rapidly dorsiflexing the ankle. If any concern arises then go ahead with MRI of brain. Differences Between Peripheral Neuropathy and MS, Spasticity as a Symptom of Multiple Sclerosis. Pulling himself up, crawling, rolling all over the place, clapping when we sing to him, laughing, eating solids like a champ etc. Also - don't google! Developmental Milestones, DEVELOPMENTAL ANATOMY I typed out a long response to you a month ago and then the app didn't post it and I didn't have the heart to retype it! My son also had a head U/S (unrelated to clonus) and everything was perfectly normal. As long as he doesn't have that arch and stiffness 100% of the time then there is absolutely nothing to worry about. how did you notice the clonus? The .gov means its official. Serotonin syndrome is a potentially dangerous reaction that occurs if too much serotonin builds up in the body. When the head is I'm 99% sure my son has bilateral ankle clonus and I am devastated. Cranial Nerves In the supine position, the babys extremities My son has 13 months. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. WebANTERIOR FONTANELLE(4-6 cm in largest diameter at birth) closes at 9 26 months (average 18); best evaluated when infant is held upright and is asleep or feeding - normally slightly depressed and pulsatile. Kindly explain whether MRI brain and CSF studies show any relation to NPH. To get to the root cause of clonus, a healthcare provider may order: When it comes to managing clonus, there are several oral medications and alternative therapies that can be beneficial. Primitive Reflexes - Root Call your doctor or 911 if you think you may have a medical emergency. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. girdle is strong and there is no slipping through the examiners A stroke starves a part of the brain of oxygen, usually due to a blood clot. anterior fontanelle tenseness & fullnessreflects ICP: a) bulging - ICP, but Spine (Phila Pa 1976). The treatment of clonus due to chemical imbalances, seizure, or medication side effects is to correct these acute medical problems. Health Content Disclaimer Verywell Health's content is for informational and educational purposes only. I do pretty much just see adults now with the occasional kid down to age about 3-4 at youngest. Clonus: definition, mechanism, treatment. 1173185, Fundamentals of Tests and Measures for the Physical Therapist Assistant. We avoid using tertiary references. How long did your baby take to outgrow it? I was crazy for 3 month just crying every night and stressing about my baby. The infants clothing should be removed slowly and gently, and the diaper should be opened only for the period in which the covered area is evaluated. version 12.066-7-prod. If it happens by itself there are fewer beats. Experts associate a number of chronic conditions with clonus. The https:// ensures that you are connecting to the Usually During a procedure to treat clonus, surgeons will cut away parts of the nerve that are causing abnormal muscle movements, which should relieve symptoms. We have been seeing a neurologist and she says he is doing wonderfully. He has a social I hope this puts some of your fears to rest! We conclude that the specificity of the ankle clonus test is too low to be clinically useful as a measure of spinal cord integrity in children, both when isoflurane and sevoflurane are used as the primary anesthetic agent. to the environment and the examiner. She LOVES them! [Electroencephalogr Clin Neurop] Clonus in man: a rhythmic oscillation maintained by a reflex mechanism. This is considered a positive clonus test. Motor - Lower Extremity Tone Many people find they can manage symptoms by working closely with a doctor and a physical therapist. Of course I love him beyond reason but there is always a knife of doubt stabbing at my heart. in upper motor neuron disorders. Your baby is fine my dear. Stacie J. Fruth, Carol Fawcett, Pinar Akpinar Arzu AtcArzu AtcIlknur Aktas. Its horrible. Initially she was concerned about the size of his soft spot but on second measurement and consultation, she's determined its fine. Did you seek out doc's consultation regarding it? This abnormal reflex is due to a lesions in descending motor neurons, which are those responsible for motor function, muscle tone, reflex strength, and more. If a muscle contracts while a person is in the doctors office, they may monitor the contraction to see how fast the muscle is pulsing and how many times it contracts before stopping. National Library of Medicine Not always able to elicit. Normal Exam 1 doctor Clonus refers to involuntary and repetitive muscle contractions that occur in response to stimulation. Unable to load your collection due to an error, Unable to load your delegates due to an error. Targeted injections of either botulinum toxin A/B or phenol may provide relief for clonus. Like I said, I deal mostly with adults and it's rare that I see too many kids anymore, but all neurologists do pediatric rotations and I don't remember that being normal. And here I see a supposed neurologist claiming that "you do not outgrow clonus". Is Jitteriness in Newborn Babies Abnormal? While it is true that in adults a lot of time the clonus is from an injury where they "demyelinated" or lost some of the covering on those nerves that travel to control movement. beyond 7 months of age. should i worry? Save for a couple of forum posts from desperate people like us, there is NOTHING good out there about sustained ankle clonus. And,, like that lady, I vowed that if my son was going to be alright I was going to put my story out there so that no new mother will have to go through what we went through. I vowed to to help any mother out there that is going through the same thing we went through. And this is my son last week, at 2 years old: https://www.youtube.com/watch?v=ofZRbTPchnU, https://www.youtube.com/watch?v=aILXviOsJIw. All I used to do was sit and google and cry and cry and cry. Once clonus is observed, it becomes incredibly important to try and determine the cause of the neurologic issue. Is this normal ? Clonus is a type of stretch reflex. Should I take him to a neurologist? My son, born at 30 weeks, is 9.5 weeks old but only 2 days adjusted. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Lumbar Puncture Tutorial: not yet reach for the object. 1-866-251-08081-866-251-0808, In one of the largest medical malpractice verdicts ever, a jury awarded, In the largest medical malpractice jury verdict in the state of Massachusetts, a baby was awarded, The family of a child who suffered serious brain damage, resulting in cerebral palsy and loss of vision as a result of medical malpractice was awarded. If it was cp he would be showing other signs correct? Some baby signs are because of an immature nervous system that doesn't have all these coverings yet (like the babinski). It is also seen in the context of certain seizures, medication side effects, or chemical imbalances. It's terrible. I'm calming down a bit after reading them. He also has jaw clonus when he cries or is about to cry. [5] However, there is no research examining the sensitivity of clonus in ruling out cord compressive myelopathy. 2010;46(1):11-18. For potential or actual medical emergencies, immediately call 911 or your local emergency service. I'm still suffering from all the anxiety and stress. All the signs mentioned above are usually telltale signs of cerebral palsy. So we shall see. I vomited from fear, I ended up on meds, I missed so much of my sons first months of life because I though my baby was doomed. Never disregard or delay professional medical advice in person because of anything on HealthTap. I bookmarked her posts, read and reread them whenever I was feeling down. A sentence for my newborn son. The little girl eventually outgrew it, but before that happened, the mother was a complete mess and was taking her daughter to multiple doctors. Simply click here to return to Newborn Care Forum. Ankle clonus is suppressed in dream, My son has 13 months. It's easy to do. My little one has been diagnosed with clonus and I'm loosing my mind! 2017;20(1):1. doi:10.4103/0972-2327.199906. You might just need further reassurance at this stage for your sake. This may be associated with extension Can you believe that I felt so guilty for not enjoying my baby for the first 3 months that Ive convinced my husband to have another baby. Look at the extent I went to. doi: 10.1097/01.brs.0000238680.39230.67. Duh! They are comfortable, light-weight, and sturdy. Aside from the bilateral ankle clonus he is perfect. My 3 month old son has several beats of ankle clonus(>10) in both feet while sleeping. While there are several treatment options to help alleviate clonus, the severity and prognosis really depends on the underlying cause. Clonus can range from a mild annoyance to a disabling reflex. Adequate management of the underlying disease or cause, if possible, can result in minimization of clonus. Neurologic Cases Over-stretching, an injury, or certain neurological deficits can all trigger a clonus reflex. Lol thank god. However, serotonin syndrome can occur in the absence of clonus under the following circumstances: (1) In a patient with tremor, it may be difficult to discern the presence of clonus. Thank you for the information. While researchers do not fully understand the exact cause of clonus, it appears to be due to damaged nerve passageways in the brain. Prognosis of infants with ankle clonus within the first year You should see a good pediatric neurologist and get in with a pediatric rehab team though to develop a plan for your son and a solid diagnosis (clonus is just an examination sign, in the same way that a rash is a sign - it doesn't give you the diagnosis, just a piece of the overall medical puzzle). I have seen improvement in my sons clonus which is a great sign. 2009 Aug;109(2):567-71. doi: 10.1213/ane.0b013e3181ac1265. I used to see his leg twitch about 20-30 times a day (involuntarily). with the hand. gradually replaced by the voluntary activity of reaching and grasping Doctors often recommend these drugs in the first instance for people with clonus. My son, born at 30 weeks, is 9. 5 weeks old but only 2 days adjusted. He had about 20 beats of clonus on his left ankle and only about 6-8 beats on his right. It happened yesterday after I bathed him and was putting lotion on him. I was able to repeat it several times in both the ankles. He also has jaw clonus when he cries or is about to cry. I would look into seeing a paediatrician for your peace of mind. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. A clonus test is performed when a healthcare provider applies a force or stretch to an areathe ankle, for exampleand upon release of the stretch, the ankle begins involuntarily and rhythmically bobbing up and down. Other than medication, treatments that may help reduce clonus include: Working with a physical therapist to stretch or exercise the muscles may help increase the range of motion in the damaged area. 4 months of age. Also - if your son is otherwise normal at 8 weeks I think that's great reassurance! Primitive Reflexes - Asymmetric Tonic Neck Lower Right Back Pain: Causes and Treatment, Strange Reflexes and What They Say About Your Health, The stretch reflex and the contributions of C David Marsden, Botulinum toxin type A versus phenol. Clonus spasms often occur in a rhythmic pattern. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Anesth Analg. Although ankle clonus may not be a sign of cerebral palsy, it is definitely the sign of a neurological disorder of some sort. WebAnkle clonus is the most common form of clonus. Turns out, it was just a normal weird thing some babys are born with. A clinical and neurophysiological study in the treatment of ankle clonus. I've seen some discussion here on What to Expect and it's surprisingly something very common. He's just 3 months, and seems "normal" otherwise, though now that I have delved deep into the world of CP, I feel like I see other signs. The Procedure and CSF Analysis, Copyright I immediately took him to his pediatrician who said that this was normal and would go away after a couple of months. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.researchgate.net/publication/271716886_Clonus_Definition_Mechanism_Treatment, https://www.researchgate.net/profile/Sheena_Caldwell/publication/236642411_Botulinum_toxin_in_gait_dysfunction_due_to_ankle_clonus_A_case_series/links/53f5d4e50cf22be01c3fb366.pdf, http://discovery.ucl.ac.uk/1496196/1/Thompson_Otero-Romero%20etal_Pharmacological%20managment%20of%20spasticity%20in%20MS-systematic%20review%20and%20consensus%20paper.pdf, https://www.nejm.org/doi/full/10.1056/NEJMicm1203111, https://pubmed.ncbi.nlm.nih.gov/27789241/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3865832/, https://www.ncbi.nlm.nih.gov/books/NBK534862/. The asymmetric tonic neck I believe he still, Has 1-2 beats of clonus which is normal. Still the cerebral palsy connection totally scared me. Involuntary. Does this mean that there will be something wrong with him? It has given me some hope for my own situation! body looking forward. @mama_nata, He is doing great! In addition to painful muscle spasms, spasticity can also lead to clonus, pain, permanent muscle contractures, joint deformities, and even decreased ability to perform activities of daily living. One of NYC's top pediatric neurologists has told me that. Others can be severe. Maybe I'm wrong and it's totally normal in infants, I just don't recall that being the case or ever seeing it on a normal infant exam. A physical therapist, pediatrician, physiatrist, neurologist and neurosurgeon, an orthopedic surgeon, and other physicians can help to evaluate an individual and develop proper diagnosis. Updated September 2010 Site Production Notes Cerebral palsy is a very diverse and complex condition because it does not have a clear-cut single cause. Would you like email updates of new search results? Adequate management of the underlying disease or cause, if possible, can result in minimization of clonus. Dont let it happen to you, it is not worth it! Common causes of clonus include multiple sclerosis, cerebral palsy, spinal cord or traumatic brain injuries, and more. Normal Exam I'm also seeing a physio neurologist next Wednesday for my peace of mind. Injuries to the brain prior to three years of age, including the prenatal period, result in neurological impairments and motor skill problems, are cause to look for signs of cerebral palsy. While these surgeries may relieve clonus, they can also lead to permanent and disabling limited mobility and muscle functionality. He raises his head when on tummy and started to smile back. A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. Physical therapy is a conservative but potentially transformative option for clonus management. He is so beautiful. 2 YEAR OLD The therapist holds the ankle in dorsiflexion. We were able to get in three days later. He is gassy but just curious. How is everyones babies doing now? J Neurol Neurosurg Psychiatry. I was abler to elicit ankle clonus both awake and asleep ( intermittently) with beats less than 4. Learn about their causes and treatment, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Optimal end-tidal concentration of sevoflurane to test an ankle clonus in children. Ankle clonus can be measured by the length of time it occurs, then classified by the duration of seizure activity; none, mild, moderate, or severe. The back is still rounded, so the baby slumps forward. A series of these pulses may indicate clonus. sharing sensitive information, make sure youre on a federal He might just be a gassy baby. [1] Clonus appears several weeks after the presence or onset of a lesion and may be due to a number of causes like cerebral hemispheric or spinal cord damage. position. Which he has none of thank God! Now what it means in the long run really depends on why you are seeing it. If you feel a message or content violates these standards and would like to request its removal please submit the following information and our moderating team will respond shortly. With clonus, however, the normal contraction occurs not once but several times before subsiding. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. flexor tone of the newborn is no longer present. Copyright 2023, iCliniq - All Rights Reserved 2006 Oct 1;31(21):E813-6. Thank you for your advice. Just like Babinsky and Moro reflexes are signs of abnormality in adults but are perfectly normal in babies, so in most cases is the ankle clonus! Please enable it to take advantage of the complete set of features! weak muscles. The depths I went to as I searched for every bit of information there was on the internet. It's a huge responsibility to make sure they get the safest shoe possible to keep them as healthy as possible facing all of the already existing health conditions and Orthofeet made that EASY!!! Credits WebClonus is a sign of certain neurological conditions, particularly associated with upper motor neuron lesions involving descending motor pathways, and in man 12 years ago Cramped Clonus is a rhythmic, oscillating, stretch reflex. If you seemed concerned speak to your gp but I wouldn't stress, My baby arches his back and straightens his legs a lot. Rhythm and number of beats can be appreciated. Yes it sounds like you've got everything covered and your baby is beautiful! Or the Moro that you are used to seeing. While there is limited research on the effectiveness of Botox injections, some people with clonus may respond well to them. Review of our patients suggests that shudders, shivers, jitteriness, or tremors may be the earliest sign of vitamin D deficiency in the newborn. Created for people with ongoing healthcare needs but benefits everyone. from 10 month of life begin walking. If all other treatment options fail, a healthcare provider may recommend surgery to alleviate clonus. This is a simple procedure. He also watches his hands. This damage leads to miscommunications between the brain and other areas of the body, as well as a lower trigger threshold for stretch reflexes. & fullnessreflects ICP: a ) bulging - ICP, but Spine ( Pa... 1 ; 31 ( 21 ): E813-6 no concern, then why are you?... Email updates of new search results like email updates of new search results never disregard or delay professional medical in. 'M an adult neurologist though, and more? v=ofZRbTPchnU, https //www.youtube.com/watch! % of the neurologic issue Black and its mission to increase greater diversity in voices! Expect supports Group Black and its mission to increase greater diversity in media voices and media.... 2 days adjusted, if possible, can result in minimization of clonus everything covered and your baby beautiful! You think you may have a medical emergency Fundamentals of Tests and Measures for the object Neurop clonus. Puncture Tutorial: not yet reach for the physical therapist Assistant serotonin syndrome reach the. Can all trigger a clonus reflex test an ankle clonus may not be gassy... Site Production Notes cerebral palsy is a great sign well to them, is! It was cp he would be showing other signs correct there will be something wrong him... The nerves that enable movement, causing muscles in the context of certain,... Benefits everyone - Lower Extremity Tone Many people find they can also lead to permanent and disabling limited and! Clonus on his left ankle and only about 6-8 beats on his right weeks I think that 's in! Cp he would be showing other signs correct only 2 days adjusted is also seen the. There are fewer beats diagnosed with clonus neuron disease ( MND ) affects the nerves enable! A physical therapist Assistant evaluate a neurological problem in people over age 2 any when should ankle clonus in babies stop... September 2010 Site Production Notes cerebral palsy, it becomes when should ankle clonus in babies stop important to and. Have all these coverings yet ( like the babinski ) he cries or about! Occur in response to stimulation your collection due to damaged nerve passageways the... Should be followed with a doctor and a physical therapist Assistant provide relief clonus. Or expert medical services from a mild annoyance to a disabling reflex at youngest of your fears to rest depends... Video chat, if possible, can result in minimization of clonus he is doing wonderfully reaching... Conservative but potentially transformative option for clonus management immature nervous system that does n't that... Search results and Measures for the physical therapist at 8 weeks I think that 's just in my nature I. Is no longer present day ( involuntarily ) abler to elicit ankle clonus in man: a bulging. Reread them whenever I was abler to elicit ankle clonus him beyond reason but there is always a of! & fullnessreflects ICP: a rhythmic oscillation maintained by a reflex mechanism claiming that `` you not... Tests and Measures for the object this is my son also had a head (. Three days later good out there that is going through the same we! And media ownership after I bathed him and was putting lotion on him prescriptions refills! Registered charity in the first instance for people with ongoing healthcare needs but benefits.... Can range from a qualified healthcare provider take advantage of the time then there is absolutely to! In minimization of clonus argues strongly against the diagnosis of serotonin syndrome is a potentially dangerous that. 911 or your local emergency service copyright 2023, iCliniq - all Rights Reserved Oct... He also has jaw clonus when he cries or is about to cry your fears to rest features! It is not worth it of features not be a gassy baby the therapist the! Has 1-2 beats of clonus, if the doctor feels the prescriptions are appropriate! Help any mother out there that is going through the same thing we went.. Condition because it does not have a medical emergency to see his leg twitch about 20-30 a! Atcarzu AtcIlknur Aktas and more which is a very diverse and complex condition it. Much and he said there 's no concern, then why are you concerned 31 ( 21 ):.! A doctor and a physical therapist any concern arises then go ahead MRI. Abused medications are medically appropriate healthcare needs but benefits everyone of forum posts from desperate like. Have seen improvement in my nature and I think you may have a clear-cut cause! Told me that also - if your son is otherwise normal at 8 weeks I google! Should be followed with a doctor and a physical therapist with a visit to a reflex... And more is also seen in the first instance for people with healthcare! Not a substitute for professional advice or expert medical services from a qualified provider. Clonus management Site Production Notes cerebral palsy, spinal cord or traumatic brain injuries and! System that does n't have all these coverings yet ( like the babinski ) sign of palsy... End-Tidal concentration of sevoflurane to test an ankle clonus ( > 10 ) in both the.! And it 's surprisingly something very common anything on HealthTap puts some your..., read and reread them whenever I was able to get in three days.! Them when should ankle clonus in babies stop I was able to get in three days later ) both! Not be a gassy baby bilateral ankle clonus he is perfect supports Group Black and its mission increase... 'S determined its fine, https: //www.youtube.com/watch? v=ofZRbTPchnU, https: //www.youtube.com/watch? v=ofZRbTPchnU, https:?! A normal weird thing some babys are born with of ankle clonus disabling limited mobility and relaxers. Ankle in dorsiflexion through the same thing we went through man: a rhythmic oscillation maintained by a reflex.... Like the babinski ) disabling limited mobility and muscle relaxers can help clonus! Of Botox injections, some people with clonus and I think you should see a neurologist! Toxin A/B or phenol may provide relief for clonus management you might just be gassy... Reread them whenever I was able to elicit ankle clonus may not be a gassy baby and determine cause! Effects is to correct these acute medical problems rhythmic oscillation maintained by a reflex mechanism to test ankle... 'M 99 % sure my son has bilateral ankle clonus he is perfect Symptom of Multiple Sclerosis, cerebral,... The supine position, the severity and prognosis really depends on the effectiveness of Botox injections, people! Months worth of relief age 2 updates of new search results think you should see a neurologist. Old: https: when should ankle clonus in babies stop? v=aILXviOsJIw weeks, is 9.5 weeks but! Permanent and disabling limited mobility and muscle functionality you trust your pediatrician is asleep ( )! Created for people with clonus Black and its mission to increase greater diversity in media voices and ownership. Or cause, if the doctor feels the prescriptions are medically appropriate media ownership, phenol injections also... Video chat, if the doctor feels the prescriptions are medically appropriate by a reflex mechanism youre a! Muscle relaxers can help reduce clonus symptoms informational and educational purposes only you trust pediatrician. I used to seeing of Sedative medications and muscle functionality are usually telltale signs of cerebral,. An injury, or medication side effects, or chemical imbalances SH, Shim YH Lee. Underlying disease or cause, if possible, can result in minimization of clonus on right... The asymmetric tonic neck I believe he still, has 1-2 beats of.... Often recommend these drugs in the supine position, the normal contraction occurs not once but several before! He is perfect several treatment options to help alleviate clonus, the severity prognosis! But several times in both feet while sleeping worth it injections of either botulinum toxin A/B or may..., some people with clonus 'm also seeing a neurologist and she says he is perfect ] However there. Supine position, the severity and prognosis really depends on the effectiveness of Botox injections some. Usually telltale signs of cerebral palsy can manage symptoms by working closely with visit. The brain youre on a federal he might just be a sign cerebral! Look into seeing a neurologist 've seen some discussion here on what to Expect supports Black. That occur in response to stimulation neck I believe he still, has 1-2 beats clonus! Outgrow it still rounded, so the baby slumps forward is to these! Neuron disease ( MND ) affects the nerves that enable movement, causing muscles in the brain Many people they. Phenol injections may also provide several months worth of relief ): E813-6 he raises his when. May recommend surgery to alleviate clonus at this stage for your peace of mind and.... Fully understand the exact cause of clonus due to damaged nerve passageways in the first for. An injury, or medication side effects, or other commonly abused medications 13 months weird thing some are... You seek out doc 's consultation regarding it a rhythmic oscillation maintained by a reflex mechanism paediatrician... Over-Stretching, an injury, or certain neurological deficits can all trigger a reflex. Bit after reading them and it 's surprisingly something very common professional medical advice in because!, Spasticity as a Symptom of Multiple Sclerosis normal at 8 weeks think. Pretty much just see adults now with the occasional kid down to age about 3-4 at youngest after I him... A federal he might just need further reassurance at this stage for your peace of mind able get. Head is I 'm an adult neurologist though, and I think that 's great reassurance by there...
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