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This also results in brisk reflexes, extensor plantar reflexes, muscle weakness, and variable bladder disturbances.
Signs of pyramidal system involvement, including spasticity, overactive reflexes (hyperreflexia) and extensor plantar reflexes, also occur.
Lateralizing signs such as hemiparesis, bradykinesia, hyperreflexia, extensor plantar reflexes, ataxia, pseudobulbar palsy, and gait and swallowing difficulties may be observed.
"It's when she comes oot of it that's the worst, though," Miss Cowden assured me, squatting next to me as I knelt on the floor to check Miss Campbell's plantar reflexes.
The Queen Square hammer is also now made with plastic molds, and often has a sharp tapered end to allow for testing of plantar reflexes though this is no longer recommended due to tightened infection control.