Reader response: Absent triceps reflex with forearm flexion: A new form of inverted reflex
William W.Campbell, Neurologist, None
Submitted October 29, 2020
I read the article by Freiha et al.1 with interest. The inverted triceps reflex is not new. It is discussed in DeJongs’s The Neurologic Examination, and in detail in Clinical Signs in Neurology: A Compendium.2,3 It is discussed at length by Dr. Robert Wartenberg in his 1945 book, The Examination of Reflexes, in which he attributes the first description to French neurologist Alexandre Achille Souques in 1911.4,5 Many early authors preferred the term paradoxic triceps reflex. Kochar et al. described a case with a paradoxical triceps reflex in 2001.6 A Google book search easily detected several other textbooks containing either the term inverted or the term paradoxic triceps reflex.
Disclosure
The author reports no relevant disclosures. Contact journal@neurology.org for full disclosures.
References
Freiha J, Shatila MM, Tarabine K, et al. Absent triceps reflex with forearm flexion: A new form of inverted reflex. Neurology 2020;95:314–315.
I read the article by Freiha et al.1 with interest. The inverted triceps reflex is not new. It is discussed in DeJongs’s The Neurologic Examination, and in detail in Clinical Signs in Neurology: A Compendium.2,3 It is discussed at length by Dr. Robert Wartenberg in his 1945 book, The Examination of Reflexes, in which he attributes the first description to French neurologist Alexandre Achille Souques in 1911.4,5 Many early authors preferred the term paradoxic triceps reflex. Kochar et al. described a case with a paradoxical triceps reflex in 2001.6 A Google book search easily detected several other textbooks containing either the term inverted or the term paradoxic triceps reflex.
Disclosure
The author reports no relevant disclosures. Contact journal@neurology.org for full disclosures.
References