RE: hypotonia? Mild synkinesis?

[Guest guest]

Jan,

I have seen this before on evals and synkinesis means involuntary movement and I

would take it to mean he has stims, or hand flaps. Does he? Synkinesis is

present sometimes in Autism or most always in Parkinson's.

[ ] hypotonia? Mild synkinesis?

My son's report from the developmental ped came today and in the

neurological assessment it says this:

There was mild, generalized hypotonia throughout, with flat palms and

flat feet. Deep tendon reflexes were 2 to 2+ throughout with down

going toes bilaterally. blah blah,

There was mild bilateral synkinesis with rapid alternating movements.

Anyone run into this before on neuro eval?

I thought that hypotonia and synkinesis were not normal? We do have

genetic neuromuscular myotonia in the family, so if this is not a

normal find, I need to know and take him to a specialist for that.

Ours however cause hypertonia the opposite of what they are reporting.

Maybe I am overreacting, so I am running this by others!

[Guest guest]

Hypotonia is generally not normal. Synkinesis is not necessarily

abnormal in a young child but could be a red flag and is therefore worth

noting on the exam. Downgoing toes and normal deep tendon reflexes

suggest intact upper motor neurons. Flat feet may be associated with

neurologic abnormalities, but often exist in neurologically intact

people. Flat feet are also common in children up to about the age of 6,

and will correct naturally.

Jim

________________________________

From:

[mailto: ] On Behalf Of Jan

Sent: Tuesday, August 29, 2006 1:31 PM

Subject: [ ] hypotonia? Mild synkinesis?

My son's report from the developmental ped came today and in the

neurological assessment it says this:

There was mild, generalized hypotonia throughout, with flat palms and

flat feet. Deep tendon reflexes were 2 to 2+ throughout with down

going toes bilaterally. blah blah,

There was mild bilateral synkinesis with rapid alternating movements.

Anyone run into this before on neuro eval?

I thought that hypotonia and synkinesis were not normal? We do have

genetic neuromuscular myotonia in the family, so if this is not a

normal find, I need to know and take him to a specialist for that.

Ours however cause hypertonia the opposite of what they are reporting.

Maybe I am overreacting, so I am running this by others!

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[Guest guest]

Hypotonia means poor muscle tone. Is he getting physical therapy? Might be

worth pursuing...

S S

<p>My son's report from the developmental ped came today and in the

<br>

neurological assessment it says this:<br>

<br>

There was mild, generalized hypotonia throughout, with flat palms and <br>

flat feet. Deep tendon reflexes were 2 to 2+ throughout with down <br>

going toes bilaterally. blah blah, <br>

<br>

There was mild bilateral synkinesis with rapid alternating movements.<br>

<br>

Anyone run into this before on neuro eval? <br>

<br>

I thought that hypotonia and synkinesis were not normal? We do have <br>

genetic neuromuscular myotonia in the family, so if this is not a <br>

normal find, I need to know and take him to a specialist for that. <br>

Ours however cause hypertonia the opposite of what they are reporting. <br>

Maybe I am overreacting, so I am running this by others!<br>

_______________________________________________

Join Excite! - http://www.excite.com

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[Guest guest]

He did hand flap as a baby, and still does jump when excited now. He

did not recieve an autistic dx only sensory integration with fine

motor delay. This was in reference to his neurological examination,

that he had synkinesis with rapid alternating movements.

>

> Jan,

>

> I have seen this before on evals and synkinesis means involuntary

movement and I would take it to mean he has stims, or hand flaps.

Does he? Synkinesis is present sometimes in Autism or most always in

Parkinson's.

>

>

>

>

>

> [ ] hypotonia? Mild synkinesis?

>

>

> My son's report from the developmental ped came today and in the

> neurological assessment it says this:

>

> There was mild, generalized hypotonia throughout, with flat

palms and

> flat feet. Deep tendon reflexes were 2 to 2+ throughout with

down

> going toes bilaterally. blah blah,

>

> There was mild bilateral synkinesis with rapid alternating

movements.

>

> Anyone run into this before on neuro eval?

>

> I thought that hypotonia and synkinesis were not normal? We do

have

> genetic neuromuscular myotonia in the family, so if this is not

a

> normal find, I need to know and take him to a specialist for

that.

> Ours however cause hypertonia the opposite of what they are

reporting.

> Maybe I am overreacting, so I am running this by others!

>

>

>

>

>

>

[Guest guest]

No pt, they never evaluated him physically as his developments seems

normal in that area. He appears muscular as any other child, and can

jump and all the regular stuff so they didn't do one. Should I call

the develop ped and ask if they think he should have that?

>

> <p>My son's report from the developmental ped came

today and in the <br>

> neurological assessment it says this:<br>

> <br>

> There was mild, generalized hypotonia throughout, with flat palms

and <br>

> flat feet. Deep tendon reflexes were 2 to 2+ throughout with down

<br>

> going toes bilaterally. blah blah, <br>

> <br>

> There was mild bilateral synkinesis with rapid alternating

movements.<br>

> <br>

> Anyone run into this before on neuro eval? <br>

> <br>

> I thought that hypotonia and synkinesis were not normal? We do

have <br>

> genetic neuromuscular myotonia in the family, so if this is not a

<br>

> normal find, I need to know and take him to a specialist for that.

<br>

> Ours however cause hypertonia the opposite of what they are

reporting. <br>

> Maybe I am overreacting, so I am running this by others!<br>

>

>

> _______________________________________________

> Join Excite! - http://www.excite.com

> The most personalized portal on the Web!

>

[Guest guest]

Maybe the neurologist picked up on some involuntary movement he was making,

they're pretty observant. Something that wouldn't even be noticed by others, but

he/she did.

Looking at old videotapes of our little one, I noticed her occassionally jerking

her head, very slight, almost imperceptible, noone ever said anything about it

and I never noticed it either, but it was there. That would be an example of

synkinesis.

The chelation will take care of it. Don't think the jumping counts as that is

voluntary movement. If you are curious you could call the dr and ask him/her

what he/she saw.

The true definition of synkinesis is making an involuntary movement while making

a voluntary movement, so if it were me, I would ask what the dr saw.

[ ] hypotonia? Mild synkinesis?

>

>

> My son's report from the developmental ped came today and in the

> neurological assessment it says this:

>

> There was mild, generalized hypotonia throughout, with flat

palms and

> flat feet. Deep tendon reflexes were 2 to 2+ throughout with

down

> going toes bilaterally. blah blah,

>

> There was mild bilateral synkinesis with rapid alternating

movements.

>

> Anyone run into this before on neuro eval?

>

> I thought that hypotonia and synkinesis were not normal? We do

have

> genetic neuromuscular myotonia in the family, so if this is not

a

> normal find, I need to know and take him to a specialist for

that.

> Ours however cause hypertonia the opposite of what they are

reporting.

> Maybe I am overreacting, so I am running this by others!

>

>

>

>

>

>

[Guest guest]

Consider asking what they saw which indicated hypotonia and what they recommend

for it.

S S

<p>No pt, they never evaluated him physically as his developments

seems <br>

normal in that area. He appears muscular as any other child, and can <br>

jump and all the regular stuff so they didn't do one. Should I call <br>

the develop ped and ask if they think he should have that?<br>

<br>

_______________________________________________

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[Guest guest]

> There was mild, generalized hypotonia throughout,

B12 and carnitine can help with this.

Dana