Hello!

I have a question about reflexes. You can read my whole history in my first post if you're curious about the background to this question...

I saw a new neurologist a couple weeks ago. He isn't sure what's going on with me, but he did note that I have asymmetrical reflexes in my knees. The left one is normal (quite bouncy) and the right one barely moves at all. He tried them several times, looked puzzled, then moved on. When he was done the neuro exam he tried my knee reflexes again with the same result as before. The right one is definitely much weaker than the left though it's not absent. He said he didn't know what to make of that considering the rest of my exam was normal.

Based on my symptoms, the neurologist said I didn't really fit the profile of any of the neurological syndromes or diseases he typically sees. I have multisystem involvement and it seems that my neuropathic symptoms are related to an underlying autoimmune disease. My bloodwork indicates that I have one, but the markers that show up are not specific and we don't know yet which disease I have.

I will be doing a new brain/spine MRI soon - the one from last year was normal, but the neurologist wants to see if there have been any changes. I'm also doing a sleep study and wearing a Holter Monitor to rule out cardiac issues. We will consider a new NCV/EMG depending on the results of the other tests. I have one in June and it didn't show anything, but I have little to no neuropathy over the summer so I don't find that surprising.

Anyway, I was pleased with my appointment but wished I'd asked the neurologist what the asymmetry of my reflexes could mean. Lately my right leg has been the one that is numb more often, but it's not weak. I looked up some information about reflexes today and it said that asymmetry in the knee reflexes is a lower motor neuron sign and usually pathological... not sure what to make of that though. Anyone?