In most of the hemiplegic patients usually no clonus- patellar and ankle are made out in clinical examination. Usually, it is a common clinical question asked in bedside examination. But no literature says the reason for clonus in certain cases and not in most cases. I have made the observation in1998 that affection of basal ganglia noted by CT Scan apart from the internal capsule affection is the necessity for one to develop clonus in hemiplegia.
So, when there are more signs in hemiplegia, more cerebral region affection is noted and clonus occurs only when basal ganglia is affected. What are your views and recommendations?
