Hi there. The possible causes of increased or brisk reflexes are stroke, upper motor neuron lesions, and blood clot in brain or ischemic stroke, hemorrhage into brain tissue or hemmorhagic stroke, brain tumor, trauma causing brain damage, multiple sclerosis, infections, HIV and at times in anticipation of the neurological examination. These causes need to be correlated with history, neurological examination and clinical findings and MRI findings. Management would be dependent on other findings and the complete clinical scenario. Take care.
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