nO one knows after 2 years

[mypain]

My daughter is 15, and for 2 years she has been haveing seziers . She gets prisem vision and migrains, She also troughs up about twice three times a week. All the MRI,EEG,CAT,SONAGRAM show nothing. The only thing strange is that she has no reaction to the reflex test (when the doc hits your wrist knee,elbow ect). We have even gone to uc davis for the tilt table test,nothing.  She had six sezures last year , than for 9 months no sezures, but all the other stuff. The doc said she is not having grandmals. we rulled out sponliosis this week. IF THIS SOUNDS LIKE SOMETHING YOU KNOW ABOUT ,PLEASE HELP!!!!!!!!!!

[mypain]

Dear dr Simran,
     She has no reaction to any of the points ,Knee elbow,wrist ect. Can this mean that there is a disruption of the signal getting to and fro from the brain? I have strokes and TIA with optical migrains.I am wondering if she has the same thing. I had my first stroke at 5yr old and another big one at36 .Could this be a genetic disorder ?

Thank you for any Advice that can help my direct the Doc to check.

[dr_simran]

Hello mypain,

The following information would be of great help. The doctor has rightly said that there is no concern to worry for the grand mal epilepsy.
Knee reflex is the reflex tested by tapping just below the knee causing the lower leg to suddenly jerk forward.
What is tapped to elicit this reaction is the patellar tendon, the tendon that runs down from the quadriceps muscle in the front of the thigh, over the kneecap (the patella), down to the lower leg. And what happens is that the quadriceps contracts and abruptly brings the lower leg forward. This reaction is involuntary since it occurs without the person willing it to happen.
The knee jerk is best tested by giving a smart tap on the patellar tendon while the lower leg hangs loosely at a right angle with the thigh. The test is part of the clinical neurologic examination. The knee jerk is a deep tendon reflex
Absence of the knee jerk can be due to an abnormality in the "reflex arc" required for the reflex to occur (the muscle "spindles" or the nerve fibers going from the patellar tendon to the spinal cord and returning from the spinal cord to the quadriceps). With a stroke, the knee-jerk reflex may at first be underactive, then recover and become hyperactive within a day or two.
The knee jerk has been so often tested and become so familiar that it has given rise to the adjective "knee-jerk" as in a knee-jerk reaction. Knee-jerk in this figurative sense means "readily predictable to the point of being automatic." It often has a negative connotation and conveys the idea of an all-too-hasty, impulsive, irrational response based on a preset idea. For example, a dictator's knee-jerk response to a democratic movement is to suppress it.
The knee-jerk reflex is also medically called the patellar reflex. It is less often referred to as the knee phenomenon, the knee reflex, the patellar tendon reflex, or the quadriceps reflex.

Refer: http://www.medterms.com/script/main/art.asp?articlekey=4116

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