Absent ankle jerks, upgoing plantars
Causes
Subacute combined degeneration cord
Syphilitic taboparesis
Freidreich’s ataxia
MND
2 common conditions e.g. DM + cervical spine compression
Lesion of conus medullaris
Notes

  • Friedreich’s ataxia = pes cavus, kyphoscoliosis, cerebellar signs, impaired joint position / vibration, cardiomyopathy, optic atrophy, diabetes mellitus, mild dementia
  • Subacute combined degeneration = Peripheral neuropathy, pos column signs, pyramidal signs