The crossed flexor plantar response in patients with Klippel
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Klippel-Feil syndrome is a rare skeletal anomaly characterized by an abnormal fusion of two or more vertebrae and the clinical triad of a short neck with restricted movement and a low posterior hairline. The plantar reflex is one of the most important and widely tested components of the neurological examination. We describe 3 subjects with Klippel-Feil syndrome and mirror movements where unilateral cutaneous stimulation of the foot leads to flexor plantar responses in both feet. We discuss the evidence which suggests that this “crossed flexor” plantar response reveals a transcortical pathway for the flexor plantar response.

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