Exaggeration of knee-jerk following spinal hemisection in monkeys.

In 18 monkeys ipsilateral flaccid hemiplegia of the hind-limb was produced by spinal cord hemisection at T8. As a result of systematic observations of various phenomena subsequent to the hemisection for several months, it was found that an ipsilateral marked exaggeration of the knee-jerk gradually developed in 2--3 weeks after the infliction, along with slight atrophy of the hind-limb muscles on the same side. The exaggeration reached a maximum in about 6 weeks and persisted thereafter for several months until the final experiments. The exaggeration of knee-jerk was confirmed by measuring quantitatively photographed trajectories of a small lamp attached to the malleolus, a specially devised hammer being used. The trajectories showed larger amplitudes, shorter rise times and lower thresholds on the hemisected side. Achilles tendon reflex was also observed to be hyperactive. However, there was no evidence of other pathological phenomena such as clonus or Babinski's sign in the present experiment. It was noted that total spinal cord transection one segment below the hemisected site did not abolish the exaggeration of knee-jerk. Another noticeable finding was that quadriceps afferent volleys picked up from the L6 dorsal root following tendon taps were smaller on the hemisected side, in spite of the fact that distinct augmented reflex potentials were observed in the ipsilateral L6 ventral root. These results strongly suggest that the exaggeration of knee-jerk was not induced by a release from tonic supraspinal inhibition nor by augmented quadriceps afferent volleys, but by some neural mechanisms which developed gradually within the lumbo-sacral segments below the hemisected site.