NeuroTeach 20 - Head retraction reflex

 Head retraction reflex!!!


“the great neurologist and neurosurgeon from Breslau (Wrocław)”

German neurologist and neurosurgeon Otfrid Foerster (1873–1941)


2)
History
Head retraction reflex is a “triphasic cutaneomuscular reflex” related to the trigeminal system with some pyramidal control.


3)
Features
“reflex hammer tap below nose with head bent forward cause backward jerk of the head” - considered a frontal release sign - hyperreflexia - triphasic cutaneomuscular reflex


4)
Head retraction reflex: Niemann-Pick Type C


5) Head retraction reflex: Niemann-Pick Type C


6) Head retraction reflex: Niemann-Pick Type C


7) Head retraction reflex: p.R392H mutation in GLRA1


8) Head retraction reflex: GLRA1 mutation


9) Head retraction reflex: GLRA1 mutation


10) Head retraction reflex: GLRA1 mutation


11) Head retraction reflex: GLRA1 mutation


12) Head retraction reflex: GLRA1 mutation


13) Other frontal release signs
Palmar grasp, palmomental, rooting & sucking, snout, glabellar, and corneomandibular