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But when there is persistent loss of this reflex, conus medullaris syndrome is most likely the cause of the problem. Tail flexion is mediated through the caudal nerves. This is also true for responses such as the pupillary light reflex, where the speed of reaction may indicate a "sluggish" response. Is the bulbocavernosus reflex test embarrassing? Typically this is one of the first reflexes to return after spinal shock. This has been termed "pathological spread of reflexes. Babinski sign is reflex dorsiflexion of the great toes and fanning of the other toes by stroking the lateral side of the sole of the foot.
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Bulbocavernosus reflex

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Weak Anal Wink Reflex ? - Neurology - MedHelp

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Cauda Equina and Conus Medullaris Syndromes Clinical Presentation

Motor innervation of the anal sphincter also occurs through the pudendal nerves. Decreased reflexes should lead to suspicion that the reflex arc has been affected. A bit overweight, I know.
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