Left arm overshooting

Dysmetria is lack of coordination of movement typified by under- or over-shooting

the intended position with the hand, arm, leg or eye. Dysmetria of a hand can
make writing and picking things up difficult or even impossible. Dysmetria that
involves undershooting is called hypometria and overshooting is called
hypermetria.

Dysmetria is a closely related condition to intention tremor, where the constant

overshoot causes shaking when performing fine movements. Ocular dysmetria,
where movements of the pupil of the eye constantly overshoot, can make it
difficult to fix your gaze on an object. Nystagmus, shaking eyes, is a related
condition to ocular dysmetria.

In Multiple Sclerosis, dysmetria is usually caused by lesions in the cerebellum,

the region of the brain responsible for coordinating movement, though it can also
be caused by lesions in sensory nervous pathways leading to the cerebellum or
the motor pathways leading from it.

Dysmetria is a difficult condition to treat although Isoniazid and Clonazepam work

for some.

Many people with MS have reported great results from small regular doses of
cannabis. Cannabis spray trials in the UK in 2001 also indicate a potential role for
the drug in the treatment of dysmetria and intention tremor though, at the time of
writing (November, 2001), no specific studies on cannabis and dysmetria have
been done. It should be noted that cannabis is and illegal drug in many countries
even for medical purposes, though this position is slowly changing.

Left quadriceps femoris pendular reflex

Pendular Knee Jerk

Movement produce by tendon reflexes tends to continue for a longer period of

time than normal. The Pendular Knee Jerk, for example occurs following tapping
of the patellar tendon. Normally, the movement occurs and is self-limited by the
stretch reflexes of the agonists and antagonists. In cerebellar disease, because
of loss of influence on the stretch reflexes, the movement continues as a series
of flexion and extension movements at the knee joint; that is the leg moves like a
pendulum.