Westphal's sign

Westphal's sign
Patellar tendon reflex arc
Differential diagnosisPeripheral nerve disease, Motor cortex lesion

Westphal's sign is the clinical correlate of the absence or decrease of patellar reflex or knee jerk. Patellar reflex or knee jerk is a kind of deep or stretch reflex where an application of a stimulus to the patellar tendon such as strike by a solid object or hammer caused the leg to extend due to such stimulus causes the quadriceps femoris muscle to contract.

It is named for Karl Friedrich Otto Westphal (1833–1890).