Hi thereI know that there are lots of causes of assymetrical reflexes, including in the knee, i.e. one reflex being more or less strong than the opposite side. It may be that both relfexes were 'within the normal limit' but were different from each other for a simple reason such as the quads muscle was more relaxed than the other when the neurologist tapped that reflex. So it may be the case that what you noted to be reflex assymetry is a non-issue. However, if there is a genuine assymetry there are many of these causes and a good number of them are not serious. I guess you do'nt know which of the two was normal, i.e. was one over-exaggarated (hyper-reflexia) or the other under-exaggarated? Each scenario has a different list of medical causes, so I do'nt think you are going to be able to find out much online until you next meet with your neurologist. Your neurologist will have put his/ her examination findings into the context of your symptoms and other things s/he found on examination, which you didn't mention in your enquiry. If there is a long delay before your next visit or any tests that have been arranged, then it may be worth your while trying to make contact with the neurologist to seek clarification about your case and hopefully this will give you some reassurance whilst you are awaiting follow up.Good luckSimon