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【Objective】 To explore the factors affecting Babinski sign in amyotrophic lateral sclerosis (ALS). 【Methods】 We enrolled 262 patients diagnosed with ALS with adequate data in Department of Neurology, The First Affiliated Hospital of Xi’an Jiaotong University from 2015 to 2020. The relationship between the clinical characteristics of patients with positive and negative Babinski sign was analyzed for both sides, respectively. Furthermore, for patients with left or right lower limb weakness complaint, the relationship between Babinski sign and the lower limb involvement characteristics was analyzed. 【Results】 Positive Babinski sign was positively correlated with higher diagnostic category (left correlation coefficient 0.297, P<0.001; right correlation coefficient 0.292, P<0.001). Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) score was lower in patients with positive Babinski sign (left P=0.001, right P=0.001); the proportion of complaints of ipsilateral lower limb weakness was higher (left P=0.008, right P=0.038); the positive rate of ipsilateral upper limb Hoffmann sign was higher (left P=0.004, right P=0.002). In patients with complaints of lower limb weakness, positive Babinski sign was positively correlated with better foot dorsiflexor muscle strength (left correlation coefficient 0.207, P=0.021; right correlation coefficient 0.264, P=0.003), and the proportion of ipsilateral tibialis anterior atrophy was lower in positive Babinski sign group (left P<0.001, right P=0.008); the ratio of ipsilateral common peroneal nerve compound muscle action potential (CMAP)/tibial nerve CMAP was different in positive Babinski sign and negative groups (left P=0.008, right P=0.015), which were positively correlated (left correlation coefficient 0.246, P=0.007; right correlation coefficient 0.223, P=0.015). 【Conclusion】 Patients with positive Babinski sign usually have a higher diagnostic category and more extensive clinical involvement. In ALS patients with complaints of lower limb weakness, Babinski sign is more likely to be elicited when the degree of weakness and atrophy of the anterior calf muscles is relatively low.
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ABSTRACT Faustino Monteiro Esposel was a renowned neurologist from Rio de Janeiro, born on October 24, 1888. Together with his mentor, Professor Antônio Austregésilo Rodrigues Lima - the founder of modern Brazilian Neurology -, Professor Esposel described one of the rival signs of the Babinski sign, known as the Austregésilo-Esposel sign, in a study published in the renowned journal L'Encéphale in 1912. This article aims to summarize the life story of this illustrious neurologist as well as to highlight his achievements "beyond medicine".
RESUMO Faustino Monteiro Esposel foi um renomado neurologista do Rio de Janeiro, nascido em 24 de outubro de 1888. Junto de seu mentor, o Professor Antônio Austregésilo Rodrigues Lima, considerado o pai da Neurologia brasileira moderna, descreveu um dos sinais sucedâneos do sinal de Babinski, conhecido como sinal de Austregésilo-Esposel, publicado no renomado periódico L'Encéphale em 1912. Este artigo tem como objetivo trazer a história deste ilustre neurologista, destacando também seus feitos "além da medicina".
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História do Século XX , Futebol Americano , Neurologia , Espiritualismo , Brasil , NeurologistasRESUMO
ABSTRACT Recognizing the semiologic importance of the second, and most famous, sign described by Joseph Babinski - the extension of the hallux after stimulation of the plantar region in order to differentiate organic from pithiatic paralysis- several authors have tried to find a comparable signal in the hand. After 122 years, no one has succeeded.
RESUMO Reconhecida a importância semiológica do segundo e mais famoso sinal descrito por Joseph Babinski - a extensão do hálux após estimulo plantar visando diferenciar a paralisia orgânica da pitiática - diversos autores vêm tentando encontrar um sinal equiparável na mão. Após 122 anos ninguém conseguiu obter sucesso.
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Humanos , História do Século XIX , História do Século XX , Reflexo de Babinski , Transtornos dos Movimentos/história , França , História , Transtornos dos Movimentos/diagnósticoRESUMO
Objective To introduce a new method of checking the pathological reflex (press-nail reflex) and explore the possibility of press-nail reflex as a method of pathologic reflex that reflects the injure of pyramidal tract.Methods Sixty-two patients,admitted to the General Surgery and Neurosurgery Department in our hospital from 1-3,September 2011,were studied; and Babinski sign,Chadock sign,Gordon sign and press-nail reflex were examined at the same time.Babinski sign being regarded as the gold standard,the odds of above results were calculated.Results Babinski sign being regarded as the gold standard,4 patients showed false-positive and 0 false-negative in Chadock sign,4 patients showed false-positive and 24 false-negative in Gordon sign,and 6 showed false-positive and 6 false-negative in press-nail reflex; the Youden' s index of chadock sign,Gordon sign and press-nail reflex were 0.946,0.250 and 0.748,respectively.Conclusion Press-nail reflex,being a pathological reflex,can be a regular neurological examination method.
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Este artigo tem como finalidade contar um pouco da história daquele que é considerado o pai de semiologia neurológica, e relembrar doze dosseus sinais, a maioria dos quais voltados para a diferenciação entre as doenças orgânicas e conversivas.
This article aims to tell a small story of who is considered the ?father of neurological examination?, and remember twelve of his signs, most of which focused on the differentiation between organic diseases and hysteria.
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Neurologia/história , Reflexo de Babinski/diagnóstico , Reflexo de Babinski/história , FrançaRESUMO
In addition to the famous sign described by Joseph Babinski, which is also known as Babinski's reflex, there are references in the literature to various other signs described by this famous disciple of J-M Charcot. This article reviews all the neurological signs described by Babinski.
Além do famoso sinal descrito por Joseph Babinski, também definido como reflexo de Babinski, existem referências na literatura mundial de vários outros sinais descritos pelo famoso discípulo de J-M Charcot. Este artigo apresenta uma revisão de todos os sinais neurológicos descritos pelo professor Babinski.
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História do Século XIX , História do Século XX , Neurologia/história , Reflexo de Babinski/história , França , PolôniaRESUMO
@#Objective To study the factors which influence persistence time of pathologic reflexes and the most sensitive locus that eliciting them.Methods106 patients with first pyramidal tract injured were elicited Babinski sign once a day.The time and locus of hand-motion of examiner,the time and angle of hallux-dorsiflexion,the muscle strength of the patients were recorded.Results and ConclusionThe lower the muscle strength be,the longer the hallux-dorsiflexion persist,the larger the angle of hallux-dorsiflexion be,the nearer the sensitive locus to heel.
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No abstract available.
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Síndrome de Guillain-Barré , Oftalmoplegia , Reflexo de BabinskiRESUMO
PURPOSE: Extensor toe signs are neurologic abnormal finding in upper motor neuron impairment, such as spastic diplegia in cerebral palsy. Though classic Babinski sign is widely used, many other methods elicit extensor toe signs are used as substitutes. However, these methods are not tried whether they are clinically valuable or not. So, we carried out these methods to spastic cerebral palsy patients, compared the sensitivities of these extensor toe sign tests and estimated their clinical value. METHODS: From April, 2000 to August, 2001, thirty patients who had been diagnosed spastic cerebral palsy at Chungnam National University Hospital were tested for extensor toe signs at restful supine position. The sensitivity of every extensor toe sign was compared with each other. RESULTS: The sensitivity of Babinski sign is 76%, Gonda-Allen sign 86%, Allen- Cleckley sign 63%, Chaddock sign 63%, Oppenheim sign 50%, Gordon sign 22% and the others less than twenty percent. Although the sensitivity of Gonda-Allen sign is higher than Babinski sign, it is not statistically significant. But these two methods are superior than the others. CONCLUSION: In patients having upper motor neuron impairments, Gonda-Allen sign and classical Babinski sign are more useful and more sensitive than the other tests, which elicit of extensor toe signs.
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Criança , Humanos , Paralisia Cerebral , Neurônios Motores , Reflexo de Babinski , Decúbito Dorsal , Dedos do PéRESUMO
When recovery of specific reflexes after acute spinal cord injury are delayed or absent, we should consider an acute local complication or other factors that influence reflex function. We observed three spinal cord injury cases with a long-standing delayed plantar reflex and no evolution of Babinski sign despite enough recovery time had passed for the flexor spasm and all deep tendon reflexes of the lower extremities. In these cases we confirmed common peroneal nerve neuropathy at the fibular head by the nerve conduction study and electromyography. Long-standing delayed plantar reflex without evolution of Babinski sign, beyond expected recovery period, would be considered as a sign of local complication such as common peroneal nerve injury.