A new examining method of pathological reflex / 中华神经医学杂志

ABSTRACT

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.