Kinaesthetic ipsilateral and crossed extensor plantar response: A new way to elicit upgoing toe sign (Babinski response)?
We describe a phenomenon of "kinaesthetic extensor plantar response" in advanced pyramidal dysfunction, an interesting observation noted in a patient with dorsal myelopathy. A 44-year-old woman presented with one-year history of gradually progressive weakness and stiffness of both lower li...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Annals of Indian Academy of Neurology |
| Subjects: | |
| Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2011;volume=14;issue=3;spage=198;epage=199;aulast=Kuruvilla |
| _version_ | 1818539979764137984 |
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| author | Abraham Kuruvilla Pandurang R Wattamwar |
| author_facet | Abraham Kuruvilla Pandurang R Wattamwar |
| author_sort | Abraham Kuruvilla |
| collection | DOAJ |
| description | We describe a phenomenon of "kinaesthetic extensor plantar response" in advanced pyramidal dysfunction, an interesting observation noted in a patient with dorsal myelopathy. A 44-year-old woman presented with one-year history of gradually progressive weakness and stiffness of both lower limbs along with urge incontinence of urine. Examination showed spontaneous elicitation of extensor plantar response while assessing the tone by rolling method as well as on noxious stimulation of the thigh. Magnetic resonance imaging (MRI) of the dorsal spine and digital subtraction angiography showed the presence of spinal dural arteriovenous fistula causing myelopathy. This case exemplifies the fact that in advanced pyramidal dysfunction, not only the receptive field of Babinski reflex may extend to the leg or thigh, but may also integrate with other modalities of stimulation, such as the rolling movement. The possible underlying pathophysiology of such a phenomenon is discussed. |
| first_indexed | 2024-12-11T21:49:18Z |
| format | Article |
| id | doaj.art-04cef619e3c74e1da08c6f78cf6da014 |
| institution | Directory Open Access Journal |
| issn | 0972-2327 1998-3549 |
| language | English |
| last_indexed | 2024-12-11T21:49:18Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Academy of Neurology |
| spelling | doaj.art-04cef619e3c74e1da08c6f78cf6da0142022-12-22T00:49:30ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492011-01-0114319819910.4103/0972-2327.85894Kinaesthetic ipsilateral and crossed extensor plantar response: A new way to elicit upgoing toe sign (Babinski response)?Abraham KuruvillaPandurang R WattamwarWe describe a phenomenon of "kinaesthetic extensor plantar response" in advanced pyramidal dysfunction, an interesting observation noted in a patient with dorsal myelopathy. A 44-year-old woman presented with one-year history of gradually progressive weakness and stiffness of both lower limbs along with urge incontinence of urine. Examination showed spontaneous elicitation of extensor plantar response while assessing the tone by rolling method as well as on noxious stimulation of the thigh. Magnetic resonance imaging (MRI) of the dorsal spine and digital subtraction angiography showed the presence of spinal dural arteriovenous fistula causing myelopathy. This case exemplifies the fact that in advanced pyramidal dysfunction, not only the receptive field of Babinski reflex may extend to the leg or thigh, but may also integrate with other modalities of stimulation, such as the rolling movement. The possible underlying pathophysiology of such a phenomenon is discussed.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2011;volume=14;issue=3;spage=198;epage=199;aulast=KuruvillaBabinski signkinaesthetic extensor plantar signkinaesthetic upgoing toe signupper motor neuron lesion |
| spellingShingle | Abraham Kuruvilla Pandurang R Wattamwar Kinaesthetic ipsilateral and crossed extensor plantar response: A new way to elicit upgoing toe sign (Babinski response)? Annals of Indian Academy of Neurology Babinski sign kinaesthetic extensor plantar sign kinaesthetic upgoing toe sign upper motor neuron lesion |
| title | Kinaesthetic ipsilateral and crossed extensor plantar response: A new way to elicit upgoing toe sign (Babinski response)? |
| title_full | Kinaesthetic ipsilateral and crossed extensor plantar response: A new way to elicit upgoing toe sign (Babinski response)? |
| title_fullStr | Kinaesthetic ipsilateral and crossed extensor plantar response: A new way to elicit upgoing toe sign (Babinski response)? |
| title_full_unstemmed | Kinaesthetic ipsilateral and crossed extensor plantar response: A new way to elicit upgoing toe sign (Babinski response)? |
| title_short | Kinaesthetic ipsilateral and crossed extensor plantar response: A new way to elicit upgoing toe sign (Babinski response)? |
| title_sort | kinaesthetic ipsilateral and crossed extensor plantar response a new way to elicit upgoing toe sign babinski response |
| topic | Babinski sign kinaesthetic extensor plantar sign kinaesthetic upgoing toe sign upper motor neuron lesion |
| url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2011;volume=14;issue=3;spage=198;epage=199;aulast=Kuruvilla |
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