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The crossed extensor hallucis response in neurological disorders; an electromyographic analysis.

The electromyographic activity in several leg muscles during the elicitation of "the crossed up-going toe sign" (CUT) was studied in patients and compared with that obtained in connection with the Babinski sign and in normal subjects. The results indicate that the patterns of activation and the responsible pathways are different for the CUT and Babinski signs. The difference between the normal subjects and the CUT positive patient is a matter of quantitative difference of coactivation of distal leg muscles during the test procedure rather than a change of reflex patterns.

Adult↗

Babinski response: stimulus and effector.

This is an electromyographic study of the activity in flexor and extensor muscles of the big toe in 22 patients with a Babinski sign and 49 controls, after mechanical or electrical stimulation of the sole. The results indicate: (1) the Babinski sign is mediated by the extensor hallucis longus (EHL), and not by the extensor hallucis brevis; (2) electrical stimuli may fail to activate the EHL in these patients, and conversely may evoke EHL reflexes in control subjects; (3) in skin reflexes, electrical and mechanical stimuli are not freely interchangeable.

Electric Stimulation↗

[Crossed plantar extension. A clinical and physiological study (author's transl)].

A 44 year-old man was examined for a slowly progressive left hemiplegia predominating on the lower limb. A left sign of Babinski was present. On the right side the plantar response was flexor. Stimulation of the right sole elicited a left extensor plantar response. CT Scan showed calcification sin the right paracentral lobule. The variations of the contralateral soleus H reflex when conditioned by a nociceptive stimulus applied on the right little toe were studied. No modification was seen. This contrasts with the facilitation observed in normal subjects and in patients with a lesion of the cerebral hemisphere not involving the paracentral lobule. It is suggested that this abnormality could contribute to the development of a crossed extensor plantar responses. Possible mechanisms of this phenomenon are briefly considered.

Adult↗

The Babinski sign.

Babinski's life and the story of the Babinski sign are summarised. The physiological basis of the sign is discussed.

Eponyms↗

Thalamic hemorrhage: a computed tomographic-clinical study in prognostic prediction.

A series of 50 patients with thalamic hemorrhage confirmed by CT Scan is reported. The size, location, extension, and ventricular perforation of the hemorrhage are accurately portrayed. The age of onset, sex, level of consciousness on admission, history of vomiting and headache and detailed neurological examination were studied and analyzed. All patients were evaluated 6 months after the attack using the Kanaya's grading of ability in daily life (ADL). The authors conclude that the size of hematoma, initial consciousness loss, impaired level of consciousness on admission and bilateral Babinski's sign indicates the poor prognosis in thalamic hemorrhage.

Activities of Daily Living↗