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Babinski reflex

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https://www.readbyqxmd.com/read/28217389/management-of-parturients-in-active-labor-with-arnold-chiari-malformation-tonsillar-herniation-and-syringomyelia
#1
Ramsis F Ghaly, Tatiana Tverdohleb, Kenneth D Candido, Nebojsa Nick Knezevic
BACKGROUND: Arnold-Chiari malformation Type 1 (ACM-1) in parturients is a topic of ongoing discussion between obstetricians and anesthesiologists. The primary unanswered question remains; How should the anesthesia provider proceed with labor analgesia and anesthesia for cesarean section when confronted with an advanced, asymptomatic, or minimally symptomatic case of ACM-1 during labor? CASE DESCRIPTION: A 24-year-old, ASA II, G1P0 full-term parturient presented to Labor and Delivery for vaginal delivery...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28162871/a-young-female-with-urinary-retention-a-case-report-of-hashimoto-s-encephalopathy
#2
Benjamin L Cooper, Shane E Appel, Hussam M Ammar
Hashimoto's Encephalopathy (HE) is a rare form of autoimmune encephalopathy associated with Hashimoto's thyroiditis in which patients experience cognitive impairment and various neurologic symptoms. We present a case of a young female that presented to the emergency department with urinary retention, and was ultimately diagnosed with HE. Examination was significant for direction-changing and vertical nystagmus (direction-changing nystagmus describes a phenomenon where the fast beat changes with the direction of gaze), hyperreflexia, clonus, and Babinski and Hoffman's reflexes (all upper motor neuron (UMN) signs)...
January 26, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28102813/intramedullary-amputation-neuroma-a-case-report-and-review-of-the-literature
#3
REVIEW
Laura Stone McGuire, Mandana Behbahini, Sumit Das, David Loeffler, Peter Burger, Herbert Engelhard, Tibor Valyi-Nagy, Ankit Mehta
BACKGROUND AND IMPORTANCE: Amputation neuromas consist of non-neoplastic collections of myelinated axons and Schwann cells and typically arise in injured peripheral nerves. Rarely, however, neuromas occur within the spinal cord. Intramedullary amputation neuromas have been described both with and without a history of trauma within the peripheral nervous system. We report a rare case of an isolated intramedullary spinal cord amputation neuroma. CLINICAL PRESENTATION: This 43-year-old man presented with progressive and severe gait deterioration for ~ 7 years...
March 2017: Clinical Neuropathology
https://www.readbyqxmd.com/read/27905657/-toxic-encephalopathy-caused-by-liquefied-gas-exposure-report-of-one-case
#4
Luis Cartier R, Andrés Gallardo V
Liquefied hydrocarbon gas, such as propane is considered safe. However there are reports that voluntary exposure to liquefied gas at least could originate hallucinatory states. We report a 20 years old woman who was found in a coma with extensor muscle hypertonia, brisk tendon reflexes and extensor plantar (Babinski) responses after being exposed to propane gas. The brain magnetic resonance imaging (MRI) showed lesions in both hippocampi and white matter in the oval center. The patient had a normal oxygen saturation of 98%, a carboxyhemoglobin of 1...
August 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/27835968/a-case-of-rapid-onset-dystonia-parkinsonism-accompanied-by-pyramidal-tract-impairment
#5
Yanqiu Liu, Yan Lu, Xinqing Zhang, Shuping Xie, Tingting Wang, Tianwen Wu, Chaoyan Wang
BACKGROUND: Rapid-onset dystonia-parkinsonism (RDP) is a rare autosomal dominant disorder that is caused by mutations in the ATP1A3 gene and is characterized by an acute onset of asymmetric dystonia and parkinsonism. To date, fewer than 75 RDP cases have been reported worldwide. Clinical signs of pyramidal tract involvement have been reported in several RDP cases, and none of them included the Babinski sign. CASE PRESENTATION: We report a 24-year-old Chinese female with RDP who exhibited a strikingly asymmetric, predominantly dystonic movement disorder with a rostrocaudal gradient of involvement and parkinsonism...
November 11, 2016: BMC Neurology
https://www.readbyqxmd.com/read/27823832/the-babinski-sign-a-comprehensive-review
#6
REVIEW
Paurush Ambesh, Vimal Kumar Paliwal, Vijay Shetty, Stephan Kamholz
The Babinski Sign is one of the most clinically relevant diagnostic signs in medicine. Though the plantar reflex is practiced thousands of times across the globe every day, few realize its historical importance. In this narrative review we trace the origins of the Plantar Reflex back in the 19th century, discuss its evolution over time and examine the body of evidence behind the current understanding. State of the art diagnostic modalities like video analysis and electromyography have helped us in dissecting the pathophysiology behind the simple yet beautiful Babinski Sign...
January 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/27795545/a-symptomatic-case-of-thoracic-vertebral-hemangioma-causing-lower-limb-spastic-paresis
#7
Mohammad Alfawareh, Tariq Alotaibi, Abdallah Labeeb, Ziad Audat
BACKGROUND Despite being the most common tumor of the spine, vertebral hemangioma is rarely symptomatic in adults. In fact, only 0.9-1.2% of all vertebral hemangiomas may be symptomatic. When hemangiomas occur in the thoracic vertebrae, they are more likely to be symptomatic due to the narrow vertebral canal dimensions that mandate more aggressive management prior to the onset of severe neurological sequelae. CASE REPORT An 18-year-old male presented to the emergency room with a one-month history of mild to moderate mid-thoracic back pain, radiating to both lower limbs...
October 31, 2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27680221/a-case-of-cerebrotendinous-xanthomatosis-mimicking-the-clinical-phenotype-of-mitochondrial-disease-with-a-novel-frame-shift-mutation-c-43_44-delgg-in-cyp27a1-gene-exon-1
#8
Junpei Koge, Shintaro Hayashi, Hiroo Yamaguchi, Takahisa Tateishi, Hiroyuki Murai, Jun-Ichi Kira
A 37-old-male with a history of early childhood mental retardation was admitted to our hospital. He experienced recurrent syncopes at 23 years old, and at age 35 gait disturbance and hearing impairment developed gradually and worsened over time. His grandparents were in a consanguineous marriage. He was of short stature and absent of tendon xanthomas. Neurological examinations revealed scanning speech, dysphagia, right sensorineural hearing loss, spasticity in both upper and lower extremities, and spastic gait...
October 28, 2016: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/27427994/bilateral-central-foot-drop-in-a-pediatric-patient
#9
REVIEW
Semra Işık, Akın Akakın, Murat Şakir Ekşi, Baran Yılmaz, Tamer Aksoy, Murat Konakçı, Zafer Orkun Toktaş, Türker Kılıç
Foot drop is an inability to dorsiflex the ankle and toe. Primary causes of foot drop are compression or lesion of the 5th lumbar nerve and entrapment of the peroneal nerve at the head of the fibula. Rarely, some central nervous system lesions lead to foot drop. A 16-year-old boy was admitted with blunt head trauma that had happened in an assault. The muscle strength of the bilateral tibialis anterior, bilateral extensor digitorum longus and bilateral extensor digitorum brevis were Medical Research Council grade 1...
2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27316567/sudden-post-traumatic-sciatica-caused-by-a-thoracic-spinal-meningioma
#10
Giuseppe Mariniello, Francesca Malacario, Flavia Dones, Rocco Severino, Lorenzo Ugga, Camilla Russo, Andrea Elefante, Francesco Maiuri
Spinal meningiomas usually present with slowly progressive symptoms of cord and root compression, while a sudden clinical onset is very rare. A 35-year-old previously symptom-free woman presented sudden right sciatica and weakness of her right leg following a fall with impact to her left foot. A neurological examination showed paresis of the right quadriceps, tibial and sural muscles, increased bilateral knee and ankle reflexes and positive Babinski sign. Magnetic resonance imaging (MRI) revealed the presence of a spinal T11 meningioma in the left postero-lateral compartment of the spinal canal; at this level, the spinal cord was displaced to the contralateral side with the conus in the normal position...
October 2016: Neuroradiology Journal
https://www.readbyqxmd.com/read/27216551/a-novel-frameshift-mutation-of-ddhd1-in-a-japanese-patient-with-autosomal-recessive-spastic-paraplegia
#11
Shiroh Miura, Takuya Morikawa, Ryuta Fujioka, Kengo Kosaka, Kohei Yamada, Gohsuke Hattori, Manabu Motomura, Takayuki Taniwaki, Hiroki Shibata
Spastic paraplegia (SPG) type 28 is an autosomal recessive SPG caused by mutations in the DDHD1 gene. We examined a Japanese 54-years-old male patient with autosomal recessive SPG. His parents were consanguineous. He needed a wheelchair for transfer due to spastic paraplegia. There was a history of operations for bilateral hallux valgus, thoracic ossification of the yellow ligament, bilateral carpal tunnel syndrome, bilateral ankle contracture, and lumbar spinal canal stenosis. He noticed gait disturbance at age 14...
August 2016: European Journal of Medical Genetics
https://www.readbyqxmd.com/read/27169300/rheumatoid-meningitis-diagnostic-and-therapeutic-observations
#12
Christoph Stretz, Xianyuan Song, Brendan D Killory, Martin D Ollenschleger, Amre M Nouh
A 75-year-old female with untreated rheumatoid arthritis presented with two weeks of behavioral changes and cognitive decline. A neurologic examination showed severe encephalopathy, brisk reflexes, and bilateral Babinski sign. A contrast-enhanced brain MRI demonstrated right meningeal enhancement and periventricular white matter disease. A computed tomographic angiogram (CTA) of the head and neck was negative for vasculitis. The cerebrospinal fluid (CSF) demonstrated lymphocytic pleocytosis. The patient's serum rheumatoid factor levels were elevated...
March 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27154444/midbrain-and-bilateral-paramedian-thalamic-stroke-due-to-artery-of-percheron-occlusion
#13
Magdalena Restel, Ałła Graban, Grzegorz Witkowski, Danuta Ryglewicz, Halina Sienkiewicz-Jarosz
INTRODUCTION: Bilateral thalamic strokes are rare manifestations of posterior circulation infarcts. Usually the etiology is cardioembolic or small vessel disease combined with individual anatomical predisposition. The symptoms include a variety of neurological deficits depending on thalamic structure involvement, such as paresthesias or numbness, hemiparesis with increased reflexes and Babinski sign, third cranial nerve palsy, speech and cognition disturbance, memory impairment and stupor...
2016: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/27035714/neurosurgical-work-during-the-napoleonic-wars-george-james-guthrie-s-experience
#14
Franck-Emmanuel Roux
Involved in what is still considered, along with the two world wars of the 20th century, as one of the major conflicts in Europe, George James Guthrie (1785-1856) was the most famous English army surgeon of the Napoleonic wars. After treating the injured throughout the Peninsular Campaign (1808-1814), in 1815 and then in 1842 he published two major books dealing with cranial and brain injuries, among other topics. In these books, we can find, for example, an early description of the plantar reflex further described by Joseph Babinsky, accurate descriptions of the clinical signs of intracranial hypertension, and details of the physiopathology of subdural and epidural haematomas...
2016: Frontiers of Neurology and Neuroscience
https://www.readbyqxmd.com/read/26952301/value-of-self-induced-plantar-reflex-in-distinguishing-babinski-from-withdrawal
#15
Sayyed A Sohrab, Douglas Gelb
No abstract text is available yet for this article.
March 8, 2016: Neurology
https://www.readbyqxmd.com/read/26912227/-a-case-of-posterior-reversible-encephalopathy-syndrome-associated-with-takayasu-s-arteritis
#16
Kenji Wakida, Hiroyuki Morita, Takeo Sakurai, Hiroshi Nishida
A 75-year-old woman presented with a 4-month history of repetitive loss of consciousness, dizziness, and ear fullness. Fluid attenuation inversion recovery magnetic resonance imaging showed high-intensity areas in the right occipital lobe, both frontal lobes, and parietal lobes, and the patient was therefore admitted to our department for further examination. Neurologic findings included a positive Barré sign (right upper extremity), impaired tandem gait, and positive left-sided Babinski reflex. The patient was diagnosed with Takayasu's arteritis owing to a difference in blood pressure between the left and right upper extremity, weakened pulse in the left upper extremity, as well as thickened arterial wall, and delayed enhancement on a contrast-enhanced computed tomography image...
2016: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/26849710/myelopathic-signs-and-functional-outcome-following-cervical-decompression-surgery-a-proposed-myelopathy-scale
#17
Salem El-Zuway, Forough Farrokhyar, Edward Kachur
OBJECTIVE Cervical spondylotic myelopathy (CSM) is the most common cause of spinal cord dysfunction in adults. In spite of this, the impact of the changes in myelopathic signs following cervical decompression surgery and their relationship to functional outcome measures remains unclear. The main goals of our study were to prospectively assess changes in myelopathic signs with a functional outcome scale (the modified Japanese Orthopaedic Association [mJOA] scale) following cervical decompression surgery and to objectively test a proposed new myelopathy scale (MS)...
June 2016: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/26763519/split-hand-syndrome-and-syndrome-of-inappropriate-antidiuretic-hormone
#18
Kiyoshi Shikino, Masatomi Ikusaka
No abstract text is available yet for this article.
January 2016: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/26754264/nonneurological-involvement-in-late-onset-friedreich-ataxia-lofa-exploring-the-phenotypes
#19
Alberto R M Martinez, Adriana Moro, Agessandro Abrahao, Ingrid Faber, Conrado R Borges, Thiago J R Rezende, Carlos R Martins, Mariana Moscovich, Renato P Munhoz, Sandra Leistner Segal, Walter O Arruda, Maria Luiza Saraiva-Pereira, Simone Karuta, José Luiz Pedroso, Anelyssa D'Abreu, Laura B Jardim, Íscia Lopes-Cendes, Orlando G Barsottini, Hélio A G Teive, Marcondes C França
Friedreich's ataxia (FDRA) is the most common inherited ataxia worldwide, caused by homozygous GAA expansions in the FXN gene. Patients usually have early onset ataxia, areflexia, Babinski sign, scoliosis and pes cavus, but at least 25 % of cases have atypical phenotypes. Disease begins after the age of 25 in occasional patients (late-onset Friedreich ataxia (LOFA)). Little is known about the frequency and clinical profile of LOFA patients. One hundred six patients with molecular confirmation of FDRA and followed in three Brazilian outpatient centers were enrolled...
February 2017: Cerebellum
https://www.readbyqxmd.com/read/26738643/-treatment-of-thoracic-disc-herniation-case-report
#20
Mauricio Leonardo Picado-Baca, José Nicolás Mireles-Cano, Víctor Manuel León-Meza, Oscar Guillermo García-González, Alejandro Ramos-Trujillo
BACKGROUND: Herniated thoracic intervertebral disc is a rare cause of spinal cord compression. Its frequency varies from 0.15% to 1.7% of all disc herniations, and produces symptoms in 0.5% to 0.8%. CLINICAL CASES: Case 1. A 50-year-old woman, with pain and burning sensation in left hemithorax of four months of onset. It was treated as a herpetic syndrome, with no improvement. She was seen after thirteen days of exacerbation of clinical symptoms. The physical examination showed asymmetric paraparesis, lower left pelvic limb 1/5, and right pelvic limb 3/5¸ sensory level T8, with left Babinski positive...
September 2016: Cirugia y Cirujanos
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