What is the significance of the Babinski Reflex?

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Shashi
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Date Joined Jul 2006
Total Posts : 156
   Posted 8/11/2006 10:13 AM (GMT -7)   
I'm still in the diagnostic stage.  I've had a lot of MS symptoms, but my MRIs are normal.  I haven't had an MRI on my thoracic spine yet, that's scheduled for this coming Monday.
 
On my two neuro exams, I have had a present Babinski reflex in my left foot.  In addition, my SSER (EVP) was abnormal on my left leg. 
The second neurologist I have seen (the first dismissed me without any follow-up after my MRI came back normal) told me that these findings could be from peripheral damage to the nerve in my leg instead of being a problem in my central nervous system (which isn't what the EVP report said. It said that the problem was most likely located between the end of my spine and my cerebral cortex.) 
 
So what is the significance of a present Babinski and abnormal EVP on the same side?  Could it be peripheral nerve damage, or is it more likely to be something going on in my central nervous system?
 
Thanks and hugs,
 
Lisa

uppitycats
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Date Joined Jun 2005
Total Posts : 2135
   Posted 8/11/2006 1:09 PM (GMT -7)   

Here is a website that describes what the Babinski reflex is, and various illnesses and conditions that can trigger it:http://www.nlm.nih.gov/medlineplus/ency/article/003294.htm

Most of them do indeed appear to be problems with the central nervous system, but some of them would relate to the peripheral nervous system, and in at least one instance, it is described as "temporary". So you might want to read there and see if any of the disorders mentioned sound familiar to what you're experiencing.

 

 


...I am not a doctor, nor health professional, and don't pretend to be one, here.....


xxeegg
Regular Member


Date Joined Dec 2005
Total Posts : 85
   Posted 8/11/2006 1:56 PM (GMT -7)   
uppitycats I can't find this article. Is the address right?   Linda

Kimber
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Date Joined Jun 2005
Total Posts : 1852
   Posted 8/11/2006 2:51 PM (GMT -7)   

Great site Uppity!

Here's a clicky link for you Linda, see if this works for you

http://www.nlm.nih.gov/medlineplus/ency/article/003294.htm


 
Allow Healing Well to continue to help others, clink link for details

Shashi
Regular Member


Date Joined Jul 2006
Total Posts : 156
   Posted 8/11/2006 2:55 PM (GMT -7)   
I checked out that link. Thanks, Uppitycats. It was very informative. The only condition, however, that sounded anything like what I'm experiencing is MS.

*sigh* I guess I'm back to where I started!

rhondab
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Date Joined Mar 2006
Total Posts : 2146
   Posted 8/11/2006 3:37 PM (GMT -7)   
Hey Everyone

I have a quick question for anyone who may know. What does it mean if u have no reaction to stimuli? When my doc did that test on my right foot there was no response at all. The left foot moved (tho i don't remember how), but i specifically remember the right foot because he did it twice and looked at me (for my reaction i suppose).

rhonda

uppitycats
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Date Joined Jun 2005
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   Posted 8/11/2006 4:51 PM (GMT -7)   
If your foot *moved* -- that is a positive Babinski reflex, not a good thing. It doesn't have to happen in both feet. So if he did your left foot, got a response, then moved to your right foot and got nothing, he may simply have repeated it to make sure that there was not also a response there.
...I am not a doctor, nor health professional, and don't pretend to be one, here.....


Shashi
Regular Member


Date Joined Jul 2006
Total Posts : 156
   Posted 8/11/2006 5:33 PM (GMT -7)   
Hi Rhonda,

If your big toe moved up and your other toes fanned out, that means the Babinski reflex is present, which isn't a good thing in adults. A normal response in an adult is for the big toe and other toes to curl under. No response at all is also considered normal.

How are you doing, by the way?

Hugs,

Lisa

rhondab
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Date Joined Mar 2006
Total Posts : 2146
   Posted 8/11/2006 5:52 PM (GMT -7)   
Hey Uppity

I didn't know what the response should be other than the toes curling or fanning. I assumed no response was an absence of sensation. I've actually researched this some and only found info that told about the particuliar response looked for, but nothing that told me about the absense of response. Thanks for posting this to me!

Hey Lisa

Thanks to u as well! I can't remember the way my left foot responded...since my mind was on my right foot i guess i didn't pay attention. It did do something, but i couldn't say what. As to how i'm doing, i guess ok. I started a thread earlier about taking the Diamox and that's really kicking me, but i'm hanging in there. I sorta think before i started that med that things were making themselves known again. Just a day or so before i started that i began having more probs with heat intolerance and balance issues. I'm curious as to the extent that maybe the med isn't causing all my probs that i posted about. I'm wondering if maybe they were already intensifying and coincidentally i started the med at the right time to not be sure. I haven't talked to my doc yet, but my pharmacist said the side effects should lessen in time. If they don't by Monday i plan to wean myself from them and call my doc to that effect. How are u feeling?

rhonda

Shashi
Regular Member


Date Joined Jul 2006
Total Posts : 156
   Posted 8/11/2006 7:53 PM (GMT -7)   
Hi Rhonda,

I'm doing okay. I've been having pretty bad muscle spasms all week, especially in my back and legs. I've had trouble walking because of the leg spasms. It's been cooler here today, which has helped a lot. I hate heat! And for the past couple of days, I've felt like I've got a tight hat band on my head. No pain, just constant pressure. Very irritating!

I posted about my neurologist appointment earlier. I have a spinal MRI scheduled for Monday. She also started me on Pamalor(sp?). It's an anti-depressant, but it also helps with nerve pain. So far, I haven't noticed it doing anything, but we'll see.

Hang in there. Hopefully the problems you're having with your meds will pass soon.

Hugs,

Lisa

jena1225
Regular Member


Date Joined Jul 2006
Total Posts : 35
   Posted 8/12/2006 4:49 AM (GMT -7)   
I do have MS - I always thought that a response was a good thing, as none of my Nueros ever explained the Babinsly to me in all thse years. I have always had extreme responses, especially on my left side. This last time was when this Neuro explained it to me after my left leg almost literally kicked him! lol and my arm was bad too. Not sure what my toes did though, but can only assume I failed that one too

jccglutenfree
New Member


Date Joined Aug 2006
Total Posts : 10
   Posted 8/16/2006 10:13 PM (GMT -7)   
Be sure that your doctor tests you for B12 deficiency, as it can mimic MS...causing many of the same neurologic symptoms... check out some of the info here~ http://jccglutenfree.googlepages.com/b12deficiency

There are many possible causes for B12 deficiency. The treatment is simple...so be sure that this is checked!

Good luck!
 
Cara

Post Edited (jccglutenfree) : 8/16/2006 11:17:16 PM (GMT-6)


lefty2g
New Member


Date Joined Aug 2012
Total Posts : 3
   Posted 8/19/2012 11:58 AM (GMT -7)   
Here is a new possibility....
Neurologists frequently suggest people do not spend too much time at stool because some read there and may be there til a leg goes "to sleep" with tingling and numbness of entire leg. This is caused by extreme pressure applied to the leg nerves by the weight of the leg pressing down for a pong period. Heavy people with full thighs are apt to see this more often but it can happen to all. this cuses temporary damage to some nerves in the leg which result in the symptoms reported here but never discussed as a possibility.

Too often, and this can damage the nerve so that it takes longer to heal because the same nerves are repeatedly damaged before complete healing takes place. The symptoms initially are natures warning that something is taking place. It is so uncomfortable that we move the leg and that corrects the immediate problem, however, since we go to stool every day we are apt to repeat the conditions that causes the response to last longer or become chronic. Do not tale reading material to stool that can take too long to read..

lefty2g
New Member


Date Joined Aug 2012
Total Posts : 3
   Posted 8/19/2012 12:02 PM (GMT -7)   
How do I correct a typo after the reply was submitted? mis spelled word.

JustInCaseItsHelpful
New Member


Date Joined Oct 2012
Total Posts : 1
   Posted 10/7/2012 1:27 PM (GMT -7)   
The PLANTAR REFLEX tests the integrity of the spinal cord from L4(4th bone of the Lumbar vertebrae) to S2(2nd bone of the Sacrum) and indirectly determines if the coritcospinal tracts are functioning properly. It is elicited by drawing a blunt object downward along the lateral aspect(outer edge) of the plantar surface(sole) of the foot. The normal response is a downward flexion(curling) of the toes. However, if the primary motor cortex or corticospinal tract is damaged, the plantar reflex is replaced by an abnormal reflex called Babinski's sign, in which the great toe dorsiflexes(raises towards the body) and the smaller toes fan laterally. Infants exhibit Babinski's sign until they are about 2 years of age because their nervous systems are incompletely myelinated. Despite its clinical significance, the phyisological mechanism of Babinski's sign is not understood.

Here is a list of possible illnesses associated with Babinski's sign.

Amyotrophic lateral sclerosis (Lou Gehrig's disease)
Brain tumor
Friedreich's ataxia
Head injury
Hepatic encephalopathy
Meningitis
Multiple sclerosis
Pernicious anemia
Poliomyelitis (some forms)
Rabies
Spinal cord injury
Spinal cord tumor
Stroke
Syringomyelia
Tuberculosis (when it affects the spine)


I am not a doctor, health professional, and don't pretend to be one. I am a student that thought this might be helpful, but to each their own. Best of luck, and good wishes on my behalf.

Singingsupernurse
Regular Member


Date Joined May 2012
Total Posts : 118
   Posted 11/10/2012 12:21 PM (GMT -7)   
Justincase:
Very good. When I taught health assesment for nursing students I showed them my positive Babinski( toes fanning out, happens on both sides) as well as a positive rhomberg test(falling over with your eyes closed and your feet together).
Nice Job!
Those that do not learn from history are doomed to repeat it

c.cross123
New Member


Date Joined Sep 2016
Total Posts : 1
   Posted 9/26/2016 10:51 AM (GMT -7)   
Hi i am paralyzed from the waste down cant speak because i have very little movements in tounge and lips and 3 fingers that close into my palm and the doctors dont know whats wrong i also have severe spasms and positive babinski sign in both feet just woundering weather anyone else had experienced this and if so what is it :) thanks

angiechzz
New Member


Date Joined Oct 2016
Total Posts : 1
   Posted 10/30/2016 7:53 AM (GMT -7)   
C.cross123, ..I have had symptoms pretty close to what you describe. My first attack I was in a wheelchair. Unfortunately the doc's haven't given diagnosis yet. I'm hoping that the paralysis for you goes away. It definitely can be scary! My legs and one arm felt extremely heavy, couldn't speak rite at all. Slowly, ..they came back but still get less severe episodes. The doctors rite now think it is ms, and are testing for it. Had another strange bout, so they are looking into it. It's difficult because different conditions can mimic others. I hope you can get help tho. You arent alone.
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