No abstract available.
Guillain-Barre Syndrome* ; Ophthalmoplegia* ; Reflex, Babinski*

When recovery of specific reflexes after acute spinal cord injury are delayed or absent, we should consider an acute local complication or other factors that influence reflex function. We observed three spinal cord injury cases with a long-standing delayed plantar reflex and no evolution of Babinski sign despite enough recovery time had passed for the flexor spasm and all deep tendon reflexes of the lower extremities. In these cases we confirmed common peroneal nerve neuropathy at the fibular head by the nerve conduction study and electromyography. Long-standing delayed plantar reflex without evolution of Babinski sign, beyond expected recovery period, would be considered as a sign of local complication such as common peroneal nerve injury.
Electromyography ; Head ; Lower Extremity ; Neural Conduction ; Peroneal Nerve ; Reflex* ; Reflex, Babinski ; Reflex, Stretch ; Spasm ; Spinal Cord Injuries* ; Spinal Cord*

A case of acute Gingko poisoning in a year and 7 months old boy was presented. The patient manifested vomiting and tonic convulsive seizure after 2 hours of Gingko ingestion and followed by sensory disturbance, miosis, positive Babinski sign, leukocytosis and increased CSF pressure. Patient recovered 3 days later with symptomatic treatment such as anticonvulsanr and parenteral fluid administration. The authors report the case with review of prtinent literature.
Eating ; Fruit* ; Ginkgo biloba* ; Humans ; Infant ; Leukocytosis ; Male ; Miosis ; Poisoning ; Reflex, Babinski ; Seizures ; Vomiting

PURPOSE: Extensor toe signs are neurologic abnormal finding in upper motor neuron impairment, such as spastic diplegia in cerebral palsy. Though classic Babinski sign is widely used, many other methods elicit extensor toe signs are used as substitutes. However, these methods are not tried whether they are clinically valuable or not. So, we carried out these methods to spastic cerebral palsy patients, compared the sensitivities of these extensor toe sign tests and estimated their clinical value. METHODS: From April, 2000 to August, 2001, thirty patients who had been diagnosed spastic cerebral palsy at Chungnam National University Hospital were tested for extensor toe signs at restful supine position. The sensitivity of every extensor toe sign was compared with each other. RESULTS: The sensitivity of Babinski sign is 76%, Gonda-Allen sign 86%, Allen- Cleckley sign 63%, Chaddock sign 63%, Oppenheim sign 50%, Gordon sign 22% and the others less than twenty percent. Although the sensitivity of Gonda-Allen sign is higher than Babinski sign, it is not statistically significant. But these two methods are superior than the others. CONCLUSION: In patients having upper motor neuron impairments, Gonda-Allen sign and classical Babinski sign are more useful and more sensitive than the other tests, which elicit of extensor toe signs.
Cerebral Palsy* ; Child* ; Chungcheongnam-do ; Humans ; Motor Neurons ; Reflex, Babinski ; Supine Position ; Toes*

Cystic retrochiasmatic craniopharyngioma may reach enormous size by expanding into the posterior fossa along the retroclival area, which is very unusual finding. An 11-year-old girl presented with walking disturbance and irritability. On the neurological examination, she had positive Babinski sign, hyperactive deep tendon reflex, and left lateral gaze nystagmus. She also had right hearing disturbance. Initial magnetic resonance(MR) images revealed a huge, thin capsuled cystic mass which extended into the cerebellopontine angle down to the medulla oblongata. Secondary adjuvant chemotherapy, radiotherapy, and reoperation were necessary after first tumor removal by a suboccipital approach, due to the progression of disease. Finally, neurological condition was much improved without remnant tumor although some sequelae were remained. We report this interesting case because of its rarity, complex clinical presentation, and challenge in its management.
Cerebellopontine Angle ; Chemotherapy, Adjuvant ; Child ; Craniopharyngioma* ; Female ; Hearing ; Humans ; Medulla Oblongata* ; Neurologic Examination ; Radiotherapy ; Reflex, Babinski ; Reflex, Stretch ; Reoperation ; Walking

OBJECTIVE: To determine the effect of cold air therapy on relieving spasticity, the optimal intramuscular temperature, and the duration of spasticity relief. METHOD: Twenty-three 4 months old Korean white rabbits weighing 2 to 3 kg were used. After posterior laminectomy at thoracolumbar junction, the spinal cord was completely transected. After spasticity occurred, cold air was applied to the triceps surae muscles for 30 minutes at three different intramuscular temperatures (32.5, 30, and 25degrees C). Spasticity was measured pre-treatment, immediately following treatment, after 30 minutes, and after 60 minutes. Clinical parameters (muscle tone, deep tendon reflex, ankle clonus, and Babinski's sign) and electrophysiologic parameters (F/M ratio and H/M ratio) were measured. RESULT: Muscle tone and Babinski's sign significantly decreased immediately following treatment in the 32.5degrees C group, immediately following treatment and after 30 minutes in the 30degrees C and 25degrees C group. Deep tendon reflex and ankle clonus significantly decreased immediately following treatment in the 32.5degrees C group, immdiately following treatment, after 30 minutes in the 30degrees C group, immediately following treatment, after 30 minutes and after 60 minutes in the 25degrees C group. The F/M ratio and H/M ratio were not significantly affected in the 32.5degrees C group but decrease immediately following treatment in the 30degrees C and 25degrees C groups. Compound motor unit action potentials were not evoked in 6 out of 16 cases (37.5%) in the 25degrees C group, resulting in blockage of conduction. CONCLUSION: To relieve spasticity with cold air therapy, the intramuscular temperature should be maintained at 30degrees C. The duration of spasticity relief lasted from 30 minutes to one hour after cold air therapy.
Action Potentials ; Ankle ; Humans ; Infant ; Laminectomy ; Muscle Spasticity* ; Muscles ; Rabbits ; Reflex, Babinski ; Reflex, Stretch ; Spinal Cord ; Spinal Cord Injuries

We report a case of aortic dissection masquerading as acute ischemic stroke followed by intravenous thrombolysis. A 59-year-old man presented with dizziness. After examination, the patient had a seizure with bilateral Babinski signs. Soon after identifying multiple acute infarctions in both hemispheres on diffusion-weighted brain magnetic resonance (MR) imaging, tissue plasminogen activator (t-PA) was administered. Both common carotid arteries were invisible on MR angiography, and subsequent chest computed tomography revealed an aortic dissection. The emergency operation was delayed for 13 hours due to t-PA administration. The patient died of massive bleeding.
Angiography ; Brain ; Carotid Artery, Common ; Dizziness ; Emergencies ; Hemorrhage ; Humans ; Infarction ; Middle Aged ; Reflex, Babinski ; Seizures ; Stroke* ; Thorax ; Tissue Plasminogen Activator

A Case of acute Ginko poisoning in a Year and 1 month old girl was presented. The patient was admitted, with chief complainsof abrupt vomiting, general clonic convulson and unconsciouseness, which was developed 2 hours after ingestion of Ginko biloba L.. There was revealed leukocytosis, increased C.S.F. pressure with positive Babinski sign. This patient was treated with anticonvulsants, antipyretics, steroid hormone, mannitol and maintained fluid and electrolyte balance. The patient was discharged in good condition, 8th hospital day.
Anticonvulsants ; Antipyretics ; Eating ; Female ; Ginkgo biloba* ; Humans ; Infant, Newborn ; Leukocytosis ; Mannitol ; Poisoning ; Reflex, Babinski ; Vomiting ; Water-Electrolyte Balance

A 42-year-old male was admitted to our clinic on May 4, 1980, because of slight neck stiffness, quadriparesis and urinary difficulty. On admission, neurological examination revealed alert mental state, slight neck stiffness, quadriparesis and loss of pain and temperature sense below the level of C3 sensory dermatome. All deep tendon reflexes were hyperactive and Babinski's sign was positive. Roentgenographic examination of the cervical spine showed widened interpedicular distance at C5 to C7 in A-P view. Myelogram disclosed widening of the dye column at C4 to T1 vertebral level, suggesting intramedullary tumor. Laminectomy was performed from the C5 to T2. The cord appeared to be widened and swollen at the C6-7 segment level. 1ml of yellowish pus was aspirated from the distended spinal cord at the C6 level. Mid-line posterior myelotomy was performed and hard cavity wall was visible. Upon incision of cavity wall, about 5ml of yellowish purulent pus exuded, allowing the cord to become "flaccid". The abscess cavity was irrigated with saline and penicillin solutions and a small rubber drain catheter was placed in the abscess cavity. The organism from the abscess was identified as Staphylococcus aureus. Postoperative course was uneventful. Antibiotic therapy was continued for four weeks after operation. The patient's condition was much improved and he could walk with assistance on discharge time.
Abscess* ; Adult ; Catheters ; Humans ; Laminectomy ; Male ; Neck ; Neurologic Examination ; Penicillins ; Quadriplegia ; Reflex, Babinski ; Reflex, Stretch ; Rubber ; Spinal Cord ; Spine ; Staphylococcus aureus ; Suppuration ; Thermosensing

Herpes zoster can be associated with a number of neurologic complications but meningoencephalitis with herpes zoster is rarely seen. We report a case of herpes zoster ophthalmicus followed by the meningoencephalitis, which developed during treatment with acyclovir infusion. A 73-year-old male patient developed a fever and mental confusion on the third day of the treatment. Neurological examination revealed neck stiffess, increased deep tendon reflex and positive Babinski sign. The cerebrospinal fluid examination revealed increased opening pressure, increased protein and a lymphocytic pleocytosis. The glucose level was decreased, which is a very unusual feature in viral meningoencephalitis.
Acyclovir ; Aged ; Cerebrospinal Fluid ; Encephalitis, Varicella Zoster ; Fever ; Glucose ; Herpes Zoster Ophthalmicus ; Herpes Zoster* ; Humans ; Leukocytosis ; Male ; Meningoencephalitis ; Neck ; Neurologic Examination ; Reflex, Babinski ; Reflex, Stretch