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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200044 | PMC |
| http://dx.doi.org/10.4103/0972-2327.85894 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Muscle Tone and Stiffness Comparison in Ambulatory Children With Unilateral Spastic Cerebral Palsy: Implications for Postural Balance and Functional Mobility.
Pediatr Exerc Sci
December 2024
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bitlis Eren University, Bitlis,Turkey.
Objectives: To compare muscle tone and stiffness in ambulatory children with unilateral spastic cerebral palsy (UCP) with typically developing peers and explore their relationship with postural balance and functional mobility.
Methods: Forty ambulatory children with UCP and age-matched typically developing peers were assessed for tone and stiffness of lumbar spinal extensors, gastrocnemius, and hamstring muscles using a myotonometer. Functional mobility was evaluated with the 2-Minute Walk Test, and the Timed Up and Go Test, while postural balance was evaluated using the Pediatric Balance Scale and the Trunk Control Measurement Scale (TCMS).
Heart in the Brain.
J Assoc Physicians India
December 2024
Neurologist, Department of Neurology, Brain and Spine Centre, Vaikom, Kerala, India.
A 52-year-old man with a 5-year history of diabetes mellitus and chronic renal disease presented with sudden onset left upper limb weakness and numbness at 5 pm, which progressed to quadriplegia by the next day at 2:30 am. He had dysarthria at admission. There were no sensory symptoms in the lower limbs.
View Article and Find Full Text PDFComparison of different maximal isometric strength of lower limb muscle groups in predicting fall-risk among older persons.
J Back Musculoskelet Rehabil
September 2024
Department of Physiotherapy, Faculty of Allied Medical Sciences, Philadelphia University, Amman, Jordan.
Background: Many independent studies have investigated the role of normalized maximal voluntary isometric strength (MVIS) of lower limb muscle groups (MVISLLMG) by body weight and summed knee and ankle muscle strength in predicting the risk of falling among older persons. However, it is unknown which MVISLLMG is better at predicting the fall risk.
Objective: This study aimed to compare different MVISLLMG in predicting fall-risk among older persons against the reference standard (history of falls).
Investigating ITM2B-associated ataxia in a Taiwanese cerebellar ataxia cohort.
Ann Clin Transl Neurol
January 2025
Department of Neurology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Objective: The genetic causes of a significant number of patients with cerebellar ataxia remain unsolved. Variations in the ITM2B gene, typically linked to dominantly inherited dementia, can sometimes present with cerebellar ataxia as an early symptom. This study aims to investigate the role of ITM2B variations in a Taiwanese cohort with unsolved cerebellar ataxia.
View Article and Find Full Text PDFMachine Learning Model for Predicting Walking Ability in Lower Limb Amputees.
J Clin Med
November 2024
Faculty of Technical Sciences, University of Novi Sad, 21000 Novi Sad, Serbia.
: The number of individuals with lower limb loss (LLL) is rising. Therefore, identifying the walking potential in individuals with LLL and prescribing adequate prosthetic systems are crucial. Various factors can influence participants' walking ability, to different extents.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!