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THE BABINSKI SIGN EXTINCTION DURING BILATERAL SIMULTANEOUS CUTANEOUS STIMULATION

THE BABINSKI SIGN EXTINCTION DURING BILATERAL SIMULTANEOUS CUTANEOUS STIMULATION BILATERAL SIMULTANEOUS CUTANEOUS STIMULATION U. S. NavaZ Hospital, (Received National for Naval Medical publication January Center, Bethesda, Maryland 6, 1948) CERTAIN PATIENTS who showed a positive Babinski on unilateral stimulation of the plantar surface of the foot, failed to show any element of the Babinski when adequate stimuli were applied simuZtaneousZy to the plantar surface of each foot. This communication presents the conditions under which the above phenomenon was elicited and a discussion of some of the neural elements capable of mediating such a response. The extinction of the Babinski plantar response was first noted in a patient who exhibited the classical s of the anosognosia of Babinski. Together with the failure of the patient to recognize and appreciate the ificance of his profound left hemiplegia he showed almost complete hemianesthesia which included the face. Strong stimuli over the distal portions of the left lower limb elicited “pain” and the major elements of the Babinski : dorsiflexion of the hallux and fanning of the toes, along with minimal flexion at the other limb joints. In all patients with sensory deficits it had been the custom to follow the methods detailed by Bender(l) to determine the presence of extinction http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Neurophysiology The American Physiological Society

THE BABINSKI SIGN EXTINCTION DURING BILATERAL SIMULTANEOUS CUTANEOUS STIMULATION

Journal of Neurophysiology , Volume 11: 193 – May 1, 1948

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Publisher
The American Physiological Society
Copyright
Copyright © 1948 the American Physiological Society
ISSN
0022-3077
eISSN
1522-1598
Publisher site
See Article on Publisher Site

Abstract

BILATERAL SIMULTANEOUS CUTANEOUS STIMULATION U. S. NavaZ Hospital, (Received National for Naval Medical publication January Center, Bethesda, Maryland 6, 1948) CERTAIN PATIENTS who showed a positive Babinski on unilateral stimulation of the plantar surface of the foot, failed to show any element of the Babinski when adequate stimuli were applied simuZtaneousZy to the plantar surface of each foot. This communication presents the conditions under which the above phenomenon was elicited and a discussion of some of the neural elements capable of mediating such a response. The extinction of the Babinski plantar response was first noted in a patient who exhibited the classical s of the anosognosia of Babinski. Together with the failure of the patient to recognize and appreciate the ificance of his profound left hemiplegia he showed almost complete hemianesthesia which included the face. Strong stimuli over the distal portions of the left lower limb elicited “pain” and the major elements of the Babinski : dorsiflexion of the hallux and fanning of the toes, along with minimal flexion at the other limb joints. In all patients with sensory deficits it had been the custom to follow the methods detailed by Bender(l) to determine the presence of extinction

Journal

Journal of NeurophysiologyThe American Physiological Society

Published: May 1, 1948

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