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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 âpainâ 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 of Neurophysiology – The American Physiological Society
Published: May 1, 1948
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