Hemiparesis

Question 1

Babinski 5 components

Answer 1

EHL - extention of great toe
EDL - fanning of toes
Tibialis anterior - dorsiflexion of ankle
Hamstrings - flexion of knee
TFL - flexion of hip

Question 2

3 rules of interpretation of Babinski

Answer 2

Great toe extension patho ONLY if by EHL
Other muscles should SYNCHRONOUSLY cont with EHL
true Babinski is reproducible (vs withdrawal)

Question 3

Bing sign

Answer 3

Pinprick over dorsum of foot - extension of big toe

Question 4

Cornell sign

Answer 4

Stroking inner aspect of EHL tenson - extension of big toe

Question 5

Chaddock sign

Answer 5

Striking lateral malleolus - extension of big toe

Question 6

Gonda sign

Answer 6

Flexion and sudden release of 4th toe - extension of big toe

Question 7

Oppenheim sign

Answer 7

Pressure over medial aspect of tibia - extension of big toe

Question 8

Schaffer sign

Answer 8

Squeezing Achilles tendon - extension of big toe

Question 9

Mendel reflex

Answer 9

Percussion over dorsum foot - abnormal flexion of toes (2-5)

Question 10

Rossolimo sign

Answer 10

Percussion over tip of toes - abnormal flexion of toes

Question 11

Pseudo Babinski

Answer 11

Hyperkinetic MD - striatal toes, dystonia and choreoathetosis
Extension of great toe +

Question 12

Babinski vs pseudo Babinski

Answer 12

Absent components of TA, H & TFL muscles
Inhibited by pressure over base of great toe