Bing's sign

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Bing's sign
Differential diagnosis upper motor neuron lesion

Bing's sign or Bing's reflex is a clinical sign in which pricking the dorsum of the foot or toe with a pin causes extension of the great toe. It is seen in patients with upper motor neuron lesion of the lower limbs. [1] It is one of a number of Babinski-like responses.[ citation needed ]

This sign is named after Paul Robert Bing.[ citation needed ]

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Plantar reflex Reflex elicited when the sole of the foot is stimulated with a blunt instrument

The plantar reflex is a reflex elicited when the sole of the foot is stimulated with a blunt instrument. The reflex can take one of two forms. In healthy adults, the plantar reflex causes a downward response of the hallux (flexion). An upward response (extension) of the hallux is known as the Babinski response or Babinski sign, named after the neurologist Joseph Babinski. The presence of the Babinski sign can identify disease of the spinal cord and brain in adults, and also exists as a primitive reflex in infants.

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Joseph Jules François Félix Babinski was a French-Polish professor of neurology. He is best known for his 1896 description of the Babinski sign, a pathological plantar reflex indicative of corticospinal tract damage.

Upper motor neuron lesion Medical condition

An upper motor neuron lesion Is an injury or abnormality that occurs in the neural pathway above the anterior horn cell of the spinal cord or motor nuclei of the cranial nerves. Conversely, a lower motor neuron lesion affects nerve fibers traveling from the anterior horn of the spinal cord or the cranial motor nuclei to the relevant muscle(s).

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Russell's sign, named after British psychiatrist Gerald Russell, is a sign defined as calluses on the knuckles or back of the hand due to repeated self-induced vomiting over long periods of time. The condition generally arises from the afflicted's knuckles making contact with the incisor teeth during the act of inducing the gag reflex at the back of the throat with their finger(s).

Pyramidal signs indicate that the pyramidal tract is affected at some point in its course. Pyramidal tract dysfunction can lead to various clinical presentations such as spasticity, weakness, slowing of rapid alternating movements, hyperreflexia, and a positive Babinski sign.

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Primitive reflexes are reflex actions originating in the central nervous system that are exhibited by normal infants, but not neurologically intact adults, in response to particular stimuli. These reflexes are suppressed by the development of the frontal lobes as a child transitions normally into child development. These primitive reflexes are also called infantile, infant or newborn reflexes.

Westphals sign Medical condition

Westphal's sign is the clinical correlate of the absence or decrease of patellar reflex or knee jerk. Patellar reflex or knee jerk is a kind of deep or stretch reflex where an application of a stimulus to the patellar tendon such as strike by a solid object or hammer caused the leg to extend due to such stimulus causes the quadriceps femoris muscle to contract.

The Chaddock reflex is a diagnostic reflex similar to the Babinski reflex. Chaddock's sign is present when stroking of the lateral malleolus causes extension of the great toe, indicating damage to the corticospinal tract.

The Bekhterev–Mendel reflex, also known as the Mendel reflex or Mendel–Bekhterev reflex, is a clinical sign found in patients with pyramidal tract lesions. Percussion of the dorsum of the foot causes flexion, or downward movement, of the second to the fifth toes in patients with pyramidal tract lesions, whereas percussion of the dorsum of the foot in normal patients causes extension of the toes.

Brissaud's reflex is a clinical sign in which stroking the sole of the foot elicits contraction of tensor fasciae latae. This can occur when there is no movement of the toes, and is part of the extensor plantar response.

Stransky's sign is a clinical sign in which vigorous abduction followed by the sudden release of the little toe causes an extensor plantar reflex. It is found in patients with pyramidal tract lesions, and is one of a number of Babinski-like responses.

Gonda's sign is a clinical sign in which flexing and then suddenly releasing the fourth toe elicits an extensor plantar reflex. It is found in patients with pyramidal tract lesions, and is one of a number of Babinski-like responses.

Throckmorton's reflex is a clinical sign in which pressure over the dorsal side of the metatarsophalangeal joint of the big toe elicits a plantar reflex. It is found in patients with pyramidal tract lesions, and is one of a number of Babinski-like responses.

Rossolimo's sign is a clinical sign in which percussion of the tips of the toes causes an exaggerated flexion of the toes. It is found in patients with pyramidal tract lesions, and is one of a number of Babinski-like responses.

Schaeffer's sign is a clinical sign in which squeezing the Achilles tendon elicits an extensor plantar reflex. It is found in patients with pyramidal tract lesions, and is one of a number of Babinski-like responses.

Babinski–Nageotte syndrome Medical condition

Babinski–Nageotte syndrome is an alternating brainstem syndrome. It occurs when there is damage to the dorsolateral or posterior lateral medulla oblongata, likely syphilitic in origin. Hence it is also called the alternating medulla oblongata syndrome.

References

  1. Barry G. Firkin, Judith A. Whitworth. Dictionary of Medical Eponyms. Informa Health Care, 2001, page 35. ISBN   978-1-85070-333-4.

Bing's reflex or sign at Who Named It?