Doctor insights on:
Bilateral babinski/hoffman, hyperreflexia , spasticity, voice gravely, progressive +5 yrs, MRI , spinal tap normal, doc denies mnd. Family normal. ?
I had +babinski +hoffmans +clonus hyperreflexia cant walk heel/toe and fall to the R. MRI of brain was normal so does that mean all is fine, what next?
Further work up : You are describing an exam consistent with some form of spasticity. In addition to an mri of the brain that you had, you need an mri of the cervical spine to look for spinal cord compression and a full neurological evaluation to rule out ALS, both of which can cause the signs and symptoms you are describing. ...Read more
I have SFN and recently began showing CNS issues (babinski and hoffman signs). Mouth twitches when I smile. Will have MRI Mon. Worried...
Agree with approach: There maybe association if the small fiber neuropathy is caused by lupus, vitamin B-12 deficiency, sarcoid, Sjogren's, HIV, etc. Were full screening blood and urine studies completed? You may benefit from a Concierge visit here online to evaluate further. ...Read moreSee 1 more doctor answer
Bilateral cross adductor reflexes notices in neuro clinical exam what does this mean? Rest of exam was good no hoffmans no babinski emg and ncv good.
Usually Normal: It means contraction of the adductor muscles of the thigh and inward rotation of the leg elicited by tapping the sole of the foot. It is an upper motor neuron sign that can mean there is some damage to the spinal cord when it is severe. It is often slightly increased in normal people, the other signs (hoffman's and babinski's negative ) suggest that it is a normal finding in you. ...Read moreSee 1 more doctor answer
Went to dr for clumsiness.I had hyperreflexsia legs/arms jaw jerk present positive hoffman's sign babinski present & clonus. Neuro. ordered MRI. ??
Dr ordered MRI: What is your question? Is your question why the doctor ordered an MRI? Please state the reason the doctor gave for ordering an MRI, and also, an MRI of what? Brain? Heart? Left foot? If you did not ask the doctor the reason, please state why not. ...Read moreSee 1 more doctor answer
Went to dr for clumsiness I had hyperreflexia legs/arms +jaw jerk +hoffman's sign +babinski & clonus. Neuro ordered MRI of brain What is she looking 4?
Broad ddx: There may be a bilateral cortical/subcortical brain disruption and MRI could help identify a potential cause based on the pattern of abnormalities. For ex: adult-onset leukodystrophy would show extensive demyelination of the white matter sparing the periventricular white matter vs MS vs Cerebral Autosomal-Dominant Arteriopathy, and work-up is different for each disease. ...Read more
Babinski sign: The babinski sign is the response of the toes, foot and knee to stimulation of the sole of the foot. When the big toe extends, the other toes fan apart (and the ankle dorsiflexes and knee flexes in some cases), this is a positive or upgoing toe sign, which means the nerve input to the toes has been damaged somewhere in the brain or the spinal cord. ...Read more
Higher brain centers: Babies normally have babinski responses but lose it as they mature. The response remains deep in the brain and spinal cord but is suppressed by the higher brain centers. If the higher brain centers become damaged, these primitive responses return because they are no longer being suppressed. Hope this helps to simplify the prior excellent answer. ...Read moreSee 1 more doctor answer