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Doctor insights on: Babinski Maneuver

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Why is the murmur of hocm louder on valsalva maneuver?

Why is the murmur of hocm louder on valsalva maneuver?

Anything : That decreases venous return leads to a reduction in volume to the heart. These changes will effect the intensity of murmurs. With the valsalva there ia a transient/ brief increase in output. The straining portion decreases venous return and will increase the intensity of the murmur.Heart rate will also increase. Standing abruptly will do the same. ...Read more

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Vibration / buzzing sensation in pelvic area when bending neck / head forward. Is this Lhermitte's sign? Compressed nerve? Cervical herniation?

Vibration / buzzing sensation in pelvic area when bending neck / head forward.  Is this Lhermitte's sign?  Compressed nerve? Cervical herniation?

Lhermitte's sign: is also called barber's chair sign. The electrical sensation can be quite alarming indeed. A more common cause of this in a 41 year old lady would be a demyelinating disorder like MS or Clinically Isolated Syndrome. Other localizing signs and symptoms will help with deciding how to proceed in the work (MRI of a portion of the spinal cord, brain or both). Other cord issues need to be excluded. ...Read more

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Can babinski reflex in adults be cured?

Can babinski reflex in adults be cured?

Babinski sign: The babinski sign is an indicator of something affecting the motor system in the brain or spinal cord. Therefore, there is no cure or treatment for a babinski sign, per se, the issue is the condition that is causing the sign. A babinski sign could be permanent in the case of a stroke, or could improve if there was pressure on the brain or spinal cord that was treated. ...Read more

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Slow reflex in foot?

Slow reflex in foot?

Slow foot reflex: Suggests possible nerve compression in lumbar or sacral spine, which could result from bulging/ruptured disc, bone spur compressing spinal cord or nerve root, or spinal stenosis. Suggest seeing orthopedic or neurosurgeon for evaluation, tests (including mri), options for treatment. If u have foot drop or similar problems, do not delay. Sooner the treatment, less damage. ...Read more

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Went to dr for clumsiness.I had hyperreflexsia legs/arms jaw jerk present positive hoffman's sign babinski present & clonus. Neuro. ordered MRI. ??

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 more

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Will an epley maneuver help with visual vertigo?

Will an epley maneuver help with visual vertigo?

No: An epley maneuver is only a benefit in benign positional vertigo. In this condition loose calcium deposits are repositioned into an area where they cannot float freely. This is the only condition in which an epley maneuver is a benefit. ...Read more

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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?

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

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Involuntary movements + brisk reflexes: saw neurologist; MRI, EEG, found nothing, conclusion: psychological? Now tingling in left pinky+ring fingers

Involuntary movements + brisk reflexes: saw neurologist; MRI, EEG, found nothing, conclusion: psychological? Now tingling in left pinky+ring fingers

Involuntary mvmts: There are some causes that have not been addressed, but the first two could be due to a psychological cause. Expect some kind of follow up evaluation and continued discussion to help close the case on these. Tingling in the left hand fingers probably is due to something different, such as mild ulnar nerve compression. ...Read more

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Paralyzis and hyperalgesia in one limb initiated 2 weeks after scoliosis surgery. sphincter incont Clonus. Spasticity. upper motor neuron lesion? why?

Paralyzis and hyperalgesia in one limb initiated 2 weeks after scoliosis surgery. sphincter incont Clonus. Spasticity. upper motor neuron lesion? why?

Postop complication: One has to worry about a delayed postoperative complication-significant!!!! Need to see operating surgeon . Potential causes would be hematoma(blood) compressing spinal cord or even a spinal cord lesion remote from operative site ...Read more

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How does a hyperactive stretch reflex (due to spinal cord injury) result in clonus?

How does a hyperactive stretch reflex (due to spinal cord injury) result in clonus?

Brakes are released: The quick answer: the brain/spinal cord send electrical fibers to control the muscles. When the fibers are severed, the muscles "do their own thing", unregulated. http://www.livestrong.com/article/197920-causes-of-clonus/. ...Read more

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Why does an upper motor neuron lesion cause a positive babinski sign?

Why does an upper motor neuron lesion cause a positive babinski sign?

Extensor respons: The presence of a Babinski sign suggests an upper motor neuron lesion, although in infants the presence of the dorsiflexion of the great toe with plantar stimulation can be normal. Simplifying, it's thought by some it may be related to the difference between the anatomical flexors behaving differently, more as extensors. Medicine Decoded has a reasonable explanation of this. ...Read more

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Can Chiari cause positional downbeat nystagmus? Vestibular PT it's definitely not BPPV I also have DBN intermittently in all directions of gaze

Can Chiari cause positional downbeat nystagmus? Vestibular PT it's definitely not BPPV I also have DBN intermittently in all directions of gaze

Comments: Downbeat nystagmus is a sign of cerebellar/ brainstem connection pathology, and may or may not relate to an effect of the Chiari malformation. This needs further evaluation by a neuro-ophthalmologist, and perhaps a neurosurgeon who has prior EXPERTISE in Chiari, as can be associated with other problems. ...Read more

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MRI of the brain 12.07.2014 CONCLUSION: external hydrocephalus. Lateral ventricles ASYMMETRICAL BRAIN L> R, Ext. Third ventricle is not expanded, the

MRI of the brain 12.07.2014 CONCLUSION: external hydrocephalus. Lateral ventricles ASYMMETRICAL BRAIN L> R, Ext. Third ventricle is not expanded, the

Hydrocephalus: External hydrocephalus is a build up of cerebrospinal fluid over the surface of the brain rather than in the ventricles. Normally cerebrospinal fluid circulates from the brain to the spinal cord and back to the brain. When there is poor reabsorption or blockage then hydrocephalus (water on the brain) develops. See a neurosurgeon to help with treatment. ...Read more

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Will flying induce benign positional vertigo?

Will flying induce benign positional vertigo?

Not likely: Benign paroxysmal positional vertigo will not be affected by the pressure changes induced by flying. What induces bppv is any rapid change in posture and position. The treatment for bppv is the canal repositioning maneuver. Your ENT or neurologist can perform this maneuver for you. Good luck and well wishes. ...Read more