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THE PLANTAR REFLEX - RePub

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Other signs<br />

Associated dorsiflexion of the great toe on ipsilateral or contralateral<br />

hip flexion against resistance was relatively rare, and occurred on the side<br />

of the Babinski sign as well as on the control side (see table XVI). Mirror<br />

movements of the toes on the control side were a more reliable sign of<br />

contralateral motor impairment, but this was never found in the absence of<br />

contralateral weakness.<br />

Reduced abdominal reflexes, represented much higher in the spinal<br />

cord, were present in 42% (the reverse occurred in two patients). Reliable<br />

though this finding is as an index of disease, the high absence rate of the<br />

reflex on both sides (26%) makes it difficult to estimate correlations.<br />

Wasting was rare (10%); in two instances it was found in syndromes<br />

known to be associated with 'supranuclear atrophy' (Mills' syndrome and<br />

infantile hemiplegia).<br />

2. PYRAMIDAL SIGNS WITHOUT BABINSKI RESPONSE<br />

Six patients lacked a Babinski response while other pyramidal srgns<br />

were present. Two developed it at a later stage and will be discussed later.<br />

The other four are represented in table XX. None of them showed<br />

paralysis of the el

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