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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