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Year : 2007  |  Volume : 55  |  Issue : 4  |  Page : 328--332

The articles of Babinski on his sign and the paper of 1898

Estanol Bruno1, Senties-Madrid Horacio1, Elias Yolanda2, Garcia Ramos Guillermo1 
1 Department of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, Mexico City, Mexico
2 Department of Clinical Neurophysiology, Centro Nacional de la Rehabilitación, Mexico City, Mexico

Correspondence Address:
Estanol Bruno
Cerro Chinaco 139, Colonia Campestre Churubusco, Mexico City, C.P. 04200
Mexico

In 1896 Joseph Franηois Felix Babinski described for the first time the phenomenon of the toes; nevertheless in this first paper he simply described extension of all toes with pricking of the sole of the foot. It was not until the second paper of 1898 that he specifically described the extension of the hallux with strong tactile stimulation (stroking) of the lateral border of the sole. Babinski probably discovered his sign by a combination of chance observation and careful re-observation and replication. He also had in mind practical applications of the sign, particularly in the differential diagnosis with hysteria and in medico-legal areas. Several of the observations and physiopathological mechanisms proposed by Babinski are still valid today, e.g., he realized since 1896 that the reflex was part of the flexor reflex synergy and observed that several patients during the first hours of an acute cerebral or spinal insult had absent extensor responses. He also found that most patients with the abnormal reflex had weakness of dorsiflexion of the toes and ankles and observed a lack of correlation between hyperactive myotatic reflexes and the presence of an upgoing hallux. He discovered that not all patients with hemiplegia or paraplegia had the sign but thought erroneously that some normal subjects could have an upgoing toe. Between 1896 and 1903 Babinski continued to think on the sign that bears his name and enrich its semiological and physiopathological value.


How to cite this article:
Bruno E, Horacio SM, Yolanda E, Guillermo GR. The articles of Babinski on his sign and the paper of 1898.Neurol India 2007;55:328-332


How to cite this URL:
Bruno E, Horacio SM, Yolanda E, Guillermo GR. The articles of Babinski on his sign and the paper of 1898. Neurol India [serial online] 2007 [cited 2020 Aug 5 ];55:328-332
Available from: http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2007;volume=55;issue=4;spage=328;epage=332;aulast=Bruno;type=0