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11 Possible Causes for Bilateral Babinski's Reflex, Equivocal Plantar Responses

  • Primary Lateral Sclerosis

    The left plantar response was equivocal, and the right plantar showed a flexor response. Atrophy and fasciculations were absent. The sensory examination was normal.[karger.com] In all cases, the main clinical feature was a tetrapyramidal syndrome (Table 1 ) with hyperactive deep tendon reflexes and bilateral Babinski and Hoffman signs.[brain.oxfordjournals.org]

  • Transverse Myelitis

    Plantar responses were equivocal and no clonus was elicited. He had no abdominal reflexes. Cremasteric reflexes were present bilaterally.[nature.com] Neurological examination was objectified a flaccidospastic quadriplegia, deep tendon reflexes were lively and diffuse and bilateral Babinski sign.[omicsonline.org] He had flaccid paraplegia and he exhibited a triple flexion response to noxious stimulation of the lower extremities.[nature.com]

  • Tuberculosis of Nervous System

    She had decreased power and sensation in her legs, with diminished knee and ankle reflexes, an extensor right-plantar response, and an equivocal left-plantar response.[nejm.org]

  • Brown-Sequard Syndrome

    Right plantar response extensor; left equivocal. Right knee and ankle jerks and left knee jerks were depressed. Anal sphincter tone was normal.[doi.org] […] superficial abdominal reflexes bilaterally, left Babinski sign and right indifferent response, reduced proprioception in the left upper limb, and decreased light touch, temperature[neurology.org] Neurologic examination revealed axial and left limbs weakness (Medical Research Council 3/5) with significant increase of deep tendon reflexes at lower limbs, absence of the[neurology.org]

  • Coxsackie Meningitis

    Brainstem reflexes were intact and deep tendon reflexes were brisk, with bilateral ankle clonus and equivocal plantar responses.[jamanetwork.com] There was marked increase in tone with cogwheel rigidity in upper extremities and hyperactive deep tendon reflexes; bilateral ankle clonus was noted but with equivocal Babinski[jamanetwork.com]

  • Meningoencephalitis

    Brainstem reflexes were intact and deep tendon reflexes were brisk, with bilateral ankle clonus and equivocal plantar responses.[jamanetwork.com] There was marked increase in tone with cogwheel rigidity in upper extremities and hyperactive deep tendon reflexes; bilateral ankle clonus was noted but with equivocal Babinski[jamanetwork.com]

  • Adult Primary Lateral Sclerosis

    The left plantar response was equivocal, and the right plantar showed a flexor response. Atrophy and fasciculations were absent. The sensory examination was normal.[karger.com] All deep tendon reflexes were exaggerated with bilateral ankle clonus and Babinski sign. There was no sensory or cerebellar dysfunction.[neurologyindia.com]

  • Coxsackie Virus

    Brainstem reflexes were intact and deep tendon reflexes were brisk, with bilateral ankle clonus and equivocal plantar responses.[jamanetwork.com] There was marked increase in tone with cogwheel rigidity in upper extremities and hyperactive deep tendon reflexes; bilateral ankle clonus was noted but with equivocal Babinski[jamanetwork.com]

  • Autosomal Recessive Spinocerebellar Ataxia 8

    No other neurological signs or symptoms were found except equivocal plantar response and absence of sphincter control in patient II4 at 10 years of age.[academic.oup.com] Babinski signs), 19% with combined upper and lower motor neuron dysfunction, and 8% with pure lower motor neuron dysfunction (amyotrophy, reduced reflexes, fasciculations[ncbi.nlm.nih.gov] Subsequently, Synofzik et al [2016] reported motor neuron dysfunction in as many as 58% of patients, comprising 31% with pure upper motor neuron dysfunction (spasticity, positive bilateral[ncbi.nlm.nih.gov]

  • Tuberculoma

    On examination, he had quadriparesis with a power 4/5 in all four limbs, tremors, dysarthria, dysmetria, dyssynergia, dysdiadochokinesia, hypotonia in all limbs, plantar response[nnjournal.net] His neurological exam failed to demonstrate any localized neurological deficit, with a normal Babinski reflex and no neck rigidity.[westjem.com] […] was equivocal without sensory involvement.[nnjournal.net]

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