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Pathological Reflex

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These notes cover common pathological reflexes that indicate central nervous system damage, such as the Babinski and Hoffmann signs. Each reflex is briefly explained with its method of testing, abnormal response, and clinical significance, helping students recognize early signs of neurological dysfunction.

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PATHOLOGICAL REFLEXES
Reflex Stimulus (+)Response Pathology

Babinski Stroking of Pyramidal
the lateral Tract Lesion
aspect of the
sole of foot Organic
Hemiplegia

Gonda Pressing
toes
downward
Ext of big
Stransky Abduction of
5th toe
toe and
fanning of
Chaddock Stroking og four small
lateral side toes
of the food
beneath
lateral
malleolus Pyramidal
Tract
Oppenheim Stroking of
Lesion
anteromedia
l tibial
surface

Gordon Squeezing of
calf muscles
firmly

Brudzinski Passive Similar Meningitis
flexion of movement
one lower occurs in
limb opposite
limb

Hoffman Flicking of Flexion of Pyramidal
terminal distal Tract lesion
phalanx of phalanx of
index,middle thumb or ↑ Irritability
or ring finger those not of sensory
flicked nerves in
tetany

Rossolimo Tapping of Plantarflexio Pyramidal
the plantar n of toes Tract Lesion
surface of
toes

Schaeffer Pinching of Flexion of Organic
achilles foot and toes hemiplegia
tendon in
middle third

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Written in
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