Matthias Pawlowski 1 , Burkhard Gess , Stefan Evers Show Affiliations »
Abstract
BACKGROUND: Hemifacial spasm is a common movement disorder. Differential diagnosis relies on clinical examination and is often difficult. The Babinski-2 sign is an underrecognized physical sign specifically found in patients with hemifacial spasm, although its prevalence and usefulness are a matter of debate. METHODS: We examined 35 patients with hemifacial spasm prospectively for the presence of the Babinski-2 sign. We evaluated its correlation with severity of hemifacial spasm, concomitant facial nerve paralysis, and response to botulinum toxin. Twelve patients with blepharospasm served as the control population. RESULTS: The data for the Babinski-2 sign demonstrated high prevalence (86%), high specificity (100%), and high interrater reliability (92%). CONCLUSIONS: Increased awareness of the Babinski-2 sign may aid diagnosis and potentially prompt earlier initiation of appropriate treatment. © 2013 Movement Disorder Society.
BACKGROUND: Hemifacial spasm is a common movement disorder . Differential diagnosis relies on clinical examination and is often difficult. The Babinski-2 sign is an underrecognized physical sign specifically found in patients with hemifacial spasm , although its prevalence and usefulness are a matter of debate. METHODS: We examined 35 patients with hemifacial spasm prospectively for the presence of the Babinski-2 sign. We evaluated its correlation with severity of hemifacial spasm , concomitant facial nerve paralysis , and response to botulinum toxin. Twelve patients with blepharospasm served as the control population. RESULTS: The data for the Babinski-2 sign demonstrated high prevalence (86%), high specificity (100%), and high interrater reliability (92%). CONCLUSIONS: Increased awareness of the Babinski-2 sign may aid diagnosis and potentially prompt earlier initiation of appropriate treatment. © 2013 Movement Disorder Society.
Copyright © 2013 Movement Disorder Society.
Entities: Disease
Species
Keywords:
Babinski-2 sign; blepharospasm; brow-lift sign; hemifacial spasm; other Babinski sign
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Year: 2013
PMID： 23637014 DOI： 10.1002/mds.25472
Source DB: PubMed Journal: Mov Disord ISSN： 0885-3185 Impact factor: 10.338