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Hoffmann's reflex (Hoffmann's sign, sometimes simply Hoffmann's, or finger flexor reflex) [1] is a neurological examination finding elicited by a reflex test which can help verify the presence or absence of issues arising from the corticospinal tract. It is named after neurologist Johann Hoffmann. [2]
Hoffmann's sign: Johann Hoffmann: neurology: corticospinal tract lesions: tapping distal phalanx of 3rd or 4th finger elicits flexion of same in thumb Hollenhorst plaque: Robert Hollenhorst: ophthalmology: hypertension, coronary artery disease, and/or diabetes: cholesterol embolus(i) of retinal artery(ies) Homans' sign: John Homans: thrombosis ...
Pyramidal signs indicate that the pyramidal tract is affected at some point in its course. Pyramidal tract dysfunction can lead to various clinical presentations such as spasticity , weakness , slowing of rapid alternating movements, hyperreflexia , and a positive Babinski sign .
In the context of a positive Hoover's sign, functional weakness (or "conversion disorder") is much more likely than malingering or factitious disorder. [3] Strong hip muscles can make the test difficult to interpret. [4] Efforts have been made to use the theory behind the sign to report a quantitative result. [5]
Tinel's sign (also Hoffmann-Tinel sign) is a way to detect irritated nerves. It is performed by lightly tapping over the nerve to elicit a sensation of tingling or "pins and needles" in the distribution of the nerve. [1] [2] Percussion is usually performed moving distal to proximal. [2] It is named after Jules Tinel. [3] [4] [5]
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Signs and symptoms of DVT in general are not sufficiently sensitive or specific to make a diagnosis, being helpful only to help determine the likelihood of a DVT (with the use of a clinical prediction rule such as the Wells score). [5] There may exist some concern that eliciting this sign may be dangerous and that it should not be elicited. [6] [7]
Babinski's sign in a healthy newborn. The Babinski sign can indicate upper motor neuron lesion constituting damage to the corticospinal tract.Occasionally, a pathological plantar reflex is the first and only indication of a serious disease process and a clearly abnormal plantar reflex often prompts detailed neurological investigations, including CT scanning of the brain or MRI of the spine, as ...