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Old 11-05-2012
tyagee's Avatar
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Question meningititis and babinski

can meningitis present with bilateral babinski ?
i was doing a q, ans was meningitis but patient had bilateral babinski which i wud consider as clue to spine pathology...ur comments ?

QID 3003 uworld
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Old 11-05-2012
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Originally Posted by tyagee View Post
can meningitis present with bilateral babinski ?
i was doing a q, ans was meningitis but patient had bilateral babinski which i wud consider as clue to spine pathology...ur comments ?

QID 3003 uworld

MMM weird question to ask, babinski just means upper motor neuron damage/insult, doesnt mean meningitis by itself.

I woudnt rely on Babinski sign to dx meningitis, Rather look at more specific signs of meningeal irritation such as photofobia, brudzinski and Kernig signs, fever, CSF findings and such.
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Ya indeed. I was picking meningitis but then babinkski was kinda saying no.
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Ya indeed. I was picking meningitis but then babinkski was kinda saying no.

If everything is screaming meningitis ignore the Babinski , look at the specific sign for each condition, dont look at miscellaneous or overly general signs and symptoms, I learn that the hard way.
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Old 11-05-2012
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Babinski sign can be positive in meningitis , encephalitis etc with raised ICT...

Its positive in UMN leasion.. That is any where above anterior horn cell to pyramidal cell in cortex..
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