Synchronized Babinski and Chaddock signs preceded the MRI findings in a case of repetitive transient ischemic attack

Kosuke Matsuzono, Takao Yoshiki, Yosuke Wakutani, Yasuhiro Manabe, Toru Yamashita, Kentaro Deguchi, Yoshio Ikeda, Koji Abe

Research output: Contribution to journalArticle


We herein report a 53-year-old female with repeated transient ischemic attack (TIA) symptoms including 13 instances of right hemiparesis that decreased in duration over 4 days. Two separate examinations using diffusion weighted image (DWI) in magnetic resonance imaging (MRI) revealed normal findings, but we observed that both Babinski and Chaddock signs were completely synchronized with her right hemiparesis. We were only able to diagnose this case of early stage TIA using clinical signs. This diagnosis was confirmed 4 days after the onset by the presence of abnormalities on the MRI. DWI-MRI is generally useful when diagnosing TIA, but a neurological examination may be more sensitive, especially in the early stages.

Original languageEnglish
Pages (from-to)2127-2129
Number of pages3
JournalInternal Medicine
Issue number18
Publication statusPublished - Sep 24 2013



  • Babinski sign
  • Chaddock sign
  • Diffusion weighted image
  • TIA

ASJC Scopus subject areas

  • Internal Medicine

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