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

doi:10.2169/internalmedicine.52.0190

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 journal › Article

Abstract

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 language	English
Pages (from-to)	2127-2129
Number of pages	3
Journal	Internal Medicine
Volume	52
Issue number	18
DOIs	https://doi.org/10.2169/internalmedicine.52.0190
Publication status	Published - 2013

Keywords

Babinski sign
Chaddock sign
Diffusion weighted image
TIA

ASJC Scopus subject areas

Internal Medicine

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10.2169/internalmedicine.52.0190

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abstract = "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.",

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AU - Matsuzono, Kosuke

AU - Yoshiki, Takao

AU - Wakutani, Yosuke

AU - Manabe, Yasuhiro

AU - Yamashita, Toru

AU - Deguchi, Kentaro

AU - Ikeda, Yoshio

AU - Abe, Koji

PY - 2013

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