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 - Sep 24 2013

Fingerprint

Keywords

Babinski sign
Chaddock sign
Diffusion weighted image
TIA

ASJC Scopus subject areas

Internal Medicine

Cite this

Matsuzono, K., Yoshiki, T., Wakutani, Y., Manabe, Y., Yamashita, T., Deguchi, K., Ikeda, Y., & Abe, K. (2013). Synchronized Babinski and Chaddock signs preceded the MRI findings in a case of repetitive transient ischemic attack. Internal Medicine, 52(18), 2127-2129. https://doi.org/10.2169/internalmedicine.52.0190

@article{e811b3f100fc41078ab445b3f6e4abbc,

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

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.",

keywords = "Babinski sign, Chaddock sign, Diffusion weighted image, TIA",

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

year = "2013",

month = sep

day = "24",

doi = "10.2169/internalmedicine.52.0190",

language = "English",

volume = "52",

pages = "2127--2129",

journal = "Internal Medicine",

issn = "0918-2918",

publisher = "Japanese Society of Internal Medicine",

number = "18",

}

TY - JOUR

T1 - Synchronized Babinski and Chaddock signs preceded the MRI findings in a case of repetitive transient ischemic attack

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 - 2013/9/24

Y1 - 2013/9/24

N2 - 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.

AB - 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.

KW - Babinski sign

KW - Chaddock sign

KW - Diffusion weighted image

KW - TIA

UR - http://www.scopus.com/inward/record.url?scp=84884334714&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884334714&partnerID=8YFLogxK

U2 - 10.2169/internalmedicine.52.0190

DO - 10.2169/internalmedicine.52.0190

M3 - Article

C2 - 24042526

AN - SCOPUS:84884334714

VL - 52

SP - 2127

EP - 2129

JO - Internal Medicine

JF - Internal Medicine

SN - 0918-2918

IS - 18

ER -

Access to Document

10.2169/internalmedicine.52.0190