Acessibilidade / Reportar erro

The abduction of the toes and the fan sign (Babinski, 1903)

The abduction of the lesser toes which may be observed as an associated movement or as a reflex response to stroking of the lateral plantar surface of the foot (the fan sign) was formally described in 1903 by Babinski, who compared it to the dorsiflexion of the great toe in terms of their respective values as localizing signs. In the present essay we translated into Portuguese and review the two communications in which the characterization of the abduction of the toes was made, emphasizing the distinction between this phenomenon and the reflex dorsiflexion of the toes, particularly the great toe. Evidence is adduced from the clinical and physiological literature of the succeeding years that shows that the so-called "sign of Babinski" is still surrounded by mists of inadequate clinico-anatomic concepts whence the wealth of incrogruous pathophysiological interpretations which abound in the literature of the past decades.

sign of Babinski; fan sign; reflex; pyramidal syndrome


Academia Brasileira de Neurologia - ABNEURO R. Vergueiro, 1353 sl.1404 - Ed. Top Towers Offices Torre Norte, 04101-000 São Paulo SP Brazil, Tel.: +55 11 5084-9463 | +55 11 5083-3876 - São Paulo - SP - Brazil
E-mail: revista.arquivos@abneuro.org