neuro emam

[ghost39]

If you show problems during this, ie, Romberg sign, Hoffmann sign, baninksi sign, brisk tendon reflexes, does it mean that there is definitely a neurological problem?

[ghost39]

Neurologist suspects demeliating disease and has ordered a brain scan and VEP. He said my exam was indicative of the brain???? Very confused

[supermum_ms]

Hi,

None are exclusive sign's for 'only' neurological problems, there are other causes but collectively they can indicate that the problem could be from a neurological condition such as MS but from what i understand, positives for most of these particular tests, indicate something could be wrong with the spine.

""What does a positive Romberg sign indicate?"

It should be noted that some people without any neurological or balance problems may have some problems maintaining a steady posture.  In their case, the swaying is normal and means nothing in particular.

In addition to sensory ataxia and proprioception dysfunction, a positive Romberg sign can indicate problems with the balance organs in the inner ear or sensory feedback.  These may include vertigo or vestibular ataxia which can be caused by problems in the inner ear itself, problems in the 8th cranial nerve, or lesions in the Pons region of the brainstem where the 8th cranial nerve connects."

"“How do the Hoffmann or Trömner signs differ from the Babinski sign?”

Each of these signs indicate damage in the corticospinal track.  The Babinski sign indicates damage anywhere along the corticospinal track.  However, the Hoffman and Trömner signs are a bit more specific in that they indicate a lesion or damage above the C5 or C6 level of the cervical spine."

above gathered from *************.com

"Abnormally increased reflexes are associated with upper motor neuron lesions. Note that deep tendon reflexes can be influenced by age, metabolic factors such as thyroid dysfunction or electrolyte abnormalities, and anxiety level of the patient. "

http://www.neuroexam.com/neuroexam/content.php?p=31

Cheers..........JJ