Complex analysis Babinski sign on different levels dysfunction upper motor neuron

The article discusses analysis representation of the Babinski sign and clinical and neurophysiological features of patient with the Babinski sign and dysfunction upper motor neuron on different levels. A total of 93 patients with upper motor neuron syndrome were studied were examined, 18 - with thoracic myelopathy, 13 - with swelling of the thoracic spinal cord and 30 patients with an infarction of the right and 32 - left internal capsule. Cliniconeurological analysis was performed, along with transcranial magnetic stimulation with facilitation motor evoked potentials and evoked abdominal reflexes. As a result, we can conclude that the Babinski sign was significantly more often determined by the upper motor neuron lesion on the spinal cord level (90,3%). There was a certain "motor pattern" during eliciting this symptom on different levels dysfunction upper motor neuron. Were identified reliable clinical and neurophysiological features of patients with the Babinski sign and lesion upper motor neuron on cerebral and spinal levels. Presence and severity the Babinski sign depends not only on the degree of dysfunction of inhibitory motor subsystems, but also the likely level of damage of the upper motor neuron.