Talk:Plantar reflex

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[edit] Title

Would it be more appropriate to name this article the Babinski reflex and have Plantar reflex point here? It's called the Babinski reflex more often in the article...

This also disagrees with Primitive reflexes, which states that Babinski and Plantar are totally different. Can anyone clarify this? Juru (talk) 02:06, 11 April 2008 (UTC)

[edit] Soapboxing

An anonymous editor inserted:

The plantar reflex may indicate a CVA or a [[hemiplegic migraine. The neurologist should ascertain, before ordering tests, that the patient will survive them. Some patients have potentially lethal allergies to the iodinated contrast media that are used in T scans.

(A physician who observes an abnormal plantar reflex ["positive Babinsky"] and a "blown" pupil [pupil dilated and unresponsive to light] may think the patient is having a stroke and order a CT scan with iodinated contrast medium, even if the patient reports an allergy to the medium. In such a situation, the patient may have no alternative other then leaving "against medical advice" and going to another hospital; with luck, the patient will encounter an experienced and rational neurologist who will conclude that it's a hemiplegic migraine--alarming but not rare--and order the standard treatment [50-100 mg Demerol and 50 mg [[diphenhydramine]|Benedryl]], injected IM] and send the patient home when symptoms improve.)^{[citation needed]}

All of this is soapboxing. Unenhanced CTs are adequate to identify cerebral bleed, and encountering a rational neurologist without being referred formally may be quite hard indeed. There is no standard treatment for hemiplegic migraine, but most neurologists would like to rule out haemorrhage in a new severe headache with lateralising signs. JFW | T@lk 23:52, 20 March 2007 (UTC)