Teaching Video Neuro Images : Missing toe

Abstract

The relevance of the Brissaud reflex A 70-year-old man who was admitted to neurointensive care with spastic tetraparesis and altered level of consciousness due to acute subdural hematoma and who had a history of left forefoot amputation presented right Babinski sign and left Brissaud reflex (video at Neurology.org). The Brissaud reflex is characterized by a contraction of the tensor fasciae latae due to stimulus over the plantar aspect of the foot, which is better visualized on the lateral aspect of the thigh.

Édouard Brissaud: distinguished neurologist and Charcot’s pupil

“…In the field of movement disorders, Brissaud also introduced the term "mental torticollis", a focal form of dystonia, and described the "geste antagoniste", nowadays also known as a sensory trick 12,13 . Finally, Brissaud described the pseudobulbar affect, calling it "rire et pleurer spasmodique", the post-traumatic stress disorder, the Brissaud-Sicard syndrome (a pontine-crossed syndrome with ipsilateral hemifacial spasm and contralateral hemiparesis), and the Brissaud sign, a succedaneum of the Babinski sign 14,15,16,17,18 .…”