[Hemiplegia with two Babinski's sign]

Area of Science:

• Neurology
• Clinical Neuroscience
• Neurodiagnosis

Background:

• Neurological signs and symptoms are critical for accurate neurological diagnosis.
• Ischaemic stroke can lead to a variety of neurological deficits.
• The Babinski sign is an important indicator of upper motor neuron lesions.

Observation:

• A 60-year-old Colombian female patient experienced an ischaemic stroke affecting the left cerebral media artery.
• The stroke resulted in right hemiplegia, motor aphasia, central facial palsy, and right platysma muscle atrophy.
• The Babinski sign was noted 2 years and 7 months post-ictus, despite prior neurological evaluations.

Findings:

• The Babinski sign, indicative of upper motor neuron damage, was significantly delayed in its clinical recognition.
• Underdiagnosis of specific neurological signs can occur even after multiple specialist evaluations.
• The case underscores the persistence of neurological deficits and the potential for delayed sign identification.

Implications:

• Delayed diagnosis of clinical signs like the Babinski sign can lead to misdiagnosis.
• Erroneous diagnoses can negatively impact the planning and effectiveness of neurorehabilitation strategies.
• Increased awareness and thorough examination are essential for comprehensive neurological assessment and patient care.