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Remembering the Rossolimo Sign

Euripedes Gomes de Carvalho Neto*1, Matheus Ferreira Gomes1, Iuri Pereira Santos1, Marlise de Castro Ribeiro2 and Carlos Roberto de Mello Rieder31Neurology Resident, Universidade Federal de Ciências da Saúde de Porto Alegre, Brazil2Professor of Neurology, Neuroimmunology Division, Universidade Federal de Ciências da Saúde de Porto Alegre, Brazil3Professor of Neurology, Movement Disorders Division, Universidade Federal de Ciências da Saúde de Porto Alegre, Brazil

Received Date: March 31, 2019

Published Date: April 24, 2019

Short Communication Copyright © All rights are reserved by Euripedes Gomes de Carvalho Neto

ISSN: 2641-1911 DOI: 10.33552/ANN.2019.03.000560

Archives in Neurology & Neuroscience

*Corresponding author: Euripedes Gomes de Carvalho Neto, Neurology Resident, Irmandade Santa Casa de Misericórdia de Porto Alegre, Avenida Independência, 482 AP 907 –Independência, Porto Alegre, Rio Grande do Sul, Brazil.

Short CommunicationThe Rossolimo sign is the flexion of the toes responding to

tapping the ball of the foot, percussing the plantar surface of the great toe, tapping or stroking the balls of the toes, or giving a quick,

lifting snap to the tips of the toes. Like the Babinski sign, it is a clinical reflex that demonstrates pyramidal tract dysfunction [1] (Video 1).

This work is licensed under Creative Commons Attribution 4.0 License ANN.MS.ID.000560.

http://dx.doi.org/10.33552/ANN.2019.03.000560https://irispublishers.com/ann/https://irispublishers.com/index.php

Archives in Neurology and Neuroscience Volume 3-Issue 2

Citation: Euripedes Gomes de Carvalho Neto, Matheus Ferreira Gomes, Iuri Pereira Santos, Marlise de Castro Ribeiro, Carlos Roberto de Mello Rieder. Remembering the Rossolimo Sign. Arch Neurol & Neurosci. 3(2): 2019. ANN.MS.ID.000560. DOI: 10.33552/ANN.2019.03.000560.

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Grigorii Ivanovich Rossolimo (1860–1928) was a Russian neurologist, who published his observations of increased flexion of the toes in 1902 [2]. The Rossolimo reflex has a high diagnostic sensitivity for neurological examination of cervical and thoracic

spondylotic myelopathy patients [3]. In our opinion, it may be useful when the plantar response is inconclusive due to withdrawal or avoidance (Video 2).

The patient in the video has tropical spastic paraparesis (HTLV-1-associated myelopathy) with progressive limb weakness, spasticity and urinary incontinence. There are evident bilateral Rossolimo sign, dissociation of abdominal reflexes and hyperreflexia in the limbs.

AcknowledgementNone.

Conflict of InterestNo conflict of interest.

References1. Campbell WW, DeJong RN (2012) Philadelphia, In: Lippincott Williams,

Wilkins (7th edn), DeJong’s the neurologic examination.

2. Satran R (2005) Chekhov and Rossolimo, careers in medicine and neurology in Russia 100 years ago. Neurology 64(1): 121-127.

3. Chang CW, Chang KY, Lin SM (2011) Quantification of Rossolimo reflexes: a sensitive marker for spondylotic myelopathy. Spinal Cord 49(2): 211-214.

http://dx.doi.org/10.33552/ANN.2019.03.000560https://www.ncbi.nlm.nih.gov/pubmed/15642914https://www.ncbi.nlm.nih.gov/pubmed/15642914https://www.ncbi.nlm.nih.gov/pubmed/20625382https://www.ncbi.nlm.nih.gov/pubmed/20625382https://www.ncbi.nlm.nih.gov/pubmed/20625382

Remembering the Rossolimo SignShort CommunicationAcknowledgementConflict of InterestReferences