Which vertebrae are responsible for the Babinski reflex?

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Last updated: February 10, 2025 • View editorial policy

From the Research

Vertebrae Responsible for the Babinski Reflex

The Babinski reflex is a neurological sign that indicates dysfunction in the pyramidal tract, specifically involving the corticospinal tract 1. The reflex is characterized by dorsiflexion of the big toe, recruitment of the extensor hallucis longus muscle, on stimulating the sole of the foot 2.

Pathophysiological Mechanism

The Babinski sign is not a new reflex, but rather it is released as a result of breakdown of the harmonious integration of the flexion and extension component of the normal defense reflex mechanism, due to pyramidal tract dysfunction 2. The pyramidal tract is responsible for a monosynaptic stimulation of the extensor hallucis motor neurons, but also, via interneurons, for inhibition of the extensor hallucis 1.

Vertebrae Involved

While the studies do not specifically mention the vertebrae responsible for the Babinski reflex, it is known that the reflex involves the corticospinal tract, which originates in the brain and descends through the spinal cord 1. The spinal cord segments involved in the Babinski reflex are likely to be in the lower thoracic and upper lumbar regions (T12-L2), as these segments are responsible for controlling the muscles of the lower limb 3, 4. However, the exact vertebrae responsible for the Babinski reflex are not specified in the provided studies.

  • The Babinski reflex is a sign of pyramidal tract dysfunction 1
  • The reflex involves the corticospinal tract, which originates in the brain and descends through the spinal cord 1
  • The spinal cord segments involved in the Babinski reflex are likely to be in the lower thoracic and upper lumbar regions (T12-L2) 3, 4

References

Research

The Babinski sign--a critical review.

The Journal of the Association of Physicians of India, 2003

Research

[100 years of the Babinski sign].

Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion, 1997

Research

Consistency of the Babinski reflex and its variants.

European journal of neurology, 2008

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.