Q. I have positive Babinski and Hoffman signs. What does that mean?

Answered by
Dr. Hitesh Kumar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 12, 2017 and last reviewed on: Aug 19, 2019

Hello doctor,

I am a 29 year old male. I was previously diagnosed with essential tremor, for which I have been taking Propanolol 160 mg for six years. My current symptoms are constant tingling, soreness, and restlessness of the legs. I get spasms in the legs as well as arms. My right eye goes blurry when it is too hot or if I am in the bath. Also, I have been really sensitive to heat recently, and there is slurring of speech. My right eye also droops sometimes. My legs are weak, and I have balance issues. I have a positive Babinski and Hoffman sign. I would appreciate some advice on what condition this could be.



Welcome to icliniq.com.

  • Your symptoms are not easily explained by one problem.
  1. A positive Babinski and Hoffman sign indicates that you might be having some spinal cord lesion.
  2. But slurring of speech and blurring of eye signify a brain lesion.
  3. Intermittent drooping of one eye may point towards myasthenia gravis.
  4. As you mentioned to be sensitive to heat, there may be a possibility of multiple sclerosis.
  • The following investigations will give a conclusive diagnosis:
  1. MRI brain.
  2. MRI spine with contrast.
  3. Repetitive neve stimulation test.

I suggest you meet a neurologist in person for a detailed history and clinical examination.

For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist

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