CERVICAL SPONDYLOTIC MYELOPATHY (CSM): BABINSKI SIGN OR REFLEX The most commonly used test in the detection of upper motor neuron (UMN) lesion is the Babinski sign or reflex, which is another pathological reflex. Some refer to it as the equivalent of the Hoffmann's sign for the lower limbs. As CSM can lead to an upper motor neuron lesion, we can use the Babinski sign in the diagnosis for CSM as well. In a healthy patient, stroking the foot sole will lead to flexion of all toes. In case the Babin

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BABINSKI SIGN FOR UPPER MOTOR NEURON LESION The Babinski Sign is probable the most famous test for upper motor neuron lesions, which included cervical spondylotic myelopathy as well. It is another pathological reflex and is refered to as the lower limb equivalent of the Hoffmann's Sign. In infants the Babinski sign is commonly observed due to the fact that corticospinal pathways that run from the brain down the spinal cord are not fully myelinated at an age between 12-24 months yet, so the refle