What are the causes of Babinski sign in absence of Pyramidal Tract Lesion

Babinski sign in absence of Pyramidal Tract Lesion can occur in physiological and pathological conditions
Physiological causes of Babinski sign in absence of Pyramidal Tract Lesion
  • Infancy (up to 1 year of age)
  • Deep sleep
  • Deep anaesthesia
Pathological causes of Babinski sign in absence of Pyramidal Tract Lesion
  • Narcotic overdose
  • Alcohol intoxication
  • Following electroconvulsive therapy
  • Coma secondary to metabolic disturbances
  • Post-traumatic states
  • Post-ictal state
  • In Cheyne-Stokes respiration, the extensor response may appear during the period of apnoea, whereas in the phase of active respiration the normal reflex is seen.