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Teaching video neuroimages: Beevor sign: when the umbilicus is pointing to neurologic disease.

  • Mathys J Department of Neurology, Inselspital, University Hospital Bern, Bern, Switzerland. jan.mathys@insel.ch
  • De Marchis GM
  • 2013-01-09
Published in:
  • Neurology. - 2013
Humans
Male
Middle Aged
Movement
Muscular Dystrophy, Facioscapulohumeral
Neurologic Examination
Posture
Umbilicus
English A 57-year-old man with genetically proven facioscapulohumeral muscular dystrophy (FSHMD 1A) demonstrated Beevor sign (video on the Neurology Web site at www.neurology.org). The upward movement of the umbilicus in a supine patient flexing the neck or sitting up is named after the British neurologist Charles Edward Beevor (1854-1908). He described a "marked elevation of the umbilicus in the act of sitting up" due to a paralyzed infraumbilical part of the rectus abdominis muscle, indicating a lesion of the spinal cord between the segments T10 and T12 or its nerve roots.(1) Beevor sign may also be present, as in our patient, in myopathies affecting the abdominal muscles, particularly in FSHMD, in which predominant involvement of the lower part of the rectus abdominis muscle is typical.(2).
Language
  • English
Open access status
bronze
Identifiers
Persistent URL
https://sonar.ch/global/documents/192635
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