Striatal Toe Sign on Physical Examination Extension of the first toe that occurs in extrapyramidal diseases affecting the striatum (hence the name…). AKA the Pseudo-Babinski sign as it occurs without plantar stimulation. This particular patient has Parkinson’s Disease. Dr. Sa'ad Lahri @slahri7 via @TBHMedicine #Striatal #Toe #Sign #clinical #video #PhysicalExam #neurology #pyramidal