My seven-year-old son was recently given a short neurological examination due to migraine headaches that were awakening him in the night. During that examination he was found to have a positive babinksi's sign on his right foot only. Another notable finding were "faster" knee reflexes. He has been treated conservatively for the migraines with Amitriptyline, close attention to diet, hydration, and sleep, and all of which have helped. During his follow-up examination, the positive babinksi was still present. However the pediatrician does not seem all that concerned about it and did not recommend any further evaluation unless his symptoms increase or anything changes. However, other notable facts about my son- he has sensory processing disorder(mild), dyslexia, asthma(mild), tight hamstrings-like REALLY tight, hammer toes, was speech delayed and had apraxia (imagine my frustration, I am a speech therapist!), and has some behavioral concerns that make me think about Asperger's, (but that could be an occupational hazard). So, I am wondering if I should pursue a more thorough neurological examination to determine causality of this positive babinksi's sign? Afterall, it can be a sign of brain or spinal cord damage in the ER, right? When I asked his pediatrician about what might be the cause, she did mention it could be "mild CP", but she really did not pay much mind to it. Recommendations or thoughts would be greatly appreciated.