Pivot sign
by Kalyan B Bhattacharyya, Kalyan Satish V

Atlas of Neurology—A Case-based Approach

by Satish V Khadilkar, Kalyan B Bhattacharyya
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Another classic sign of rigidity-dependent PD. If the patient is asked to rotate while standing, he fails to do it with facility and takes short steps to overcome the generalized rigidity and rotates around to turn to the opposite direction, as if pivoting around the heel.

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