The gonda sign, also known as the toe press test, is a type of pathological reflex, and a positive gonda sign is usually indicative of damage to the pyramidal tract. The gonda sign is one of the most common pathological signs used to examine the function of the pyramidal tract. The test is performed by pressing the fourth or little toe of the examined person until a strong plantarflexion occurs, and then letting go of the hand after a few seconds. If the examined person shows a dorsiflexion of the bunion, it is considered as a positive gonda sign. A positive gonda sign is usually seen clinically in damage to the pyramidal fasciculus, which loses its inhibitory effect on the brainstem and spinal cord, and a dorsiflexion reflex may be seen in the ankle and thumb. In addition, it is normal for infants and children up to 1.5 years of age to have a positive gonda sign because the pyramidal tract is not fully developed. Therefore, if you have a positive gonda sign, you should go to the hospital in time and have the appropriate treatment under the doctor’s guidance.