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Table of Contents    
LETTER TO EDITOR
Year : 2013  |  Volume : 61  |  Issue : 1  |  Page : 88-89

Neuro image: Other Babinski sign


Department of Neurology, New York Medical College, Valhalla, New York, USA

Date of Submission24-Jan-2013
Date of Decision25-Jan-2013
Date of Acceptance26-Jan-2013
Date of Web Publication4-Mar-2013

Correspondence Address:
Robert Fekete
Department of Neurology, New York Medical College, Valhalla, New York
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.108031

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How to cite this article:
Patil KA, Noda S, Auten M, Fekete R. Neuro image: Other Babinski sign. Neurol India 2013;61:88-9

How to cite this URL:
Patil KA, Noda S, Auten M, Fekete R. Neuro image: Other Babinski sign. Neurol India [serial online] 2013 [cited 2020 Feb 28];61:88-9. Available from: http://www.neurologyindia.com/text.asp?2013/61/1/88/108031


Sir,

The other Babinski sign [1] represents simultaneous contraction of frontalis and orbicularis oculi muscles in hemifacial spasm leading to ipsilateral eyelid closure and eyebrow elevation. Hemifacial spasm may rarely coexist with blepharospasm. [2]

We present a 34-year-old male admitted for evaluation of toxic metabolic syndrome, likely due to a side effect from herbal medication. Repetitive bilateral eye blinking due to blepharospasm was observed during the interview. In addition, there was occasional right eye closure with associated right eyebrow elevation consistent with other Babinski signs in hemifacial spasm. Typically, eyelid closure in a patient with both disorders occurs asynchronously, [2] but on video evaluation, we could capture the other Babinski sign on the right with simultaneous left eye closure due to blepharospasm [[Figure 1], Video 1].
Figure 1: Other Babinski sign consisting of simultaneous right orbicularis oculi and right frontalis muscle contraction. Left eye closure is likely due to blepharospasm

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  Acknowledgment Top


The Author would like to thank the patient for providing consent to use his photo3graph in this article.

 
  References Top

1.Babinski J. Hémispasme facial périphérique. [Peripheral hemifacial spasm]. Nouvelle iconographie de la Salpétrière 1905;18:418-23.  Back to cited text no. 1
    
2.Tan EK, Chan LL, Koh KK. Coexistent blepharospasm and hemifacial spasm: Overlapping pathophysiologic mechanism? J Neurol Neurosurg Psychiatry 2004;75:494-6.  Back to cited text no. 2
    


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